Orthotown November 2023 - 44

Th e results of these superimpositions
(Figs. 14a and 14b) show a
transverse skeletal change of 2.1 mm
(1 mm per side) with a transverse
dental change at the molars of 5.7 mm
(more than 2.5 mm per side). Skeletal
AP changes were minimal at this time,
however, because the maxilla expands
on an arc; it translates downward and
forward as skeletal expansion occurs.
Fig. 14a
Th is resulted in anterior displacement
of the maxillary central incisors more
than 1 mm and inferior displacement
of approximately 0.7 mm, which was
enough to correct his anterior edgeto-edge
bite. [Superimposition videos
posted with the online version of this
article demonstrate how quickly skeletal
changes occur with successful split
of the maxilla.]
Fig. 14b
Looking forward
Th e fi eld of orthodontics has witnessed
signifi cant advancements in
recent years, with expansion techniques
taking center stage in the
treatment of skeletal Class III malocclusions.
However, it is important to
acknowledge that these innovative
approaches have not come without
skepticism and scrutiny. It is crucial
for the orthodontic community to
remain open-minded and receptive to
new ideas. As we continue to invest in
research and evidence-based practice,
we can better understand the potential
of expansion techniques and their
impact on treatment outcomes.
As evidence continues to emerge,
we can look forward to more refi ned
and predictable expansion techniques
and indications, leading to improved
results and enhanced patient care.
By embracing new possibilities
and staying committed to learning
and growing, we pave the way for a
brighter future in orthodontics. OT
References:
1.
Papadopoulos MA and Tarawneh F (2007). " The Use of
Miniscrew Implants for Temporary Skeletal Anchorage in
Orthodontics: A Comprehensive Review. " Oral Surgery, Oral
Medicine, Oral Pathology, Oral Radiology and Endodontics,
103(5), e6-e15.
2. Moon DG, Lee HS, Im JS and Baek SH (2008). " Factors
Associated With the Success Rate of Orthodontic
Miniscrews Placed in the Upper and Lower Posterior
Buccal Region. " The Angle Orthodontist, 78(1), 101-106.
3.
Wilcko T, Bouquot JE and Ferguson, DJ (2001). " Rapid
Orthodontics With Alveolar Reshaping: Two Case Reports
of Decrowding. " The International Journal of Periodontics &
Restorative Dentistry, 21(1), 9-19.
4. Zheng, Liu R, Ni Z, and Yu Z. (2017). " Eff iciency, Eff ectiveness
and Treatment Stability of Clear Aligners: A Systematic
Review and Meta‐Analysis. " Orthodontics & Craniofacial
Research, 20(3), 127-133.
NOVEMBER 2023 | 44 | ORTHOTOWN.COM
5.
Alhammadi MS, Halboub E, Fayed MS, Labib A and
El-Saaidi C (2018). " Global Distribution of Malocclusion
Traits: A Systematic Review. " Dental Press Journal of
Orthodontics, 23(6), e1-40.e10.
6. Ngan PW, Deguchi T and Roberts EW (2014). Orthodontic
Treatment of Class III Malocclusion. Bentham Science
Publishers Ltd.
7.
Şar Ç, Arman-Özçrpc A, Uçkan S and Yazc AC (2011).
" Comparative Evaluation of Maxillary Protraction With
or Without Skeletal Anchorage. " American Journal of
Orthodontics and Dentofacial Orthopedics, 139(5),
636-649.
8. Vaughn GA, Mason B, Moon H-B and Turley PK (2005). " The
Eff ects of Maxillary Protraction Therapy With or Without
Rapid Palatal Expansion: A Prospective, Randomized
Clinical Trial. " American Journal of Orthodontics and
Dentofacial Orthopedics, 128(3), 299-309.
9. Heymann GC, Cevidanes L, Cornelis M, De Clerck HJ and
Tulloch JFC (2010). " Three-Dimensional Analysis of Maxillary
Protraction With Intermaxillary Elastics to Miniplates. "
American Journal of Orthodontics and Dentofacial
Orthopedics, 137(2), 274-284.
10. Maino, Turci Y, Arreghini A, Paoletto E, Siciliani G and
Lombardo L (2018). " Skeletal and Dentoalveolar Eff ects of
Hybrid Rapid Palatal Expansion and Facemask Treatment
in Growing Skeletal Class III Patients. " American Journal of
Orthodontics and Dentofacial Orthopedics, 153(2), 262-268.
11. Bianchi J. et al. (2020). " 3D Slicer Craniomaxillofacial
Modules Support Patient-Specific Decision-Making for
Personalized Healthcare in Dental Research. " Multimodal
Learning for Clinical Decision Support and Clinical ImageBased
Procedures. CLIP ML-CDS 2020 2020. Lecture Notes
in Computer Science, Vol 12445. Springer, Cham.
Dr. Jeremy Manuele earned his
DMD from the University of Nevada,
Las Vegas School of Dental Medicine
and his orthodontics certificate from
Louisiana State University in New
Orleans. He teaches early interventional
orthodontics part time at UNLV SDM
while maintaining a partner practice with
Dr. R. Cree Hamilton in Las Vegas.
Manuele is a key opinion leader and
on the clinical advisory board for uLab
Systems, provides orthodontic coaching
services through Your Ortho Coach,
and teaches an online CE course about
MARPE 360 for Innovator Ortho. He
retired from the Army National Guard
after 21 years of service, including an
18-month deployment to Ramadi, Iraq,
in 2005-2006. In his free time, he enjoys
travel, pickleball and all things outdoors
with his wife and their four children.
https://www.orthotown.com/magazine/article/9126/marpe-mask http://www.ORTHOTOWN.COM
Orthotown November 2023

Table of Contents for the Digital Edition of Orthotown November 2023
