Smile Distraction

Giving people a nice smile

Titamed's CMF distraction solution is called Smile Distraction. Our transpalatal distractors (tpd) are designed to widen the upper jaw.  They allows you to deliver outstanding improvements to the facial features of your patients. 

We have 3 different types of palatal distractors, each designed for a specific indication, allowing you to cover all surgical needs.

• Smile 3 Distractor: For pathological small upper jaws and clefts.
• UNI-Smile Distractor : Most commonly used type.
• Smile Extra Distractor: If a large expansion is required.

Distraction osteogenesis

Distraction osteogenesis is based on the body's own ability to cause a fracture to heal and is described as the process of new bone formation. After the bone is cut during surgery, the transpalatal distractor pulls the 2 pieces of bone apart slowly. The slow stretching apart of bone is not painful. New bone grows (osteogenesis) to fill the gap.

Technique

Surgically Assisted Rapid Palatal Expansion (SARPE) or Surgically Assisted Rapid Maxillary Expansion (SARME) is a technique in the field of orthodontics and maxillofacial surgery which is used to expand the maxillary arch. It is performed to address the transverse dimension or the 3th dimension changes in a patient in orthognathic surgery.

The Smile distractor is bone-born palatal distractor used widen the maxillary arch.

When to use

The indications for SARPE / SARME in skeletal maturity or adult patients include:

• Cross bites
• Crowding accompanied by contraindications for teeth extraction
• Large side corridors 
• Maxillary narrowing in clefts
• Obstructive sleep apnea (in patients with a narrow palate)

The transpalatal distractor is placed on the maxilla after Lefort  I osteotomy performance without the down-fracture. 

Patients report great satisfaction on the smile distractor, due to oral comfort and oral hygiene it offers!