대한치과교정학회지 (The korean journal of orthodontics)

  • 제51권3호
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  • Pages.217-227
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  • 2021
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  • 2234-7518(pISSN)
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  • 2005-372X(eISSN)
대한치과교정학회 (The Korean Association Of Orthodontists)
권호 표지
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Nonsurgical maxillary expansion in a 60-year-old patient with gingival recession and crowding

  • Kim, Harim (Department of Orthodontics, Institute of Craniofacial Deformity, Yonsei University College of Dentistry) ;
  • Park, Sun-Hyung (Department of Orthodontics, Institute of Craniofacial Deformity, Yonsei University College of Dentistry) ;
  • Park, Jae Hyun (Postgraduate Orthodontic Program, Arizona School of Dentistry & Oral Health, A. T. Still University) ;
  • Lee, Kee-Joon (Department of Orthodontics, Institute of Craniofacial Deformity, Yonsei University College of Dentistry)
  • 투고 : 2020.08.25
  • 심사 : 2020.11.25
  • 발행 : 2021.05.25
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초록

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.

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참고문헌

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