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Complex orthodontic treatment of patients with constricted upper jaw using piezo corticotomy
- Authors: Losev F.F.1, Arsenina O.I.1,2, Braylovskaya T.V.1, Popova N.V.1,3, Sherstobitov V.A.1, Makhortova P.I.1,3
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Affiliations:
- National Medical Research Center Central Research Institute of Dentistry and Maxillofacial Surgery
- Russian Medical Academy of Continuous Professional Education
- State Research Center — Burnasyan Federal Medical Biophysical Center
- Issue: Vol 25, No 6 (2021)
- Pages: 529-538
- Section: Clinical Investigation
- URL: https://rjdentistry.com/1728-2802/article/view/107932
- DOI: https://doi.org/10.17816/1728-2802-2021-25-6-529-538
- ID: 107932
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Abstract
BACKGROUND: The question of choosing upper jaw expansion methods is relevant because of the high prevalence of upper jaw narrowing, which occurs in 7.9% and 9.9% of patients aged 12–18 and 18–50 years, respectively.
AIM: This study aimed to increase the efficiency of orthodontic treatments of patients with constricted upper jaw who refused volumetric surgical interventions.
MATERIAL AND METHODS: The results of the combined treatment of patients with narrow maxilla during the period of permanent bite are presented. The combined treatment consisted of orthodontic treatment using palatal expanders in combination with piezo corticotomy. Twenty patients with narrowing and deformity of the upper jaw were treated using this protocol, which was selected according to the results of cone-beam computed tomography in accordance with the stage “C” of the formation of the median palatal suture (mean age, 18.5 years). Orthodontic treatment was performed using tooth-borne and bone-borne palatal expanders.
RESULTS: The successful upper jaw expansion at the skeletal level was achieved in all the treated cases. The choice of the proposed method of treatment of adult patients with maxillary constriction was based on the analysis of the formation of the medial palatal suture and individual assessment of bone density.
CONCLUSION: The proposed method of upper jaw expansion allows the expansion of the upper jaw not at the dental but at the skeletal level.
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About the authors
Fedor F. Losev
National Medical Research Center Central Research Institute of Dentistry and Maxillofacial Surgery
Email: info@zniis.ru
ORCID iD: 0000-0002-9448-9614
MD, Dr.Sci. (Med.), professor
Russian Federation, 16, Timura Frunze str., Moscow, 119021Olga I. Arsenina
National Medical Research Center Central Research Institute of Dentistry and Maxillofacial Surgery; Russian Medical Academy of Continuous Professional Education
Author for correspondence.
Email: arsenina@mail.ru
ORCID iD: 0000-0002-0738-1227
MD, Dr. Sci. (Med.), professor
Russian Federation, 16, Timura Frunze str., Moscow, 119021; MoscowTatiana V. Braylovskaya
National Medical Research Center Central Research Institute of Dentistry and Maxillofacial Surgery
Email: info@zniis.ru
MD, Dr. Sci. (Med.)
Russian Federation, 16, Timura Frunze str., Moscow, 119021Natalia V. Popova
National Medical Research Center Central Research Institute of Dentistry and Maxillofacial Surgery; State Research Center — Burnasyan Federal Medical Biophysical Center
Email: popova@doctor.com
ORCID iD: 0000-0002-3686-5263
MD, Cand. Sci. (Med.)
Russian Federation, 16, Timura Frunze str., Moscow, 119021; MoscowViktor A. Sherstobitov
National Medical Research Center Central Research Institute of Dentistry and Maxillofacial Surgery
Email: info@zniis.ru
postgraduate student
Russian Federation, 16, Timura Frunze str., Moscow, 119021Polina I. Makhortova
National Medical Research Center Central Research Institute of Dentistry and Maxillofacial Surgery; State Research Center — Burnasyan Federal Medical Biophysical Center
Email: polly.max@mail.ru
ORCID iD: 0000-0002-1321-568X
MD, Cand. Sci. (Med.)
Russian Federation, 16, Timura Frunze str., Moscow, 119021; MoscowReferences
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