297-316 Grummons

نویسنده

  • Robert M. Ricketts
چکیده

In the past, relationships in the sagittal plane have dominated orthodontic thinking to such an extent that the great majority of clinicians did not even bother to procure frontal radiographs (images, headplates). However, several factors have awakened the current clinician to a deeper interest in the transverse dimension1: (1) maxillary palatal dysjunction expansion (rapid palatal expansion [RPE], rapid maxillary expansion [RME]), with a 100-year history, has become standard teaching in graduate orthodontic programs; (2) lighter wires, required as bonded brackets became popular, have been successful for mandibular arch lateral expansion (the writings and demonstrations by Graber,2 Frankel,3 and others that functional appliance arch widening occurred with buccal shields, probably stretching the periosteum, further had a profound influence on concepts); (3) a full and stunning smile is recognized to emphasize the transverse perspective4,5; (4) nasal width and piriform aperture asymmetries are factors in frontal esthetics6 (the entire midfacial complex became associated with the respiratory system, together with mandibular posturing)7–9; and (5) mandibular and cranial asymmetries have become significant in planning treatment.10,11 Surgically assisted palatal dysjunction (rather than dental expansion) was found to be indicated for preservation of the maxillary periodontium12 and to reduce relapse. Deciduous and early mixed dentition treatment for skeletal and functional corrections involves a 3-dimensional consideration.13,14 Therefore, it is time for a shift in orthodontic thinking regarding the frontal image and perspective. Frontal Cephalometrics: Practical Applications, Part I

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تاریخ انتشار 2003