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2 Nemesis. Negative Effects in Medical Sciences Oral and Maxillofacial Surgery

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Complications in surgically assisted rapid maxillary expansion: a systematic review of the medical literature

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Olszewski R. , Wisniewski M.

Nemesis. Negative Effects in Medical Sciences Oral and Maxillofacial Surgery

2019

tom 8

nr 1

20-20

Our aim was to perform a systematic open-access review of various complications reported for surgically assisted rapid maxillary expansion (SARME) procedures. There were 37 articles found in Pubmed using the search equation. Twelve articles were initially excluded according to the exclusion criteria. The 25 remaining articles were read in full for their descriptions of complications related to the SARME procedure in mature patients. The main reversible complications of SARME were infection, postoperative pain, and bleeding. There were also complications related to distractors, to secondary surgeries, and pterygomaxillary junction. The main non-reversible complications of SARME were associated with teeth, periodontal bone loss, and skull base fractures. Large field-of-view cone beam computed tomography (maxilla and skull base) should be implemented as initial planning tool to prevent many potential complications. The current trend for “minimally invasive” surgery in SARME might be, from an ethical point of view, transformed onto “minimally complicated” surgery as complication is still more harmful for any given patient than any potential perioperative surgical invasiveness.

Revue illustrée des principales indications de CBCT en orthodontie.

70%

Olszewski R. , Theys S. , Perez E. , Wisniewska K. , Wisniewski M.

Nemesis. Negative Effects in Medical Sciences Oral and Maxillofacial Surgery

2020

tom 12

nr 1

1-15

This illustrated article is reviewing currently accepted and recommended indications for use of cone beam computed tomography (CBCT) in orthodontics. We present CBCT of teeth anomalies, impacted canines, supernumerary teeth, troubles of teeth eruption, and external roots resorption related to orthodontic teeth movements. The CBCT should be justified for each patient, and should present added value for diagnostic and/or for treatment planning. The orthodontist needs to interpret and is responsible for all of the field of view.

Cette revue illustrée porte sur les principales indications actuellement recommandées dans la littérature d’utilisation du cone beam computed tomography (CBCT) en orthodontie. Il s’agit des anomalies dentaires, des canines incluses, des dents surnuméraires, des troubles de l’éruption et des résorptions radiculaires externes liées aux traitements orthodontiques. L’examen CBCT doit être justifié individuellement, au cas par cas, et de pouvoir apporter un bénéfice au patient en terme de diagnostic et/ou de traitement orthodontique. L’orthodontiste prescripteur doit être capable d’interpréter et est responsable de l’interprétation de tout ce qui est visible sur l’ensemble du champs de vue du CBCT.