Odontologia
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Artigo Científico Acesso embargado Expansão rápida da maxila assistida por mini-implantes: um relato de caso clínico(2018) Silva, Thaynara AntunesThe technique of Microimplant-assisted Rapid Maxillary Expansion (MARPE) uses microimplants in the palate for anchorage a maxillar expansor, allowing basal bone expansion and minimizing the collateral effects on the posterior teeth. The purpose of this paper is to show a case report of maxillary atresia in an adult patient treated by MARPE technique. The patient, G.M.M, female, 42 years old, searched orthodontic treatment with the complaint "crooked teeth and imperfect bite". After clinical analysis and complementary exams, the patient was diagnosed with Angle Class II malocclusion, right subdivision, non-coincident midline, mandibular teeth crowding and posterior crossbite as result of maxillary atresia. It was suggested to the patient the Surgically-assisted Rapid Maxillary Expansion (SARPE), however the patient declived this treatment. The case was treated by the MARPE technique. The appliance was bonding and after, it was activeded. In the second week, it was an observed opening of diastema between incisors. The opening of midpalatal suture was proven trough a maxillary occlusal x-ray. It be can concluded that MARPE was able to open the midpalatal suture in an adult patient and was successfully in treat maxillary atresia.