Dr. Ayşe Tuba Altuğ graduated from University of Ankara, School of Dentistry in 1995 and she is still a faculty member at the same university’s Orthodontics Department. She also graduated from the Surgical Orthodontic Research Fellowship Program of New York University Medical Center Institute of Reconstructive Plastic Surgery in 2001. She has been working as the Secretary General of the Turkish Orthodontic Society for 3 years.
Her clinical and research interests are mainly focused on; cleft lip and palate, genetics, craniofacial abnormalities, head and neck syndromes and orthognathic surgery.
She is currently a doctorate student on Basic Biotechnology at the Institute of Biotechnology, University of Ankara in order to improve her knowledge on genetics and support her research interest in facial clefting. She has given conferences and hands-on courses on “presurgical infant orthopedics for cleft lip and palate – nasoalveolar molding” at several universities in Turkey. She has published many articles and still working on surgically assisted rapid maxillary expansion (SARME). She is and has been supervising many doctorate and specialization in orthodontics thesis on genetics of cleft lip and palate, genetics of hypodontia, SARME, farengeal airway changes in skeletal Class II and Class III malocclusion following orthognathic surgery.
INVITED LECTURE: Is it possible to protract the maxilla by surgically assisted rapid maxillary expansion (SARME) and intermaxillary Class III elastics?
The purpose of this lecture is to discuss the maxilla-mandibular changes occurring during the active phase of treatment with SARME and intermaxillary Class III elastics.
A total number of 15 borderline patients (14 males, 1 female; average age: 19,58 years) were included to this particular study. The maxillae of all patients included in the study were significantly constricted and slightly retruded. Each patient received SARME with the use of Class III elastics applied through mini-screws in order to stimulate maxillary advancement. The force applied by elastics was approximately 500 grams. All patients underwent maxillary expansion with Hyrax-type expanders activated two turns a day (0.25 mm per turn). Pre-treatment (T1), post-SARME and elastic use (T2) and post-treatment (T3) lateral cephalograms and posteroanterior (PA) radiographs were obtained. Wilcoxon Sign Test was performed to compare T2–T1, T3–T2, and T3–T1 changes.
Statistically significant improvement was only recorded at the anterior nasal spine (ANS-Ver: 2,21 mm; p<.01) as a sign of maxillary advancement in addition to an efficient and stable maxillary expansion. A contradictory change was reported at point A although all patients included had a significant improvement in their facial profiles. Therefore, these contradictory results were later studied in detail with further methods and they will also be discussed during our presentation.
SARME is an unquestionable method of skeletal maxillary expansion in adult patients. The use of Class III elastics during active expansion period enhances the advancement of maxilla in good responding patients.