title: Modified SARME (Surgically Assisted Rapid Maxillary Expansion) in Conjunction with Orthodontic Treatment-A Case Report.
abstract: Transverse maxillary hypoplasia or maxillary constriction in conjunction with unilateral or bilateral posterior cross bites is a common finding in cleft palate patients. These situations are also commonly encountered in adults who have not had recourse to orthodontic treatment in childhood. In adults, after ossification of the mid palatal suture is complete, the accepted means of correcting transverse skeletal discrepancies is by Surgically Assisted Rapid Maxillary Expansion (SARME). The disadvantage of this technique in the Indian scenario is reduced patient acceptance and increased treatment costs. Le Fort-I down fracture and mid palatal suture sectioning requires hospitalization and increases morbidity. A case of a 21-year-old non-cleft male who presented with Class I malocclusion with transverse skeletal discrepancy and bilateral posterior cross bites is presented. A modified SAARME technique was performed without pterygomaxillary disjunction, as an outpatient procedure. The results obtained were satisfactory and the desired amount of transverse skeletal correction was achieved. The patient was discharged the same day. The technique can be used to successfully treat a large number of patients in India with maxillary skeletal transverse problems with increased predictability, reduced costs and morbidity and higher rates of acceptance.
authors.affiliation: Post Graduate Student, Department of Orthodontics, Army College of Dental Sciences , Secunderabad, Telangana, India .
authors.forename: Sagar
authors.initials: S
authors.lastname: Dahiya
authors.affiliation: Professor and Head, Department of Orthodontics, Army College of Dental Sciences , Secunderabad, Telangana, India .
authors.forename: Prasad
authors.initials: P
authors.lastname: Chitra
authors.affiliation: Professor, Department of Oral and Maxillofacial Surgery, Army College of Dental Sciences , Secunderabad, Telangana, India .
authors.forename: Sadam Srinivas
authors.initials: SS
authors.lastname: Rao
authors.affiliation: Reader, Department of Oral and Maxillofacial Surgery, Army College of Dental Sciences , Secunderabad, Telangana, India .
authors.forename: Sukhvinder
authors.initials: S
authors.lastname: Bindra
keywords: Posterior cross bites; Pterygomaxillary disjunction; Transverse maxillary hypoplasia