Nonsurgical maxillary expansion in a 60-year-old patient with gingival recession and crowding
김하림, 박선형, 박재현, 이기준,
소속 상세정보
김하림 ( Kim Ha-Rim ) - Yonsei University College of Dentistry Department of Orthodontics
박선형 ( Park Sun-Hyung ) - Yonsei University College of Dentistry Department of Orthodontics
박재현 ( Park Jae-Hyun ) - A.T. Still University Arizona School of Dentistry & Oral Health Postgraduate Orthodontic Program
이기준 ( Lee Kee-Joon ) - Yonsei University College of Dentistry Department of Orthodontics
Abstract
Maxillary transverse deficiency often manifests as a posterior crossbite or edge-to-edge bite and anterior crowding. However, arbitrary arch expansion in mature patients has been considered to be challenging due to the possible periodontal adverse effects such as alveolar bone dehiscence and gingival recession. To overcome these limitations, nonsurgical maxillary expansion of the basal bone has been demonstrated in young adults. However, the age range for successful orthopedic expansion has remained a topic of debate, possibly due to the underlying individual variations in suture maturity. This case report illustrates nonsurgical, miniscrew-assisted rapid palatal expansion (MARPE) in a 60-year-old patient with maxillary transverse deficiency accompanied by anterior and posterior crossbites, crowding, and gingival recession. The use of MARPE allowed relief of crowding and correction of the crossbite without causing significant periodontal adverse effects.
키워드
Nonsurgical palatal expansion; Miniscrew-assisted rapid palatal expansion; Adult treatment; Gingival recession
원문 및 링크아웃 정보
등재저널 정보