Rapid maxillary expansion anchored by implants – a new proposal to orthopedic expansion in the permanent dentition

Daniela Gamba GARIB, Ricardo de Lima NAVARRO, Carlos Eduardo FRANCISCHONE, Paula Vanessa Pedron OLTRAMARI

Aim: This study presents a method for maxillary orthopedic expansion, in the permanent dentition, using implants as anchorage. Methods: Surgical and laboratorial procedures for the construction of a tooth-bone-borne expansor was detailed in a human dry skull. Two titanium implants were placed in the anterior region of the palate and a Hyrax screw was adapted in a way that the expansion was anchored both on the palatal implants and on permanent first molars. Results: The laboratorial experiment in dry skull showed that the procedure is operationally and anatomically possible. The implants supported the force generated by the expansion screw activation and the maxilla halves were transversally split. Conclusions: Rapid maxillary expansion anchored on implants can increase the efficiency of orthopedic expansion and decrease the periodontal sequela caused by conventional RME. Further clinical studies are necessary to verify these hypotheses.

Keywords: Orthodontics. Orthopedics. Rapid maxillary expansion. Implants. Permanent dentition.

Thursday, May 02, 2024 01:24