An original approach of maxillary transversal deficiency with lingual orthodontics

C Bernard-Granger,R Filippi,P Cresseaux

doi:10.1051/odfen/2018064

Abstract

The difficulty of management of a transverse maxillary hypoplasia is to choose the right treatment and the appropriate tools. When transverse maxillary insufficient is associated to sagittal and/or vertical discrepancies in adults, the gold standard treatment is a surgical procedure combined with orthodontic treatment. The surgical procedure can be done in 1 or 2 stages. If the patient chooses a lingual orthodontic technique, the tools for expansion and the stabilization of expansion are not simple to use. The aim of this article is to report the case of a 25-year-old male patient, referred to our cabinet for skeletal Class-III malocclusion associated with laterognathism and transverse maxillary deficiency. The patient underwent one-stage surgery. He choose to be treated by a lingual orthodontic technique, we used the FKS® disjunction device.

Highlights

If the patient chooses a lingual orthodontic technique, the tools for expansion and the stabilization of expansion are not simple to use
The patient underwent one-stage surgery. He choose to be treated by a lingual orthodontic technique, we used the FKS® disjunction device
The aims of this article are to introduce the lingual disjunction device made by FKS® Global Orthodontic Solutions and to demonstrate the results obtained on a hyperdivergent Class-III malocclusion, treated by a single phase orthodontic surgical technique

Summary

Introduction

If the patient chooses a lingual orthodontic technique, the tools for expansion and the stabilization of expansion are not simple to use. He choose to be treated by a lingual orthodontic technique, we used the FKS® disjunction device. Since transverse deficiencies are often associated with other s agittal and vertical dysmorphisms, the use of. Some practitioners prefer to perform two procedures: the first to correct the transverse alignment, the second to correct the vertical and sagittal dimensions. The disadvantage of this technique is that patients are required to have two operations, both of which have inherent risks and possible recovery difficulties. Like Leyder[4,5], that a single procedure, which corrects the three dimensions in a single

Objectives

Results

Discussion

Conclusion