Orthopedic maxillary expansion. Report of a case
Keywords:
ATRESIA, RETROGNATHIA, ORTHODONTIC APPLIANCES, FIXED.Abstract
Introduction: Hyrax type orthodontic appliance has been used in recent years to correct maxillary atresia. It is indicated in patients with transverse micrognathias of the maxilla and produces a rapid expansion of the maxilla.
Presentation of the case: 12 year old female patient, white, in good general condition, who attended the orthodontic consultation at the "Antonio Briones Montoto" Stomatology Clinic, presenting on clinical examination: Oval face, hypotonic upper lip, diminished lower third and convex profile, on intraoral examination he had a 4 mm protrusion, upper and lower dental crowding, disto-occlusion molar relationship on both sides, without being able to establish canine relationship, deep palatal vault, ogival palate with upper and lower dental macrodontia and total transverse micrognathias. He refers to digital sucking as a previous habit and paternal inheritance, with a tendency towards brachyfacial growth and skeletal alterations such as maxillary retrognathism.
Conclusions: Maxillary expansion was performed as orthopedic treatment by means of a HYRAX type expander with the use of a Vite Hyrax® II screw from Dentaurum. Taking into account the transverse relationship of the maxilla, the growth trend and facial biotype, as well as the patient's collaboration, favorable therapeutic results were achieved and skeletal modifications of the maxilla in the three planes of space that favored dental repositioning and the adequate occlusal and facial relations obtained.
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1.Rivas Pérez G, Álvarez Mora I, Mora Pérez CC, Morera Pérez A, Pausa González OJ. Avances científico-técnicos en ortodoncia y su impacto social. Conrado. [Internet]. 2020 [citado 11/12/2022]; 16(72): 39-48. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1990-86442020000100039&lng=es&tlng=es
2. López Gallegos E, Armas A, López Ríos EF, Núñez A, Tatés Almeida K. Prevalencia de hábitos deletéreos y maloclusiones en dentición mixta en niños de la ciudad de Quito, Ecuador. Universidad Central del Ecuador. Quito [Internet; 2018 [citado 11/12/2022]: 121-6. Disponible en: http://www.dspace.uce.edu.ec/handle/25000/16693
3. Infante Argüelles, Roxana et al. Variaciones del tercio inferior de la cara y disturbios temporomandibulares y necesidades asistenciales. Revista de Ciencias Médicas de Pinar del Río [Internet]. 2019 [citado 11/12/2022]; 23(6): [aprox. 9 p.]. Disponible en: http://www.revcmpinar.sld.cu/index.php/publicaciones/article/view/4002/pdf
4. González Espangler L, Mena García G, Sarmientos Martínez Y, Durán Vázquez WE, Romero García L. Anomalías dentomaxilofaciales de la atención primaria de salud en escolares de 6-12 años. Rev. Panorama. Cuba y Salud [Internet]. 2019 [citado 11/12/2022]; 13(3): 22-6. Disponible en: https://www.medigraphic.com/pdfs/multimed/mul-2018/mul181b.pdf
5. Herrero SY, Arias MY. Hábitos bucales deformantes y su relación etiológica con las maloclusiones. MULTIMED [Internet]. 2019 [citado 11/12/2022]; 23(3): 580-91. Disponible en: https://www.medigraphic.com/pdfs/multimed/mul-2019/mul193o.pdf
6. Herrero Solano Y. Relación entre hábitos bucales deformantes y el micrognatismo transversal. MULTIMED [Internet]. 2018 [citado 11/12/2022]; 22(4): 825-838. Disponible en: http://www.revmultimed.sld.cu/index.php/mtm/article/view/932/1345
7. Polanco Miniet Y, Pérez Cabrera DL, Alcolea Rodríguez JR. Cultura sanitaria sobre hábitos bucales deformantes relacionados con el micrognatismo transversal superior. Escuela “Ciro Redondo”. 2017. Multimed [Internet]. 2019 Abr [citado 11/12/2022]; 23(2): 231-42. Disponible en: http://scielo.sld.cu/pdf/mmed/v23n2/1028-4818-mmed-23-02-231.pdf
8. Aliaga Meza A, Arieta Miranda J. Cambios mandibulares después de una expansión maxilar rápida. Revisión de la literatura. Odontol Sanmarquina [Internet]. 2021 [citado 11/12/2022]; 24(4): 341-50. Disponible en: https://revistasinvestigacion.unmsm.edu.pe/index.php/odont/article/view/21310/17239
9. Calvo Pérez D, Martínez Brito I, García del Busto Chinea M, Hernández González YO, Saborit Carvajal T. Disyunción Maxilar. Rev. Med. Electrón [Internet]. 2018 Feb [citado 11/12/2022]; 40(1): 192-9. Disponible en: http://scielo.sld.cu/pdf/rme/v40n1/rme190118.pdf
10. Espinosa Holguín S, Gurrola Martínez B, Casasa Araujo A. Manejo del paciente con apiñamiento severo y mordida cruzada posterior bilateral con expansor maxilar tipo Hyrax. Odontología Vital [Internet]. 2018 [citado 11/12/2022]; 2(29): 49-58. Disponible en: https://www.scielo.sa.cr/pdf/odov/n29/1659-0775-odov-29-49.pdf
11. Zambonino Palma P. Expansión maxilar en la corrección de mordida cruzada posterior derecha. Oactiva [Internet]. 2018 [citado 11/12/2022]; 3(3): 37-44. Disponible en: https://oactiva.ucacue.edu.ec/index.php/oactiva/article/view/279/413
12. Ameneiros Narciandi O, Soto Rico A, Cruz Estupiñán D. Expansión ortopédica del maxilar. Disyunción rápida. Investigaciones Medico quirúrgicas [Internet]. 2021 [citado 11/12/2022]; 13(3). Disponible en: http://www.revcimeq.sld.cu/index.php/imq/article/view/720/752
13. Vallejo Izquierdo LA, Collantes Acuña JE, Rockenbach Binz MC, Vallejo Izquierdo KK, Vallejo Izquierdo DE. Eficacia de los aparatos de expansión rápida maxilar Hyrax y Haas. J Multidiscip. Dent [Internet]. 2021 [citado 11/12/2022]; 10(2): 112-9. Disponible en: https://jmd.emnuvens.com.br/jmd/article/view/273
14. Ortiz VA, Vásconez Morquecho GE, Armijos Briones FM. Estudio comparativo de los resultados del tratamiento de clase III, en una intervención temprana y tardía. Universidad y Sociedad [Internet]. 2021 [citado 11/12/2022]; 13(S2): 45-2. Disponible en: https://rus.ucf.edu.cu/index.php/rus/article/view/2282
15. de la Rosa A, Nevado E, Mourelle R. Expansión Rápida del Maxilar Superior por Compresión Apical Unilateral. A propósito de un Caso Clínico. Psychologia Latina [Internet]. 2018 [citado 11/12/2022]; Especial: 81-83. Disponible en: https://psicologia.ucm.es/data/cont/docs/29-2019-02-15-de%20la%20Rosa.pdf
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