Ömezli Mehmet Melih, Torul Damla, Avcı Tolunay
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Ordu University, Ordu, Turkey.
Biomedicine (Taipei). 2020 Dec 1;10(4):49-51. doi: 10.37796/2211-8039.1007. eCollection 2020.
Maxillary transversal deficiency (MTD) is a common skeletal problem. If not treated on time, MTD evolve to a more complex malocclusion. This problem can affect facial growth and development. Rapid maxillary expansion (RME) procedure frequently used for the management. This technique is usually successful in young individuals but as the age advances and the articulations of the maxilla with surrounding facial bones get more rigid, it becomes ineffective. Undesirable side effects or results have been reported after use of RME in skeletally mature patients such as buccal tipping of posterior teeth, extrusion, periodontal tissue recession, fenestration of buccal cortex, necrosis of palatal tissue, failure in opening of midpalatal suture, pain, and relapse of expansion. Side effects of RME are often temporary and permanent damages are rarely seen. The aim of this report is to present the management of a permanent side effect of the RME procedure in a 13-year-old child.
上颌横向发育不足（MTD）是一种常见的骨骼问题。如果不及时治疗，MTD会发展为更复杂的错牙合畸形。这个问题会影响面部的生长发育。快速上颌扩弓（RME）程序常用于该问题的治疗。这项技术在年轻个体中通常是成功的，但随着年龄的增长，上颌与周围面部骨骼的关节变得更加僵硬，它就变得无效了。在骨骼成熟的患者中使用RME后，已经报道了一些不良副作用或结果，如后牙颊向倾斜、牙齿伸长、牙周组织退缩、颊侧皮质骨开窗、腭部组织坏死、腭中缝打开失败、疼痛和扩弓复发。RME的副作用通常是暂时的，很少见到永久性损伤。本报告的目的是介绍一名13岁儿童RME程序永久性副作用的治疗情况。
