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Surgically assisted rapid palatal expansion with tent screws and a custom-made palatal expander: a case report

Maxillofacial Plastic and Reconstructive Surgery 2015³â 37±Ç 1È£ p.34 ~ 34
Park Kang-Nam, ÀÌ⿬, ¹ÚÀοµ, ±èÁ¿µ, ¾çº´Àº,
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 ( Park Kang-Nam ) - Hallym University Sacred Heart Hospital Department of Oral and Maxillofacial Surgery
ÀÌ⿬ ( Lee Chang-Youn ) - Hallym University Sacred Heart Hospital Department of Oral and Maxillofacial Surgery
¹ÚÀοµ ( Park In-Young ) - Hallym University Sacred Heart Hospital Department of Orthodontics
±èÁ¿µ ( Kim Jwa-Young ) - Hallym University Sacred Heart Hospital Department of Oral and Maxillofacial Surgery
¾çº´Àº ( Yang Byoung-Eun ) - Hallym University Sacred Heart Hospital Department of Oral and Maxillofacial Surgery

Abstract


Rapid palatal expansion(RPE) with the tooth-born appliance is not sufficient to apply to the patients with periodontal problem or insufficient tooth anchorage, and it leads to tipping of the anchorage teeth and increasing teeth mobility and root resorption. To avoid these disadvantages, we present the case using palatal screws and custommade palatal expander. A 23-year-old patient underwent surgically assisted rapid maxillary expansion with the Hyrax expansion using 4 tent screws. The study models were used to measure the pre?/?post surgical width of the anterior and posterior dental arches with a digital sliding caliper. In the result, the custom-made palatal expander with 4 tent screws is suitable for delivering a force to the mid-palatal suture expansion. And it is low cost, small sized and simply applied. The results indicated that maxillary expansion with the custom-made palatal anchorage device is predictable and stable technique without significant complications in patients.

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Transverse maxillary deficiency; Surgically Assisted Rapid Palatal Expansion (SARPE); Rapid Palatal Expansion (RPE); Tent screw; Palatal expander

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