The Results of Surgical Orthodontic Treatment of 70 Patients with Maxillary Compression

The surgical-orthodontic treatment of the maxillary compression is used by many authors (1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15). Its major advantage compared to the orthodontic treatment itself is in the achievement of faster treatment results. The existing in literature data on complex treatment of compression is incomplete. They define the role of the surgical preparation of the maxilla compared to a separate surgical method, and not the comparison and the recognition of different methods. There is no clear vision of the complex treatment of compression as a stage of the radical treatment of dental and maxillary deformities (DMD). This is why it is necessary to recognize the role of the different types of compactostheotomies and the incomplete ostheotomies in the extension of the maxilla as a stage of the radical treatment of DMD. The examination and the treatment of the patients have been carried out in the Clinic for dental surgery and MFS and in the Department of orthodontics at the Dental medicine faculty – Sofia between 1987 and 1990. The data from the surgical and orthodontic treatment we have implemented is shown in two separate tables. The results of the surgical treatment are presented on Table 1. The allocation of the groups is based on the surgery technique used and the type of deformities. Oral antibiotic treatment has been used in all patients (2 gr of ampicilline qid orally) and just the third group has received gentamycin 2 õ 80 mg i.m. More complications have been observed in the second group of patients compared to the first one as well as higher level of bed occupancy (8.5 vs. 4 days). In our view this can be explained with the deeper penetration THE RESULTS OF SURGICAL ORTHODONTIC TREATMENT OF 70 PATIENTS WITH MAXILLARY COMPRESSION