Suri Lokesh, Taneja Parul
Department of Orthodontics, School of Dental Medicine, Tufts University, Boston, MA 02111, USA.
Am J Orthod Dentofacial Orthop. 2008 Feb;133(2):290-302. doi: 10.1016/j.ajodo.2007.01.021.
Transverse maxillomandibular discrepancies are a major component of several malocclusions. Orthopedic and orthodontic forces are used routinely to correct a maxillary transverse deficiency (MTD) in a young patient. Correction of MTD in a skeletally mature patient is more challenging because of changes in the osseous articulations of the maxilla with the adjoining bones. Surgically assisted rapid palatal expansion (SARPE) has gradually gained popularity as a treatment option to correct MTD. It allows clinicians to achieve effective maxillary expansion in a skeletally mature patient. The use of SARPE to treat MTD decreases unwanted effects of orthopedic or orthodontic expansion. Our aim in this article is to present a comprehensive review of the literature, including indications, diagnosis, guidelines for case selection, a brief overview of the surgical techniques, orthodontic considerations, complications, risks, and limitations of SARPE to better aid the clinician in the management of MTD in skeletally mature patients.
上颌下颌横向差异是几种错牙合畸形的主要组成部分。在年轻患者中，通常使用矫形力和正畸力来纠正上颌横向发育不足（MTD）。由于上颌与相邻骨骼的骨连接发生变化，在骨骼成熟的患者中纠正MTD更具挑战性。手术辅助快速腭扩展（SARPE）作为一种纠正MTD的治疗选择已逐渐受到欢迎。它使临床医生能够在骨骼成熟的患者中实现有效的上颌扩展。使用SARPE治疗MTD可减少矫形或正畸扩展的不良影响。本文的目的是对文献进行全面综述，包括适应证、诊断、病例选择指南、手术技术简要概述、正畸考虑因素、并发症、风险以及SARPE的局限性，以更好地帮助临床医生管理骨骼成熟患者的MTD。
