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2022, Number 2

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Rev Cubana Estomatol 2022; 59 (2)

Negative transverse maxillary discrepancy and associated factors in patients requiring orthognathic surgery

García MM, Perdomo GL

Language: Spanish
References: 20
Page:
PDF size: 536.80 Kb.


ABSTRACT

Introduction: Transverse discrepancy of the arches is a skeletal problem not sufficiently studied in persons requiring surgical orthodontic treatment.
Objective: Characterize patients with negative transverse maxillary discrepancy requiring surgical orthognathic surgery.
Methods: A descriptive cross-sectional study was conducted of 25 medical records of patients attending the maxillofacial surgery service at Hermanos Ameijeiras Clinical Surgical Hospital with negative transverse maxillary discrepancy requiring orthognathic surgery from January 2016 to January 2020. The cases were studied with qualitative variables divided into epidemiological, facial features and dental measurements. Analysis was based on statistical charts. The summary measurements used were absolute and relative frequencies.
Results: The frequency of negative maxillary discrepancy was 13.3%. White skin patients were more commonly affected (80%). The main concern was aesthetic (68%). Lower third asymmetry and a concave profile were present in 44% and 36% of the cases, respectively. A high frequency was observed of patients with an augmented lower third (76%), posterior crossbite (48%), anterior open bite (75%), lower arch crowding (63.3%) and lower incisor lingualization (72%).
Conclusions: Negative transverse maxillary discrepancy is common among patients requiring orthognathic surgery for large aesthetic alterations. White skin patients were found to be more prone to present this disorder.


REFERENCES

  1. McNamaraa JA. Maxillary transverse deficiency. American Journal of Orthodontics and Dentofacial Orthopedics. 2000 ;117(5):[556-9 pp.]. DOI: 10.1016/S0889-5406(00)70202-2

  2. Consolaro A, Consolaro RB. Jaws can be referred to as narrow or hypoplastic, but the term "atresia" is inaccurate! Dental press journal of orthodontics; 2018 Sep-Oct [acceso: 22/07/2020];23(5):[aprox. 5 p.]. Disponible en: Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6266315/ 2.

  3. Mulett Vásquez J, Calvijo Escobar AF, Fuentes Loyo I, Sánchez Cano PA. Correlation between tansverse maxillary discrepancy and the inclination of first permanent molars. A pilot study. Revista Facultad de Odontología Universidad de Antioquia; 2017 [acceso: 22/07/2020]; 28(2):[aprox. 20 p.]. Disponible en: Disponible en: http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0121-246X2017000100354&nrm=iso 3.

  4. Gregoret J, Tuber E, Escobar P LH, Matos da Fonseca A. Ortodoncia y cirugía ortognática. Barcelona: ESPAXS, SA; 1997.

  5. Mayoral J, Mayoral G. Principios fundamentales y prácticas. Barcelona: Editorial Labor, S.A 1971.

  6. Scariot R, Costa DJd, Barbosa Rebellato NL, Müller PR, Conceição Ferreira Rd. Epidemiological analysis of orthognathic surgery in a hospital in Curitiba, Brazil: Review of 195 cases. Revista Española de Cirugía Oral y Maxilofacial; 2010 [acceso: 22/07/2020];32(4):[aprox. 5 p.]. Disponible en: Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1130-05582010000400001&nrm=iso 6.

  7. Eslamipour F, Borzabadi-Farahani A, Le BT, Shahmoradi M. A Retrospective Analysis of Dentofacial Deformities and Orthognathic Surgeries. Ann Maxillofac Surg; 2017 [acceso: 22/07/2020];7(1):[aprox. 5 p.]. Disponible en: Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5502519/ 7.

  8. Arboleda Ariza N, Schilling J, Arriola Guillén LE, Ruíz Mora GA, Rodríguez Cárdenas YA, Aliaga-Del Castillo A. Maxillary transverse dimensions in subjects with and without impacted canines: A comparative cone-beam computed tomography study. American Journal of Orthodontics and Dentofacial Orthopedics; 2018 [acceso: 22/07/2020];154(4):[aprox. 9 p.]. Disponible en: Disponible en: https://www.ajodo.org/article/S0889-5406(18)30489-X/fulltext 8.

  9. Shankar S, Madhavan Nirmal R, Aswathnarayanan MB, Kruthika M, Fathima MA. Sex determination using maxillary arch width of pediatric population of Namakkal district, India: A forensic study. J Oral Maxillofac Pathol; 2019 [acceso: 22/07/2020];23(3):[aprox 9 p.]. Disponible en: Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6948034/ 9.

  10. ONEI. Censo de población y vivienda. Informe nacional. La Habana: UNFPA; 2013.

  11. Burris BG, Harris EF. Maxillary Arch Size and Shape in American Blacks and Whites. The Angle Orthodontist; 2000 [acceso: 22/07/2020];70(4):[aprox. 6 p.]. Disponible en: Disponible en: https://meridian.allenpress.com/angle-orthodontist/article/70/4/297/57583/Maxillary-Arch-Size-and-Shape-in-American-Blacks 11.

  12. Alhammadi MS, Halboub E, Fayed MS, Labib A, El-Saaidi C. Global distribution of malocclusion traits: A systematic review. Dental press journal of orthodontics; 2018 [acceso: 22/07/2020];23(6):[aprox. 10 p.]. Disponible en: Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6340198/ 12.

  13. Garvill J, Garvill H, Kahnberg K-E, Lundgren S. Psychological factors in orthognathic surgery. Journal of Cranio-Maxillofacial Surgery; 1992 [acceso:22/07/2020];20(1):[aprox. 6 p.]. Disponible en: Disponible en: http://www.sciencedirect.com/science/article/pii/S1010518205801933 13.

  14. Thiesen G, Gribel BF, Kim KB, Pereira KCR, Freitas MPM. Prevalence and Associated Factors of Mandibular Asymmetry in an Adult Population. Journal of Craniofacial Surgery; 2017 [acceso: 17/12/2020];28(3):[aprox. 5 p.]. Disponible en: Disponible en: https://journals.lww.com/jcraniofacialsurgery/Fulltext/2017/05000/Prevalence_and_Associated_Factors_of_Mandibular.78.aspx 14.

  15. Thiesen G, Gribel BF, Freitas MPM, Oliver DR, Kim KB. Mandibular asymmetries and associated factors in orthodontic and orthognathic surgery patients. The Angle Orthodontist; 2018 [acceso: 17/12/2020];88(5):[aprox. 7 p.]. Disponible en: Disponible en: https://pubmed.ncbi.nlm.nih.gov/29667467/ 15.

  16. Plaza SP, Reimpell A, Silva J, Montoya D. Relationship between skeletal Class II and Class III malocclusions with vertical skeletal pattern. Dental press journal of orthodontics; 2019 [acceso: 22/07/2020];24(4):[aprox. 10 p.]. Disponible en: Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6733235/ 16.

  17. Lee J-Y, Han S-H, Ryu H-S, Lee H-M, Kim S-C. Cone-beam computed tomography analysis of transverse dental compensation in patients with skeletal Class III malocclusion and facial asymmetry. Korean journal of orthodontics; 2018 [acceso: 22/07/2020];48(6):[aprox. 10 p.]. Disponible en: Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6234112/ 17.

  18. Forster CM, Sunga E, Chung C-H. Relationship between dental arch width and vertical facial morphology in untreated adults. European Journal of Orthodontics; 2008 [acceso: 22/07/2020];30(3):[aprox. 7 p.]. Disponible en: Disponible en: https://academic.oup.com/ejo/article/30/3/288/403683 18.

  19. Hsu BS. The nature of arch width difference and palatal depth of the anterior open bite. American Journal of Orthodontics and Dentofacial Orthopedics; 1998 [acceso: 22/07/2020];113(3):[aprox. 7 p.]. Disponible en: Disponible en: http://www.sciencedirect.com/science/article/pii/S0889540698703075 19.

  20. Alvarez Solarte H, Sierra Alzate V, Sánchez Garzón J, Botero Mariaca P. Palate shape and size and palatal rugae morphology of children with anterior open bite and normal vertical overbite. J Forensic Odontostomatol; 2018 [acceso: 22/07/2020];36(1):[aprox. 10 p.]. Disponible en: Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6195941/ 20.




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