Surgically assisted rapid maxillary expansion (SARME) is needed in skeletally matured patients (closed midpalatal suture), to correct a transverse maxillary deficiency or hypoplasia of > 5 mm. This is frequently seen in adolescents and adults. Those patients often present with a unilateral or bilateral posterior crossbite and anterior dental crowding.
The distractor is easy to apply and to remove by the surgeon, easy to activate twice a day by the patient and easy to be monitored by a professional. As least as important, there is an excellent patient compliance, referring to oral comfort and oral hygiene.
– Smallest module on the market
– Easy to activate by the patient
– Excellent oral comfor and hygiene
– Bendable plates in the direction of the bone- Small pins for an excellent grip on the bonewithout damaging the bone
DownloadClick here to download the Catalogue UNI-Smile Distractor
Sequence of the surgery
- Corticotomies: lateral – midline + posterior disjunction
- Placement of the UNI-Smile Distractor with self-drilling screws between teeth n° (14)- 15-16 and (24)-25-26
Sequence of the distraction
- One week after the surgery the activation of the Smile Distractor is started. Remove the blocking screw and expand untill bone resistance is felt, then turn once or twice more. During activation (1 to 2 weeks) the patient should turn two times a day a quarter of a turn. At each quarter of a turn a new colour appears.
- After completion of the distraction put the blocking screw back real firm, using wrist force. The distractor needs to be in place 3 to 6 months.
DownloadClick here to download the Surgical procedure UNI-Smile distractor
DownloadClick here to download the Patient information ENG Click here to download the Patient information DUTCH Click here to download the Patient information FR Click here to download the Patient information GER
Dr Defrancq (Anwerp, Belgium, http://www.facialsculptureclinic.com) made the following treatment plan: the goal was a 10 mm advancement of lower jaw (BSSO adv.) and chin point (genioplasty adv.). Since her lower teeth were damaged periodontally and manifest decay problems were present, Dr Defrancq decided to extract the lower teeth and replace them by implants in the proper angular position. This made it possible to advance the lower jaw 1 cm, necessary to relieve her from the sleep apnoea. The upper jaw was advanced (Le Fort I adv.) to meet the lower implant-teeth situation. The chin was advanced as much as aesthetically affordable. This also stretches the tongue muscles forward with a clear impact on the posterior airway. At the same time a smile distractor was placed to enlarge her too narrow maxilla. Enlarging the too narrow upper jaw has indeed a great impact on the palatal muscles, significantly broadening the upper airway.
More casesstudies can be found on http://www.facialsculptureclinic.com.