Rapid maxillary expansion combined with fixed orthodontics / 中国组织工程研究

ABSTRACT

BACKGROUND:In the treatment of teeth later fixed appliance, whether the expansion effect can be maintained? Whether the expansion in the process of mandibular rotation could be improved? Whether the high angle cases are suitable for rapid palatal expansion? OBJECTIVE:To sum the effect of rapid maxil ary expansion combined with fixed orthodontic technique on the occlusion craniofacial three-dimensional direction, hard and soft tissues and temporomandibular joint, as wel as its long-term stability. METHODS:The CNKI database, PubMed database and Wanfang database were searched for the academic journals and literatures on rapid maxil ary expansion combined with fixed appliance with the key words of“maxil ary expansion, fixed appliance, high angle, stable”. The analysis function of database was used. RESULTS AND CONCLUSION:Rapid maxil ary expansion can effectively obtain arch expansion, increase the arch width, and provide space of align teeth required. Fixed appliance can effectively control the tooth movement in three-dimensional space, precisely adjust the teeth, and make the tooth rows into the ideal arch form. Combination of these two kinds of appliances can obtain the complementary efficiency advantages of the appliances, and shorten the treatment course. Expansion can cause mandibular clockwise rotation and mandibular plane angle increasing, while with the application of upper and lower fixed appliance, the occluding relation between maxil a and mandible can be adjusted more precisely in order to make the mandibular first molar move to the maxil ary molar buccal, establish good occlusal relationship, so that decrease the mandibular plane angle. So the rapid maxil ary expansion combined with fixed orthodontic can be used appropriately in the treatment of the patients with high angle intraversion.