Review
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CERRAHİ DESTEKLİ HIZLI MAKSİLLER GENİŞLETME SONRASI DEĞİŞİKLİKLERİN DEĞERLENDİRİLMESİNDE RADYOGRAFİK GÖRÜNTÜLEMENİN ÖNEMİ: DERLEME ÇALIŞMASI

Year 2022, Volume: 9 Issue: 1, 288 - 298, 27.04.2022
https://doi.org/10.15311/selcukdentj.868325

Abstract

Kalıtımsal, fonksiyonel veya çevresel etkenler sonucu kafa yüz kemiklerinde ortaya çıkan iskeletsel bir anomali; maksillanın büyümesini olumsuz yönde etkileyerek sagittal, vertikal ve transversal yönde malokluzyonlara neden olabilmektedir. Maksiller transversal darlık, kraniofasiyal alanda görülen iskeletsel anomalilerin en sık olarak gözlendiği problemlerdir. Bu durum hem iskeletsel, hem de dişsel olarak karşımıza çıkabilmektedir. Maksiller darlık vakalarında tedavi alternatifleri yaşa bağlı olarak değişmektedir. İskeletsel maksiller darlık tanısı konmuş olup, gelişimi devam eden bireylerde ortopedik maksiller genişletme yapılmaktadır. Erişkin bireylerde ise maksiller darlıklar, ortopedik kuvvetler yetersiz kaldığı için cerrahi destekli hızlı maksiller genişletme (CDHMG) ile düzeltilebilmektedir. CDHMG prosedürü, plastik cerrahi uygulamasında bir tür kontrollü yumuşak doku genişletmesi olmakla beraber popüler bir kavram olan distraksiyon osteogenezi olarak ifade edildiği bildirilmektedir.
Transversal iskelet değişikliklerini değerlendiren çoğu çalışma, dental ölçülere veya konvansiyonel iki boyutlu (2D) radyografilere dayanmaktadır. Ancak 2D radyograflar ile karşılaştırıldığında, üç boyutlu (3D) görüntüleme diş ve iskelet hareketlerinin daha kesin değerlendirilmesini sağlayabilir. Özellikle dental volumetrik tomografi (DVT), invaziv olmama, yüksek erişilebilirlik, yüksek doğruluk ve iyi çözünürlük nedeniyle ağız, diş ve çene-yüz cerrahisinde, ortodontide tanı ve tedavi takibi için benzeri görülmemiş bir teknik haline gelmiştir.
2D görüntünün magnifiye olması, distorsiyona uğraması, anatomik yapıların süperpoze olması gibi bazı kısıtlamalar nedeniyle 2D görüntüler yerine günümüzde 3D görüntüler kullanılmaya başlanmıştır.

References

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Year 2022, Volume: 9 Issue: 1, 288 - 298, 27.04.2022
https://doi.org/10.15311/selcukdentj.868325

Abstract

References

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  • 2. Koudstaal MJ, Poort LJ, van der Wal KG, Wolvius EB, Prahl-Andersen B, Schulten AJ. Surgically assisted rapid maxillary expansion (SARME): a review of the literature. Int J Oral Maxillofac Surg. 2005;34(7):709-14.
  • 3. Suri L, Taneja P. Surgically assisted rapid palatal expansion: a literature review. Am J Orthod Dentofacial Orthop. 2008;133(2):290-302.
  • 4. Lofstrand-Tidestrom B, Thilander B, Ahlqvist-Rastad J, Jakobsson O, Hultcrantz E. Breathing obstruction in relation to craniofacial and dental arch morphology in 4-year-old children. Eur J Orthod. 1999;21(4):323-32.
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  • 6. Pereira-Filho VA, Monnazzi MS, Gabrielli MAC, Spin-Neto R, Watanabe ER, Gimenez CMM, et al. Volumetric upper airway assessment in patients with transverse maxillary deficiency after surgically assisted rapid maxillary expansion. International Journal of Oral and Maxillofacial Surgery. 2014;43(5):581-6.
  • 7. Lines PA. Surgically assisted rapid palatal expansion: A literature review. Am J Orthod Dentofac Orthop. 2008;133:290.
  • 8. Chamberland S, Proffit WR. Closer look at the stability of surgically assisted rapid palatal expansion. J Oral Maxillofac Surg. 2008;66(9):1895-900.
  • 9. Mommaerts MY. Transpalatal distraction as a method of maxillary expansion. Br J Oral Maxillofac Surg. 1999;37(4):268-72.
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  • 19. Timms DJ, Vero D. The relationship of rapid maxillary expansion to surgery with special reference to midpalatal synostosis. Br J Oral Surg. 1981;19(3):180-96.
  • 20. Alpern MC, Yurosko JJ. Rapid palatal expansion in adults with and without surgery. Angle Orthod. 1987;57(3):245-63.
  • 21. Basciftci FA, Karaman AI. Effects of a modified acrylic bonded rapid maxillary expansion appliance and vertical chin cap on dentofacial structures. Angle Orthod. 2002;72(1):61-71.
  • 22. Gurgel JA, Tiago CM, Normando D. Transverse changes after surgically assisted rapid palatal expansion. International Journal of Oral and Maxillofacial Surgery. 2014;43(3):316-22.
  • 23. Shetty V, Caridad JM, Caputo AA, Chaconas SJ. Biomechanical rationale for surgical-orthodontic expansion of the adult maxilla. J Oral Maxillofac Surg. 1994;52(7):742-9; discussion 50-1.
  • 24. Ilizarov GA, Ledyaev VI. The replacement of long tubular bone defects by lengthening distraction osteotomy of one of the fragments. 1969. Clin Orthop Relat Res. 1992(280):7-10.
  • 25. Deeb W, Hansen L, Hotan T, Hietschold V, Harzer W, Tausche E. Changes in nasal volume after surgically assisted bone-borne rapid maxillary expansion. Am J Orthod Dentofacial Orthop. 2010;137(6):782-9.
  • 26. Tausche E, Deeb W, Hansen L, Hietschold V, Harzer W, Schneider M. CT analysis of nasal volume changes after surgically-assisted rapid maxillary expansion. J Orofac Orthop. 2009;70(4):306-17.
  • 27. Barrabe A, Meyer C, Bonomi H, Weber E, Sigaux N, Louvrier A. Surgically assisted rapid palatal expansion in class III malocclusion: Our experience. J Stomatol Oral Maxillofac Surg. 2018;119(5):384-8.
  • 28. Izuka EN, Feres MF, Pignatari SS. Immediate impact of rapid maxillary expansion on upper airway dimensions and on the quality of life of mouth breathers. Dental Press J Orthod. 2015;20(3):43-9.
  • 29. Kabalan O, Gordon J, Heo G, Lagravere MO. Nasal airway changes in bone-borne and tooth-borne rapid maxillary expansion treatments. Int Orthod. 2015;13(1):1-15.
  • 30. El H, Palomo JM. Three-dimensional evaluation of upper airway following rapid maxillary expansion: a CBCT study. Angle Orthod. 2014;84(2):265-73.
  • 31. Doruk C, Sokucu O, Bicakci AA, Yilmaz U, Tas F. Comparison of nasal volume changes during rapid maxillary expansion using acoustic rhinometry and computed tomography. Eur J Orthod. 2007;29(3):251-5.
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There are 86 citations in total.

Details

Primary Language Turkish
Subjects Dentistry
Journal Section Review
Authors

Elifhan Alagöz 0000-0001-9065-5091

Tuğba Ünver 0000-0002-5208-0319

Gökmen Kurt 0000-0003-0632-2433

Doğan Dolanmaz 0000-0002-7390-1147

Publication Date April 27, 2022
Submission Date February 5, 2021
Published in Issue Year 2022 Volume: 9 Issue: 1

Cite

Vancouver Alagöz E, Ünver T, Kurt G, Dolanmaz D. CERRAHİ DESTEKLİ HIZLI MAKSİLLER GENİŞLETME SONRASI DEĞİŞİKLİKLERİN DEĞERLENDİRİLMESİNDE RADYOGRAFİK GÖRÜNTÜLEMENİN ÖNEMİ: DERLEME ÇALIŞMASI. Selcuk Dent J. 2022;9(1):288-9.