Chrcanovic Bruno Ramos, Custódio Antônio Luís Neto
Oral Maxillofac Surg. 2009 Sep;13(3):123-37. doi: 10.1007/s10006-009-0161-9.
The purpose of this study was to present, compare, and discuss the techniques for rapid maxillary expansion.
The isolated transverse maxillary deficiency can be treated either orthodontically or surgically with rapid palatal expansion. In children and adolescents, conventional orthodontic rapid maxillary expansion has been successful when used before sutural closure. On the other hand, in skeletally mature patients, the possibility of successful maxillary expansion decreases as sutures close and the resistance to mechanical forces increases.
The selection of an expansion technique depends on a number of factors. It is more likely to advocate surgery as the patient's age, transverse needs, or acceptance of the idea of surgery increases.
本研究的目的是介绍、比较和讨论快速上颌扩弓技术。
孤立的上颌横向发育不足可通过正畸或手术的方式进行快速腭部扩弓治疗。在儿童和青少年中，传统正畸快速上颌扩弓在缝合关闭前使用时已取得成功。另一方面，在骨骼成熟的患者中，随着缝合线关闭以及对机械力的抵抗力增加，上颌成功扩弓的可能性会降低。
扩弓技术的选择取决于多种因素。随着患者年龄的增长、横向需求的增加或对手术理念接受度的提高，更倾向于提倡手术治疗。
