Int J Stomatol

Int J Stomatol ›› 2020, Vol. 47 ›› Issue (4): 484-490.doi: 10.7518/gjkq.2020067

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Research progress on maxillary skeletal expander

Zhang Kaiwen1,Zhao Xuefeng1,2,Shu Rui1,3,Han Xianglong1,2()   

  1. 1. State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & West China School of Stomatology, Sichuan University, Chengdu 610041, China
    2. State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Orthodontics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
    3. State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Dept. of Pediatric Dentistry, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2019-09-12 Revised:2020-03-24 Online:2020-07-01 Published:2020-07-10
  • Contact: Xianglong Han E-mail:xhan@scu.edu.cn
  • Supported by:
    This study was supported by Special Project of Investigation on Scientific and Technological Basic Resources from Ministry of Science and Technology in China(2018FY10100003)

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Abstract:

Maxillary transverse deficiency (MTD), a common malocclusion in people of all ages, affects gnathostomatic development and functions of patients at different degrees, and its main treatment is maxillary expansion. Traditionally, rapid maxillary and surgically assisted rapid palatal expansions have several disadvantages in the treatment of late adolescence and adult patients. At present, miniscrew assisted rapid palatal expansion (MARPE) has emerged as a new treatment with significant advantages in late adolescence and adult patients with MTD. However, the device design, implant sites, curative effect, and complications of MARPE are also controversial. As a special type of MARPE, maxillary skeletal expander (MSE) is positioned at the posterior palate, with four microimplants engaging the palatal bone bicortically. Such positioning results in significant expansion in late adolescence and adult patients. This article aims to review MSE in terms of biological and biomechanical bases, device design, clinical application, and curative effect.

Key words: maxillary transverse deficiency, maxillary expansion, maxillary skeletal expander

CLC Number: 

  • R783.5

TrendMD: 
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