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World Journal of Orthodontics
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Quintessence Publishing: Journals: ORTHODONTICS
The Art and Practice of Dentofacial Enhancement

Formerly World Journal of Orthodontics

Edited by
Rafi Romano, DMD, MSc (Editor-in-Chief)

ISSN 2160-2999 (print) / ISSN 2160-3006 (online)

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Spring 2008
Volume 9 , Issue 1

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Mandibular Midline Distraction Osteogenesis: A Complex Case With Severe Crowding

Amirfarhang Miresmaeili, DDS, MS/Mohammad Zandi, DDS, MS/Nasrin Farhadian, DDS, MS

Pages: 26–34
PMID: 18426102

This article reports on a patient with severe maxillary and mandibular crowding treated by both expansion and extraction treatment. Two surgical procedures, surgically assisted palatal expansion and a mandibular midline osteotomy, were performed in sequence for skeletal expansion. A hybrid appliance, consisting of a Hyrax screw and 2 miniplates, was used in the mandible. Since expansion was not enough for relief of the crowding, 3 premolars were later extracted. The patient’s final occlusion was satisfactory, but genioplasty may be desired in the future. World J Orthod 2008;9:26–34.

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