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Losev F.F.

Central Research Institute of Dentistry and Maxillofacial Surgery

Arsenina O.I.

Central Research Institute of Dentistry and Maxillofacial Surgery»;
Russian Medical Academy of Continuous Professional Education

Shugaylov I.A.

Russian Medical Academy of Continuous Professional Education

Popova N.V.

Central Research Institute of Dentistry and Maxillofacial Surgery»;
Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency

Makhortova P.I.

Central Research Institute of Dentistry and Maxillofacial Surgery»;
Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency

Popova A.V.

Central Research Institute of Dentistry and Maxillofacial Surgery»

Algorithms for orthodontic treatment of patients with maxillary constriction based on the stages of formation of the palatal suture

Authors:

Losev F.F., Arsenina O.I., Shugaylov I.A., Popova N.V., Makhortova P.I., Popova A.V.

More about the authors

Journal: Stomatology. 2022;101(2): 52‑62

DOI: 10.17116/stomat202210102152

Views: 7321

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Table of contents

ALGORITHMS FOR ORTHODONTIC TREATMENT OF PATIENTS WITH MAXILLARY CONSTRICTION BASED ON THE STAGES OF FORMATION OF THE PALATAL SUTURE
ALGORITHMS FOR ORTHODONTIC TREATMENT OF PATIENTS WITH MAXILLARY CONSTRICTION BASED ON THE STAGES OF FORMATION OF THE PALATAL SUTURE

To cite this article:

Losev FF, Arsenina OI, Shugaylov IA, Popova NV, Makhortova PI, Popova AV. Algorithms for orthodontic treatment of patients with maxillary constriction based on the stages of formation of the palatal suture. Stomatology. 2022;101(2):52‑62. (In Russ.)
https://doi.org/10.17116/stomat202210102152

Подписка 2025-2 (Stomatology)
 
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THE AIM OF THE STUDY

Improving the effectiveness of complex orthodontic treatment of patients with constriction and deformation of the upper jaw during the period of replacement and permanent bite based on the analysis of cone-beam computed tomography (CBCT) data.

MATERIALS AND METHODS

The results of complex treatment of 70 patients with constriction and deformation of the upper jaw during the period of temporary and permanent bite are presented. The patients were divided into groups according to the stage of formation of the midpalatal suture: 1st group — 40 patients with stage «A» and «B» (average age 11.5 years); 2nd group — 15 patients with stage «C» (average age 20.5 years); 3rd group — 15 patients with stage «D» and «E» (average age 24.5 years). Orthodontic treatment was carried out using palatine expanders with a dental and intraosseous type of fixation. The complex treatment consisted of: orthodontic treatment using a bracket system, transgingival laser corticotomy, piezocorticotomy, surgically assisted rapid palatal expansion, orthodontic appliances for the expansion of the upper jaw. After conducting a clinical X-ray examination of all patients and analyzing the data obtained, we developed algorithms for therapeutic measures.

RESULTS

As a result of the diagnosis and treatment planning, the expansion of the upper jaw was achieved both at the dental alveolar and skeletal levels. Detailed algorithms of complex treatment were developed based on the analysis of CBCT data, the stage of formation of the midpalatal suture individually for each patient.

CONCLUSION

It was found that the analysis of CBCT data makes it possible to choose the optimal treatment method for patients with skeletal deformities of the dentition complex, thereby increasing the effectiveness of orthodontic treatment.

Keywords:

constriction of the upper jaw
cone-beam computed tomography
laser
corticotomy
maxillary sutures

Authors:

Losev F.F.

Central Research Institute of Dentistry and Maxillofacial Surgery

Arsenina O.I.

Central Research Institute of Dentistry and Maxillofacial Surgery»;
Russian Medical Academy of Continuous Professional Education

Shugaylov I.A.

Russian Medical Academy of Continuous Professional Education

Popova N.V.

Central Research Institute of Dentistry and Maxillofacial Surgery»;
Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency

Makhortova P.I.

Central Research Institute of Dentistry and Maxillofacial Surgery»;
Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency

Popova A.V.

Central Research Institute of Dentistry and Maxillofacial Surgery»

Received:

07.12.2021

Accepted:

13.12.2021

List of references:

  1. Arsenina OI, Shugailov IA, Nadtochiy AG, Popova NV, Makhortova PI, Popova AV, Aganov MS. Improving the effectiveness of treatment of adult patients with dentoalveolar anomalies and deformities using Er, Cr: YSGG laser: a clinical study. Stomatologia. 2021;1:34-43. (In Russ.). https://doi.org/10.17116/stomat202110001134
  2. Bazargani F, Feldmann I, Bondemark L. Three-dimensional analysis of effects of rapid maxillary expansion on facial sutures and bones. Angle Orthod. 2013;83:1074-1082. https://doi.org/10.2319/020413-103.1
  3. Ludwig B, Glasl B, Bowman Sj, Wilmes B, Kinzinger Gs, Lisson Ja. Anatomical Guidelines For Miniscrew Insertion: Palatal Sites. J Clin Orthod. 2011;45:433-441.  https://doi.org/22094724
  4. Slabkovskaya AB, Telerentgenograms of the head in frontal projection: opportunities and problems. Orthodontia. 2006;1(33):86. (In Russ.).
  5. Popova NV, Arsenina OI, Makhortova PI, Popova AV, Shugailov IA. Complex orthodontic-surgical rehabilitation of adults with malocclusions and deformations in dentition. Stomatologia. 2020;2(2):66-78. (In Russ.). https://doi.org/10.17116/stomat20209902166
  6. Popova NV, Arsenina OI, Makhortova PI. Efficiency of orthodontic treatment in combination with surgically assisted rapid palatal expansion. Stomatologia. 2019;98(4):71-79. (In Russ.). https://doi.org/10.17116/stomat20199804171
  7. Farronato G, Giannini L, Galbiati G, Maspero C. Sagittal and vertical effects of rapid maxillary expansion in Class I, II, and III occlusions. Angle Orthod. 2011;81:298-303.  https://doi.org/10.2319/050410-241.1
  8. Fadeev RA, Prozorova NV, Fadeeva MR, Lee PV, Litovchenko YuP. An alternative approach to the treatment of skeletal forms of mesial dentition ratio in patients with complete facial growth. The Dental Institute. 2018;(81):44-47. (In Russ.).
  9. Angelieri F, Cevidanes L, Franchi L., Goncalves J., Mcnamara J. Midpalatal Suture Maturation: Classification Method For Individual Assessment Before Rapid Maxillary Expansion. Am J Orthod Dentofacial Orthop. 2013; 144(5):759-769.  https://doi.org/10.1016/j.ajodo.2013.04.022

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