Rapid maxillary expansion assisted by mini-implants anchorage: A case report

Int Orthod. 2019 Mar;17(1):159-169. doi: 10.1016/j.ortho.2019.01.021. Epub 2019 Feb 8.

Abstract

Rapid maxillary expansion (RME) is an orthopaedic treatment frequently used to correct transversal problems in the maxilla. The aim of this case report was to evaluate the transversal skeletal and dental changes in a 12-year-old male patient with maxillary atresia and bilateral posterior crossbite who had been treated with rapid maxillary expansion assisted by mini-implant anchorage. The results showed an increase of 6.2mm in the maxillary width, an increase of 6mm, 8mm and 9mm in the fossa-fossa measurements between first premolars, second premolars and first molars respectively, also there was a vestibuloversion of molars as an undesirable effect. Mini-implants, as skeletal anchorage in rapid maxillary appliances is a good alternative to achieve an increase of transverse skeletal and dental dimensions with a minimum amount of side effects.

Keywords: Disjonction maxillaire; Expansion maxillaire; Expansion maxillaire rapide; Maxillary disjunction; Maxillary expansion; Rapid maxillary expansion; Temporary anchorage devices.

Publication types

  • Case Reports

MeSH terms

  • Anatomic Landmarks
  • Cephalometry
  • Child
  • Dental Implants*
  • Humans
  • Male
  • Malocclusion / diagnostic imaging
  • Malocclusion / therapy*
  • Maxilla / diagnostic imaging
  • Maxilla / surgery
  • Molar
  • Orthodontic Appliances, Fixed*
  • Orthodontics, Interceptive / methods*
  • Palatal Expansion Technique* / instrumentation
  • Radiography, Panoramic
  • Skull / diagnostic imaging
  • Treatment Outcome

Substances

  • Dental Implants