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We present our experience using a novel palatal expander in an adult patient with closed midpalatal suture.
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This case demonstrates significant bone augmentation using a palatal antrostomy technique in the palatal aspect of the sinus floor which makes it difficult to elevate the Schneiderian membrane by a conventional approach.
Fig. 2 Socket sealing using a pedicled palatal gingival graft.
Fig. 1 Socket sealing surgery using a free palatal gingival graft.
We used a rapid palatal expansion appliance to expand the maxilla, standard edgewise brackets to align the teeth, and reverse headgear to bring the maxilla forward.
We used a two-band palatal Hyrax-type expander applied in mixed dentition and bonded to the first upper molars and first deciduous molars or first bicuspids.
Kinzinger et al. [14], as well as Karlsson and Bondemark [7], in fact showed less tipping using a modified Pendulum-K (0.9°) and compressed palatal coils (3°).
The aim of this report was to describe a new computer-guided technique for a controlled site preparation and palatal orthodontic miniscrew insertion using a dedicated software.
The palatal TADs were then placed using a contra-angle handpiece (torque setting of 35 Ncm, speed 30 rpm).
The aim of this prospective clinical study was to evaluate the dentoalveolar effects of a palatal miniscrew-supported molar distalization appliance using a 3-dimensional reverse engineering method.
Hyrax appliances for rapid palatal expansion were produced for 3 patients using a CAD/CAM procedure without physical impressions or printed models.
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