@齒顎矯正每日一說~~0228palatal miniscr

Fig. 11 Suitability of potential miniscrew insertion sites in palate (green = optimal; yellow = restricted due to individual variability in bone thickness;

red = unsuitable because of thick mucosa or vascular bundles; blue dot = incisive foramen).

Figure 3 from Risks and complications of orthodontic miniscrews. | Semantic Scholar

顎側骨釘在做植入時,需有輔助工具來操作,除了要注意安全外(避免器械掉入喉嚨),操作者也需眼明手快,務必時時演練

操作時一次到位,才不會有植入角度不佳導至穩定性不好,目前臨床上看的最多的以MARPE(miniscrew assisted rapid palatal expansion)

為最常見,主要是做上顎骨頭的擴開,以讓牙列能夠有足夠的空間排齊牙齒

骨釘在選擇位置時務必要避開神經孔神經出來的位置,以免造成損傷,

Maxillary expansion in nongrowing patients. Conventional, surgical, or miniscrew-assisted, an update - ScienceDirect

(MARPE)

Figure 16 from The Indirect Palatal Miniscrew Anchorage and Distalization Appliance. | Semantic Scholar

Guide To Palatal Miniscrew Placement, 56% OFF

Figure 5 from The Indirect Palatal Miniscrew Anchorage and Distalization Appliance. | Semantic Scholar

Bone First MARPEs with Insertion Guides

Applied Sciences | Free Full-Text | Open-Bite Correction Using a Mid-Palatal TAD with an Intrusion TPA: Anteroposterior Position of TAD

Managing Entire Maxillary Arch's Vertical Growth with TADs

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