Department of Orthodontics, University of Duesseldorf, Moorenstr. 5, 40225, Duesseldorf, Germany.
Department of Orthodontics, University of Sydney, Private Practice, Sydney, Australia.
Head Face Med. 2018 Sep 19;14(1):16. doi: 10.1186/s13005-018-0172-6.
Surgically assisted rapid maxillary expansion (SARME) is primarily used in adult orthodontics. In many cases it is followed by further surgery to address further anteroposterior and/or vertical discrepancies. Treatment times in such cases are often long with adult patients usually requesting invisible appliances. Lingual appliances can provide the mechanical control required as well as fulfil the aesthetic demands in such cases. However lingual appliances are usually custom made and indirectly bonded. Due to tooth movement following surgery there is usually a long delay before impressions can be made for customized lingual appliances. This results in a long delay before alignement and leveling can be commenced post-surgery.
Three cases are presented here demonstrating the simultaneous placement of bone anchored expansion devices for surgically assisted rapid maxillary expansion with customized lingual appliances.
The combination of the two procedures allows the alignement and leveling to commence very soon after surgery significantly reducing treatment times. The design of the appliances and the clinical procedures are described and discussed.
外科辅助上颌快速扩弓（SARME）主要用于成人正畸。在许多情况下，它之后需要进一步的手术来解决进一步的前后和/或垂直差异。在这种情况下，治疗时间通常很长，成年患者通常要求隐形矫治器。舌侧矫治器可以提供所需的机械控制，并满足这种情况下的美学要求。然而，舌侧矫治器通常是定制的，并且是间接粘接的。由于手术后牙齿移动，通常需要很长时间才能为定制的舌侧矫治器制作印模。这导致手术后开始排齐和整平的时间延迟很长。
这里介绍了三个病例，展示了同时放置骨锚定扩展装置进行外科辅助上颌快速扩弓和定制舌侧矫治器的情况。
这两种手术的结合允许在手术后很快开始排齐和整平，显著缩短了治疗时间。介绍并讨论了矫治器的设计和临床程序。
