Transpalatal Distraction Using Bone-Borne Distractor: Clinical Observations and Dental and Skeletal Changes

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dc.contributor.authorGunbay, Tayfun
dc.contributor.authorAkay, M. Cemal
dc.contributor.authorGunbay, Sevtap
dc.contributor.authorAras, Aynur
dc.contributor.authorKoyuncu, Banu Oezveri
dc.contributor.authorSezer, Bahar
dc.date.accessioned2019-10-27T20:22:40Z
dc.date.available2019-10-27T20:22:40Z
dc.date.issued2008
dc.departmentEge Üniversitesien_US
dc.description.abstractPurpose: The aim of this clinical Study was to analyze the Outcome, complications, and long-term results of transpalatal distraction for the correction of maxillary transverse deficiency (MTD) and assess skeletal and dental changes in the sagittal, vertical, and transverse planes through cephalograms and dental casts. Patients and Methods: Ten adult patients with MTD were treated with a Transpalatal Distractor (Surgi-Tec, Bruges, Belgium). Lateral and posteroanterior cephalometric films and dental casts were taken before surgery and at the end of the consolidation period. The statistical analysis of cephalometric film and dental cast measurements was undertaken with paired t tests. Results: The intraoperative and postoperative problems encountered were damage to the central incisive teeth as a result of vertical osteotomy, Wound dehiscence after the latent period, pain during the distraction period, and loosening of the distractor and buccal displacement of the left alveolar segment during the consolidation period. Model analysis showed that the greatest amount of transverse increase was in the premolar region (7.07 film for first premolar and 7.10 mm for second premolar). Frontal cephalometric analysis indicated that transverse distances increased more at the alveolar level (7.75 mm) than in the maxillary base (5.25 mm) and nasal region (4.3 mm). The asymmetries between the left and right sides in both dental and skeletal expansions were statistically nonsignificant. The changes in the Sella-nasion-point A, Sella-nasion-point B, Sella-nasion and gonion-gnasion angles were statistically significant. Conclusions: According to the results Of this Study, transpalatal distraction was found to be a clinically effective technique for palatal expansion in adult patients with MTD. However, treatment planning and regular clinical follow-up visits are necessary for long-term clinical Success. (C) 2008 American Association of Oral and Maxillofacial Surgeonsen_US
dc.description.sponsorshipDepartment of Scientific Research Projects, Ege University, TurkeyEge Universityen_US
dc.description.sponsorshipThis study was supported by the Department of Scientific Research Projects, Ege University, Turkey.en_US
dc.identifier.doi10.1016/j.joms.2008.06.105en_US
dc.identifier.endpage2514en_US
dc.identifier.issn0278-2391
dc.identifier.issn1531-5053
dc.identifier.issue12en_US
dc.identifier.pmid19022131en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage2503en_US
dc.identifier.urihttps://doi.org/10.1016/j.joms.2008.06.105
dc.identifier.urihttps://hdl.handle.net/11454/41928
dc.identifier.volume66en_US
dc.identifier.wosWOS:000261351400014en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherW B Saunders Co-Elsevier Incen_US
dc.relation.ispartofJournal of Oral and Maxillofacial Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.titleTranspalatal Distraction Using Bone-Borne Distractor: Clinical Observations and Dental and Skeletal Changesen_US
dc.typeArticleen_US

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