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Nonsurgical maxillary expansion in a 60-year-old patient with gingival recession and crowding

Authors
 Harim Kim  ;  Sun-Hyung Park  ;  Jae Hyun Park  ;  Kee-Joon Lee 
Citation
 KOREAN JOURNAL OF ORTHODONTICS(대한치과교정학회지), Vol.51(3) : 217-227, 2021-05 
Journal Title
KOREAN JOURNAL OF ORTHODONTICS(대한치과교정학회지)
ISSN
 2234-7518 
Issue Date
2021-05
Keywords
Adult treatment ; Gingival recession ; Miniscrew-assisted rapid palatal expansion ; Nonsurgical palatal expansion
Abstract
Maxillary transverse deficiency often manifests as a posterior crossbite or edge-to-edge bite and anterior crowding. However, arbitrary arch expansion in mature patients has been considered to be challenging due to the possible periodontal adverse effects such as alveolar bone dehiscence and gingival recession. To overcome these limitations, nonsurgical maxillary expansion of the basal bone has been demonstrated in young adults. However, the age range for successful orthopedic expansion has remained a topic of debate, possibly due to the underlying individual variations in suture maturity. This case report illustrates nonsurgical, miniscrew-assisted rapid palatal expansion (MARPE) in a 60-year-old patient with maxillary transverse deficiency accompanied by anterior and posterior crossbites, crowding, and gingival recession. The use of MARPE allowed relief of crowding and correction of the crossbite without causing significant periodontal adverse effects.
Files in This Item:
T202103131.pdf Download
DOI
10.4041/kjod.2021.51.3.217
Appears in Collections:
2. College of Dentistry (치과대학) > Dept. of Orthodontics (교정과학교실) > 1. Journal Papers
Yonsei Authors
Park, Sun Hyung(박선형) ORCID logo https://orcid.org/0000-0002-5293-875X
Lee, Kee Joon(이기준) ORCID logo https://orcid.org/0000-0002-0782-3128
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/184539
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