Actual problems in dentistry Actual problems in dentistry Проблемы стоматологии 2077-7566 2412-9461 93861 10.18481/2077-7566-2024-20-4-12-18 ЛЕКЦИИ / ЛИТЕРАТУРНЫЕ ОБЗОРЫ LITERATURE REVIEW ЛЕКЦИИ / ЛИТЕРАТУРНЫЕ ОБЗОРЫ ASSESSMENT OF COMPLEX OSTEOPATHIC AND ORTHODONTIC TREATMENT OF PATIENTS WITH NARROWED UPPER JAW ОЦЕНКА КОМПЛЕКСНОГО ОСТЕОПАТИЧЕСКОГО И ОРТОДОНТИЧЕСКОГО ЛЕЧЕНИЯ ПАЦИЕНТОВ С СУЖЕННОЙ ВЕРХНЕЙ ЧЕЛЮСТЬЮ Васильева Мария Борисовна Vasilyeva Maria Borisovna dr.vasilyeva003@gmail.com

кандидат медицинских наук;

candidate of medical sciences;

 Русская высшая школа остеопатической медицины Россия Russian Higher School of Osteopathic Medicine Russian Federation ООО «Центр современной стоматологии» Москва Россия Private Dental Clinic “Center of Modern Dentistry” Moscow Russian Federation 28 12 2024 28 12 2024 20 4 12 18 10 12 2024 https://dental-press.ru/en/nauka/article/93861/view

Актуальность. Распространенность зубочелюстных аномалий является одной из актуальных проблем современной медицины как в России, так и во всем мире. Сужение верхней челюсти — предрасполагающий фактор и причина развития патологий прикуса и коморбидных состояний всего организма, которые существенно влияют на качество жизни, что провоцирует ухудшение стоматологического и общего здоровья населения, нанося медицинский, социальный и экономический ущерб. Применение различных видов ортодонтического аппаратного и хирургического методов лечения также может привести к осложнениям, способным усугубить клиническую ситуацию. Цель. Провести обзор и анализ литературных данных, которые позволили бы обосновать комплексный подход в лечении пациентов с суженной верхней челюстью. Материалы и методы. Поиск литературы проводился в базах данных eLibrary и PubMed по таким ключевым словам, как суженная верхняя челюсть, Marco Rosa, HAAS, HYRAX, быстрое расширение верхней челюсти, JFO, функциональная ортопедия челюсти. Результаты. Несмотря на большое количество данных по стандартным методам лечения (ортодонтическое аппаратное и комбинированное хирургическо-ортодонтическое), имеется очень мало данных по комплексному остеопато-ортодонтическому лечению. Так, во время ортодонтического лечения асимметричной узкой верхней челюсти возникают серьезные клинические осложнения, такие как сколиоз, дисфункции ВНЧС, остеопатические поражения и шовные дисфункции костей черепа, например, латеральный стрейн и другие нарушения основных паттернов (дыхания, глотания, зрения, слуха, жевания). По-прежнему необходимы дополнительные исследования относительно оценки результатов стабильности каждого подхода. Нам удалось выявить ряд интересных данных относительно сочетаемости ортодонтической и остеопатической работы при коррекции узкой верхней челюсти, а также осложнений при лечении хирургическими и аппаратными методами.

Relevance. The prevalence of dental anomalies and are currently one of the urgent problems of modern medicine both in Russia and around the world. Narrowing of the upper jaw is a predisposing factor and the cause of the development of malocclusion and comorbid conditions of the whole body, which significantly affect the quality of life, which contributes to the deterioration of the dental and main health of the population, causing medical, social and economic damage. The use of various types of orthodontic hardware and surgical treatments can also lead to complications that can worsen the clinical situation. Goal. To review and analyze the literature data that would justify an integrated approach in the treatment of patients with a narrowed upper jaw. Materials and methods. The literature was searched in the database eLibrary and PubMed for keywords such as narrowed upper jaw, Marco Rosa, HAAS, HYRAX, Rapid expansion of the upper jaw, JFO, functional jaw orthopedics. Results. Despite the large amount of data on standard treatment methods (orthodontic apparatus and combined surgical orthodontic), there is very little data on complex osteopathic orthodontic treatment. As example, during orthodontic treatment of an asymmetric narrow upper jaw, serious clinical complications arise, such as scoliosis, TMJ dysfunctions, osteopathic lesions and suture dysfunctions of the skull bones, for example, lateral strain and other disorders of the basic patterns (breathing, swallowing, vision, hearing, chewing). However, more research is still needed to evaluate the stability results of each approach. We were able to identify a number of interesting data regarding the compatibility of orthodontic and osteopathic work in the correction of a narrow upper jaw, as well as complications in the treatment of a narrowed upper jaw with surgical and hardware methods.

 сужение верхней челюсти Marco Rosa HAAS HYRAX остеопатия JFO функциональная ортопедия челюсти narrowed upper jaw Marco Rosa HAAS HYRAX osteopathy JFO functional jaw orthopedics

Bin Dakhil N., Bin Salamah F. The Diagnosis Methods and Management Modalities of Maxillary Transverse Discrepancy. Cureus. 2021;13(12):e20482. https://doi.org/10.7759/cureus.20482 Bin Dakhil N., Bin Salamah F. The Diagnosis Methods and Management Modalities of Maxillary Transverse Discrepancy. Cureus. 2021;13(12):e20482. https://doi.org/10.7759/cureus.20482 Jia H., Zhuang L., Zhang N., Bian Y., Li S. Comparison of skeletal maxillary transverse deficiency treated by microimplant-assisted rapid palatal expansion and tooth-borne expansion during the post-pubertal growth spurt stage. The Angle orthodontist. 2021;91(1):36-45. https://doi.org/10.2319/041920-332.1 Jia H., Zhuang L., Zhang N., Bian Y., Li S. Comparison of skeletal maxillary transverse deficiency treated by microimplant-assisted rapid palatal expansion and tooth-borne expansion during the post-pubertal growth spurt stage. The Angle orthodontist. 2021;91(1):36-45. https://doi.org/10.2319/041920-332.1 Chamberland S. Maxillary expansion in nongrowing patients. Conventional, surgical, or miniscrew-assisted, an update. Journal of the World federation of orthodontists. 2023;12(4):173-183. https://doi.org/10.1016/j.ejwf.2023.04.005 Chamberland S. Maxillary expansion in nongrowing patients. Conventional, surgical, or miniscrew-assisted, an update. Journal of the World federation of orthodontists. 2023;12(4):173-183. https://doi.org/10.1016/j.ejwf.2023.04.005 Pereira P.A.A., Canellas J.V., Souza R.B., Tiwana P.S., Medeiros P.J., Ritto F.G. Three-segment versus 2-segment surgically assisted rapid maxillary expansion. Oral surgery, oral medicine, oral pathology and oral radiology. 2022;133(3):264-270. https://doi.org/10.1016/j.oooo.2021.06.002 Pereira P.A.A., Canellas J.V., Souza R.B., Tiwana P.S., Medeiros P.J., Ritto F.G. Three-segment versus 2-segment surgically assisted rapid maxillary expansion. Oral surgery, oral medicine, oral pathology and oral radiology. 2022;133(3):264-270. https://doi.org/10.1016/j.oooo.2021.06.002 Grippaudo C., Valerio P., Romeo C., Fiasca F., Quinzi V. Bite and Sight: Is There a Correlation? Clinical Association between Dental Malocclusion and Visual Disturbances in Pediatric Patients. Applied Sciences. 2020;10(17):5931. https://doi.org/10.3390/app10175913 Grippaudo C., Valerio P., Romeo C., Fiasca F., Quinzi V. Bite and Sight: Is There a Correlation? Clinical Association between Dental Malocclusion and Visual Disturbances in Pediatric Patients. Applied Sciences. 2020;10(17):5931. https://doi.org/10.3390/app10175913 Surendran A., Daigavane P., Shrivastav S., Kamble R., Sanchla A.D., Bharti L., Shinde M. The Future of Orthodontics: Deep Learning Technologies. Cureus. 2024;16(6):e62045. https://doi.org/10.7759/cureus.62045 Surendran A., Daigavane P., Shrivastav S., Kamble R., Sanchla A.D., Bharti L., Shinde M. The Future of Orthodontics: Deep Learning Technologies. Cureus. 2024;16(6):e62045. https://doi.org/10.7759/cureus.62045 Sabzevari B., Fatemi A., Soleimani M., Sajedi S.M., Babazadehkhoushrodi R. Masticatory performance and oral health related to quality of life before and after orthodontic treatment: a systematic review and meta-analysis. European journal of translational myology. 2024;34(1):12101. https://doi.org/10.4081/ejtm.2024.12101 Sabzevari B., Fatemi A., Soleimani M., Sajedi S.M., Babazadehkhoushrodi R. Masticatory performance and oral health related to quality of life before and after orthodontic treatment: a systematic review and meta-analysis. European journal of translational myology. 2024;34(1):12101. https://doi.org/10.4081/ejtm.2024.12101 Brunetto D.P., Sant'Anna, E.F., Machado A.W., Moon W. Non-surgical treatment of transverse deficiency in adults using Microimplant-assisted Rapid Palatal Expansion (MARPE). Dental press journal of orthodontics. 2017;22(1):110-125. https://doi.org/10.1590/2177-6709.22.1.110-125.sar Brunetto D.P., Sant'Anna, E.F., Machado A.W., Moon W. Non-surgical treatment of transverse deficiency in adults using Microimplant-assisted Rapid Palatal Expansion (MARPE). Dental press journal of orthodontics. 2017;22(1):110-125. https://doi.org/10.1590/2177-6709.22.1.110-125.sar Воронов Н.А., Клипа И.А., Степанян Э.Э., Дробышев А.Ю. Особенность хирургического расширения верхней челюсти: по результатам обзора литературы. Российская стоматология. 2022;15(4):36-37. [Voronov N.A., Klipa I.A., Stepanyan E.E., Drobyshev A.Yu. Peculiarities of surgical expansion of the upper jaw: based on the results of a literature review. Russian Journal оf Stomatology. 2022;15(4):36-37. (In Russ.)]. https://www.mediasphera.ru/issues/rossijskaya-stomatologiya/2022/4/downloads/ru/1207264062022041034 Voronov N.A., Klipa I.A., Stepanyan E.E., Drobyshev A.Yu. Osobennost' hirurgicheskogo rasshireniya verhney chelyusti: po rezul'tatam obzora literatury. Rossiyskaya stomatologiya. 2022;15(4):36-37. [Voronov N.A., Klipa I.A., Stepanyan E.E., Drobyshev A.Yu. Peculiarities of surgical expansion of the upper jaw: based on the results of a literature review. Russian Journal of Stomatology. 2022;15(4):36-37. (In Russ.)]. https://www.mediasphera.ru/issues/rossijskaya-stomatologiya/2022/4/downloads/ru/1207264062022041034 Bortolotti F., Solidoro L., Bartolucci M.L., Parenti S.I., Paganelli C., Alessandri-Bonetti G. Skeletal and dental effects of surgically assisted rapid palatal expansion: a systematic review of randomized controlled trials. European journal of orthodontics. 2020;42(4):434-440. https://doi.org/10.1093/ejo/cjz057 Bortolotti F., Solidoro L., Bartolucci M.L., Parenti S.I., Paganelli C., Alessandri-Bonetti G. Skeletal and dental effects of surgically assisted rapid palatal expansion: a systematic review of randomized controlled trials. European journal of orthodontics. 2020;42(4):434-440. https://doi.org/10.1093/ejo/cjz057 Valerio P., Poklepović T., Rossi A. The effectiveness of early intervention on malocclusion and its impact on craniofacial growth: A systematic review. Contemporary Pediatric Dentistry. 2021;2(2):72-89. http://doi.org/10.51463/cpd.2021.61 Valerio P., Poklepović T., Rossi A. The effectiveness of early intervention on malocclusion and its impact on craniofacial growth: A systematic review. Contemporary Pediatric Dentistry. 2021;2(2):72-89. http://doi.org/10.51463/cpd.2021.61 Давыдов Б.Н., Кочконян Т.С., Доменюк Д.А., Дмитриенко С.В., Аль-Харази Г. Одонтоскопическая и морфометрическая оценка окклюзионных контуров постоянных зубов у пациентов с физиологическими видами прикуса. Медицинский алфавит. 2021;(24):50-58. [Davydov В.N., Kochkonyan Т.S., Domenyuk D.A., Dmitrienko S.V., Al-Harazi G. Odontoscopic and morphometric assessment of occlusion circuits of permanent teeth in patients with physiological occlusion. Medical alphabet. 2021;(24):50-58. (In Russ.)]. https://doi.org/10.33667/2078-5631-2021-24-50-58 Davydov B.N., Kochkonyan T.S., Domenyuk D.A., Dmitrienko S.V., Al'-Harazi G. Odontoskopicheskaya i morfometricheskaya ocenka okklyuzionnyh konturov postoyannyh zubov u pacientov s fiziologicheskimi vidami prikusa. Medicinskiy alfavit. 2021;(24):50-58. [Davydov V.N., Kochkonyan T.S., Domenyuk D.A., Dmitrienko S.V., Al-Harazi G. Odontoscopic and morphometric assessment of occlusion circuits of permanent teeth in patients with physiological occlusion. Medical alphabet. 2021;(24):50-58. (In Russ.)]. https://doi.org/10.33667/2078-5631-2021-24-50-58 Egić B. Prevalence of orthodontic malocclusion in schoolchildren in Slovenia. A prospective aepidemiological study. European journal of paediatric dentistry. 2022;23(1):39-43. https://doi.org/10.23804/ejpd.2022.23.01.07 Egić B. Prevalence of orthodontic malocclusion in schoolchildren in Slovenia. A prospective aepidemiological study. European journal of paediatric dentistry. 2022;23(1):39-43. https://doi.org/10.23804/ejpd.2022.23.01.07 Drobyshev A., Klipa I., Drobysheva N., Ilina N., Zhmyrko I. Surgically assisted rapid maxillary expansion: retrospective analysis of complications 2012-2017. Georgian medical news. 2021;311(2):58–62. https://www.geomednews.com/Articles/2021/2_2021/58-62.pdf Drobyshev A., Klipa I., Drobysheva N., Ilina N., Zhmyrko I. Surgically assisted rapid maxillary expansion: retrospective analysis of complications 2012-2017. Georgian medical news. 2021;311(2):58–62. https://www.geomednews.com/Articles/2021/2_2021/58-62.pdf Sawchuk D., Currie K., Vich M.L., Palomo J.M., Flores-Mir C. Diagnostic methods for assessing maxillary skeletal and dental transverse deficiencies: a systematic review. Korean journal of orthodontics. 2016;46:331-42. https://doi.org/10.4041/kjod.2016.46.5.331 Sawchuk D., Currie K., Vich M.L., Palomo J.M., Flores-Mir C. Diagnostic methods for assessing maxillary skeletal and dental transverse deficiencies: a systematic review. Korean journal of orthodontics. 2016;46:331-42. https://doi.org/10.4041/kjod.2016.46.5.331 Cozzani M., Antonini S., Lupini D., Decesari D., Anelli F., Doldo T.A New Proposal: a Digital Flow for the Construction of a Haas-Inspired Rapid Maxillary Expander (HIRME). Materials (Basel). 2020;13(13):2898. https://doi.org/10.3390/ma13132898 Cozzani M., Antonini S., Lupini D., Decesari D., Anelli F., Doldo T.A New Proposal: a Digital Flow for the Construction of a Haas-Inspired Rapid Maxillary Expander (HIRME). Materials (Basel). 2020;13(13):2898. https://doi.org/10.3390/ma13132898 Давыдов Б.Н., Доменюк Д.А., Порфириадис М.П., Кочконян Т.С., Доменюк С.Д. Функциональные показатели височно-нижнечелюстного сустава у пациентов с физиологической окклюзией по данным электронной аксиографии (часть II). Институт стоматологии. 2023;(3):42-45. [Davydov B.N., Domenyuk D.A., Porfiriadis M.P., Kochkonyan T.S., Domenyuk S.D. Functional parameters of the tempo-romandibular joint in patients with physiological occlusion according to electron axiograph. The Dental Institute. 2023;(3):42-45. (In Russ.)]. https://elibrary.ru/item.asp?id=54503730 Davydov B.N., Domenyuk D.A., Porfiriadis M.P., Kochkonyan T.S., Domenyuk S.D. Funkcional'nye pokazateli visochno-nizhnechelyustnogo sustava u pacientov s fiziologicheskoy okklyuziey po dannym elektronnoy aksiografii (chast' II). Institut stomatologii. 2023;(3):42-45. [Davydov B.N., Domenyuk D.A., Porfiriadis M.P., Kochkonyan T.S., Domenyuk S.D. Functional parameters of the tempo-romandibular joint in patients with physiological occlusion according to electron axiograph. The Dental Institute. 2023;(3):42-45. (In Russ.)]. https://elibrary.ru/item.asp?id=54503730 Слесарев О.В. Способ координатного определения положения нижней челюсти человека в различных функциональных позициях. Фундаментальные исследования. 2015;(1-3):597-602. [Slesarev O.V. Method of coordinate determination of a human lower jaw location in different functional positions. Fundamental research. 2015;(1-3):597-602. (In Russ.)]. https://elibrary.ru/item.asp?id=23151590 Slesarev O.V. Sposob koordinatnogo opredeleniya polozheniya nizhney chelyusti cheloveka v razlichnyh funkcional'nyh poziciyah. Fundamental'nye issledovaniya. 2015;(1-3):597-602. [Slesarev O.V. Method of coordinate determination of a human lower jaw location in different functional positions. Fundamental research. 2015;(1-3):597-602. (In Russ.)]. https://elibrary.ru/item.asp?id=23151590 Sygouros A., Motro M., Ugurlu F., Acar A. Surgically assisted rapid maxillary expansion: Cone-beam computed tomography evaluation of different surgical techniques and their effects on the maxillary dentoskeletal complex. American journal of orthodontics and dentofacial orthopedics. 2014;146(6):748-757. https://doi.org/10.1016/j.ajodo.2014.08.013 Sygouros A., Motro M., Ugurlu F., Acar A. Surgically assisted rapid maxillary expansion: Cone-beam computed tomography evaluation of different surgical techniques and their effects on the maxillary dentoskeletal complex. American journal of orthodontics and dentofacial orthopedics. 2014;146(6):748-757. https://doi.org/10.1016/j.ajodo.2014.08.013 Noverraz S., Noverraz Y., Xi T., Schols J. Influence of surgically assisted rapid maxillary expansion on the interdental papilla height of maxillary central incisors. Journal of orofacial orthopedics. 2021;82(6):372-381. https://doi.org/10.1007/s00056-020-00274-y Noverraz S., Noverraz Y., Xi T., Schols J. Influence of surgically assisted rapid maxillary expansion on the interdental papilla height of maxillary central incisors. Journal of orofacial orthopedics. 2021;82(6):372-381. https://doi.org/10.1007/s00056-020-00274-y Mumusamy N., Sharon S., Shastri D., Chugh V.K., Singh G.K., Nagar A. Queries regarding factors related to microimplant-assisted rapid palatal expansion in teenagers and young adults. American Journal of Orthodontics and Dentofacial Orthopedics. 2023;164(4):463. https://doi.org/10.1016/j.ajodo.2023.05.008 Mumusamy N., Sharon S., Shastri D., Chugh V.K., Singh G.K., Nagar A. Queries regarding factors related to microimplant-assisted rapid palatal expansion in teenagers and young adults. American Journal of Orthodontics and Dentofacial Orthopedics. 2023;164(4):463. https://doi.org/10.1016/j.ajodo.2023.05.008 Чистоблинникова Р.С., Воробьева М.В. Особенности ортопедического лечения пациентов с дефектами верхней челюсти. В: Young people and science: results and perspectives: сборник материалов Всероссийской научно-практической конференции студентов и молодых учёных с международным участием; 6-8 декабря 2023 года; Саратов. Саратов: Саратовский государственный медицинский университет им. В.И. Разумовского; 2023. C. 34-35. [Chistoblinnikova R.S., Vorob'eva M.V. Features of orthopedic treatment of patients with defects of the upper jaw. Youth and science: results and prospects: collection of materials of the All-Russian scientific and practical conference of students and young scientists with international participation; 2023 Dec 6-8; Saratov. Saratov: V.I. Razumovsky Saratov State Medical University; 2023. p. 34-35 (In Russ.)]. https://elibrary.ru/item.asp?id=59426805 Chistoblinnikova R.S., Vorob'eva M.V. Osobennosti ortopedicheskogo lecheniya pacientov s defektami verhney chelyusti. V: Young people and science: results and perspectives: sbornik materialov Vserossiyskoy nauchno-prakticheskoy konferencii studentov i molodyh uchenyh s mezhdunarodnym uchastiem; 6-8 dekabrya 2023 goda; Saratov. Saratov: Saratovskiy gosudarstvennyy medicinskiy universitet im. V.I. Razumovskogo; 2023. C. 34-35. [Chistoblinnikova R.S., Vorob'eva M.V. Features of orthopedic treatment of patients with defects of the upper jaw. Youth and science: results and prospects: collection of materials of the All-Russian scientific and practical conference of students and young scientists with international participation; 2023 Dec 6-8; Saratov. Saratov: V.I. Razumovsky Saratov State Medical University; 2023. p. 34-35 (In Russ.)]. https://elibrary.ru/item.asp?id=59426805 Надточий А.Г., Старикова Н.В., Надточий Г.А. Ортопедическая составляющая в ортодонтическом лечении пациентов с расщелиной губы и неба. Стоматология. 2020;99(6 2):15-23. [Nadtochiy A.G., Starikova N.V., Nadtochiy G.A. The role of restorative oral rehabilitation in orthodontic treatment of cleft lip and palate patients. Stomatology. 2020;99(6 2):15 23. (In Russ.)]. https://doi.org/10.17116/stomat20209906215 Nadtochiy A.G., Starikova N.V., Nadtochiy G.A. Ortopedicheskaya sostavlyayuschaya v ortodonticheskom lechenii pacientov s rasschelinoy guby i neba. Stomatologiya. 2020;99(6 2):15-23. [Nadtochiy A.G., Starikova N.V., Nadtochiy G.A. The role of restorative oral rehabilitation in orthodontic treatment of cleft lip and palate patients. Stomatology. 2020;99(6 2):15 23. (In Russ.)]. https://doi.org/10.17116/stomat20209906215 Loriato L., Ferreira C.E. Surgically-assisted rapid maxillary expansion (SARME): indications, planning and treatment of severe maxillary deficiency in an adult patient. Dental press journal of orthodontics. 2020;25(3):73-84. https://doi.org/10.1590/2177-6709.25.3.073-084.bbo Loriato L., Ferreira C.E. Surgically-assisted rapid maxillary expansion (SARME): indications, planning and treatment of severe maxillary deficiency in an adult patient. Dental press journal of orthodontics. 2020;25(3):73-84. https://doi.org/10.1590/2177-6709.25.3.073-084.bbo Cakarer S., Keskin B., Isler S.C., Cansiz E., Uzun A., Keskin C. Complications associated with surgically assisted rapid palatal expansion without pterygomaxillary separation. Journal of stomatology, oral and maxillofacial surgery. 2017;118(5):279-282. https://doi.org/10.1590/2177-6709.25.3.073-084.bbo Cakarer S., Keskin B., Isler S.C., Cansiz E., Uzun A., Keskin C. Complications associated with surgically assisted rapid palatal expansion without pterygomaxillary separation. Journal of stomatology, oral and maxillofacial surgery. 2017;118(5):279-282. https://doi.org/10.1590/2177-6709.25.3.073-084.bbo Габбасова И.В., Слетова В.А., Королева И.В., Жидовинов А.В., Слетов А.А. Результаты клинической эффективности аппаратов для быстрого небного расширения у взрослых. В: Сборник научных трудов, посвященный 90-летию со дня образования ФГБОУ ВО "Дагестанский государственный медицинский университет" Минздрава России; 11 ноября 2022 года; Махачкала. Махачкала: ИПЦ ДГМУ; 2022. С. 179-181. [Gabbasova I.V., Sletova V.A., Koroleva I.V., Zhidovinov A.V., Sletov A.A. Results of the clinical effectiveness of devices for rapid palatal enlargement in adults. In: A collection of scientific papers dedicated to the 90th anniversary of the founding of the FSBEI HE "Dagestan State Medical University" MOH Russia; November 11, 2022; Makhachkala. Makhachkala: DSMU; 2022. p. 179-181. (In Russ.)]. https://elibrary.ru/item.asp?id=54408910 Gabbasova I.V., Sletova V.A., Koroleva I.V., Zhidovinov A.V., Sletov A.A. Rezul'taty klinicheskoy effektivnosti apparatov dlya bystrogo nebnogo rasshireniya u vzroslyh. V: Sbornik nauchnyh trudov, posvyaschennyy 90-letiyu so dnya obrazovaniya FGBOU VO "Dagestanskiy gosudarstvennyy medicinskiy universitet" Minzdrava Rossii; 11 noyabrya 2022 goda; Mahachkala. Mahachkala: IPC DGMU; 2022. S. 179-181. [Gabbasova I.V., Sletova V.A., Koroleva I.V., Zhidovinov A.V., Sletov A.A. Results of the clinical effectiveness of devices for rapid palatal enlargement in adults. In: A collection of scientific papers dedicated to the 90th anniversary of the founding of the FSBEI HE "Dagestan State Medical University" MOH Russia; November 11, 2022; Makhachkala. Makhachkala: DSMU; 2022. p. 179-181. (In Russ.)]. https://elibrary.ru/item.asp?id=54408910 Zandi M., Miresmaeili A., Heidari A. Short-term skeletal and dental changes following bone-borne versus tooth-borne surgically assisted rapid maxillary expansion: a randomized clinical trial study. Journal of cranio-maxillo-facial surgery. 2014;42(7):1190-1195. https://doi.org/10.1016/j.jcms.2014.02.007 Zandi M., Miresmaeili A., Heidari A. Short-term skeletal and dental changes following bone-borne versus tooth-borne surgically assisted rapid maxillary expansion: a randomized clinical trial study. Journal of cranio-maxillo-facial surgery. 2014;42(7):1190-1195. https://doi.org/10.1016/j.jcms.2014.02.007 Verquin M., Daems L., Politis C. Short-term complications after surgically assisted rapid palatal expansion: a retrospective cohort study. International journal of oral and maxillofacial surgery. 2017;46(3):303-308. https://doi.org/10.1016/j.ijom.2016.11.016 Verquin M., Daems L., Politis C. Short-term complications after surgically assisted rapid palatal expansion: a retrospective cohort study. International journal of oral and maxillofacial surgery. 2017;46(3):303-308. https://doi.org/10.1016/j.ijom.2016.11.016 Barone S., Bennardo F., Salviati M., Calabria E., Bocchino T., Michelotti A., Giudice A. Can different osteotomies have an influence on surgically assisted rapid maxillary expansion? A systematic review. Head and face medicine. 2024;20(1):16. https://doi.org/10.1186/s13005-024-00415-3 Barone S., Bennardo F., Salviati M., Calabria E., Bocchino T., Michelotti A., Giudice A. Can different osteotomies have an influence on surgically assisted rapid maxillary expansion? A systematic review. Head and face medicine. 2024;20(1):16. https://doi.org/10.1186/s13005-024-00415-3 Dergin G., Aktop S., Varol A., Ugurlu F., Garip H. Complications related to surgically assisted rapid palatal expansion. Oral surgery, oral medicine, oral pathology and oral radiology. 2015;119(6):601-607. https://doi.org/10.1016/j.oooo.2015.01.008 Dergin G., Aktop S., Varol A., Ugurlu F., Garip H. Complications related to surgically assisted rapid palatal expansion. Oral surgery, oral medicine, oral pathology and oral radiology. 2015;119(6):601-607. https://doi.org/10.1016/j.oooo.2015.01.008 Pereira M.D., Koga A.F., Prado G.P.R., Ferreira L.M. Complications From Surgically Assisted Rapid Maxillary Expansion With HAAS and HYRAX Expanders. The Journal of craniofacial surgery. 2018;29(2):275-278. https://doi.org/10.1097/scs.0000000000004079 Pereira M.D., Koga A.F., Prado G.P.R., Ferreira L.M. Complications From Surgically Assisted Rapid Maxillary Expansion With HAAS and HYRAX Expanders. The Journal of craniofacial surgery. 2018;29(2):275-278. https://doi.org/10.1097/scs.0000000000004079 Orr J.C., Li C., Shah S., Backstrand M.R., Chung C.H., Boucher N.S. Mandibular transverse dentoalveolar and skeletal changes associated with lip bumper and rapid maxillary expander: A cone-beam computed tomography study. American journal of orthodontics and dentofacial orthopedics. 2023;163(3):407-425. https://doi.org/10.1016/j.ajodo.2021.12.026 Orr J.C., Li C., Shah S., Backstrand M.R., Chung C.H., Boucher N.S. Mandibular transverse dentoalveolar and skeletal changes associated with lip bumper and rapid maxillary expander: A cone-beam computed tomography study. American journal of orthodontics and dentofacial orthopedics. 2023;163(3):407-425. https://doi.org/10.1016/j.ajodo.2021.12.026 Васильева М.Б., Кузнецова А.Г., Перевезенцев Г.С., Гусейнов Н.А. Постуральные изменения опорно-двигательного аппарата при зубочелюстных деформациях. Клиническая стоматология. 2023;26(4):166-171. [Vasilyeva M.B., Kuznecova A.G., Perevezencev G.S., Guseynov N.A. Postural changes in the musculoskeletal system with dentoalveolar deformities. Clinical dentistry. 2023;26(4):166-171. (In Russ.)]. https://doi.org/10.37988/1811-153X_2023_4_166 Vasil'eva M.B., Kuznecova A.G., Perevezencev G.S., Guseynov N.A. Postural'nye izmeneniya oporno-dvigatel'nogo apparata pri zubochelyustnyh deformaciyah. Klinicheskaya stomatologiya. 2023;26(4):166-171. [Vasilyeva M.B., Kuznecova A.G., Perevezencev G.S., Guseynov N.A. Postural changes in the musculoskeletal system with dentoalveolar deformities. Clinical dentistry. 2023;26(4):166-171. (In Russ.)]. https://doi.org/10.37988/1811-153X_2023_4_166 Васильева М.Б. Перевезенцев Г.С., Косырева Т.Ф. Результаты ортодонтического и остеопатического обследования пациентов с асимметричным сужением верхней челюсти. Стоматология детского возраста и профилактика. 2023;23(4):385-396. [Vasilyeva M.B., Perevezentsev G.S., Kosyreva T.F. Findings of an orthodontic and osteopathic diagnostic of individuals with an asymmetric narrowing of maxilla. Pediatric dentistry and dental prophylaxis. 2023;23(4):385-396. (In Russ.)]. https://doi.org/10.33925/1683-3031-2023-690 Vasil'eva M.B. Perevezencev G.S., Kosyreva T.F. Rezul'taty ortodonticheskogo i osteopaticheskogo obsledovaniya pacientov s asimmetrichnym suzheniem verhney chelyusti. Stomatologiya detskogo vozrasta i profilaktika. 2023;23(4):385-396. [Vasilyeva M.B., Perevezentsev G.S., Kosyreva T.F. Findings of an orthodontic and osteopathic diagnostic of individuals with an asymmetric narrowing of maxilla. Pediatric dentistry and dental prophylaxis. 2023;23(4):385-396. (In Russ.)]. https://doi.org/10.33925/1683-3031-2023-690 Piancino M.G., MacDonald F., Laponte I., Cannavale R., Crincoli V., Dalmasso P. Juvenile/Adolescent Idiopatic Scoliosis and Rapid Palatal Expansion. A Pilot Study. Children (Basel). 2021;8(5):362. https://doi.org/10.3390/children8050362 Piancino M.G., MacDonald F., Laponte I., Cannavale R., Crincoli V., Dalmasso P. Juvenile/Adolescent Idiopatic Scoliosis and Rapid Palatal Expansion. A Pilot Study. Children (Basel). 2021;8(5):362. https://doi.org/10.3390/children8050362 Santos J.G.L., Montezuma T., Perez C.S., Sverzut C.E., Trivellato A.E., Guirro E.C.O. Body postural realignment in the first 2 months after orthognathic surgery. American journal of orthodontics and dentofacial orthopedics. 2021;159(3):e281-e290. https://doi.org/10.1016/j.ajodo.2020.10.019 Santos J.G.L., Montezuma T., Perez C.S., Sverzut C.E., Trivellato A.E., Guirro E.C.O. Body postural realignment in the first 2 months after orthognathic surgery. American journal of orthodontics and dentofacial orthopedics. 2021;159(3):e281-e290. https://doi.org/10.1016/j.ajodo.2020.10.019 Cerritelli L., Hatzopoulos S., Catalano A., Bianchini C., Cammaroto G., Meccariello G., Iannella G., Vicini C., Pelucchi S., Skarzynski P.H., Ciorba A. Rapid Maxillary Expansion (RME): An Otolaryngologic Perspective. Journal of clinical medicine. 2022;11(17):5243. https://doi.org/10.3390/jcm11175243 Cerritelli L., Hatzopoulos S., Catalano A., Bianchini C., Cammaroto G., Meccariello G., Iannella G., Vicini C., Pelucchi S., Skarzynski P.H., Ciorba A. Rapid Maxillary Expansion (RME): An Otolaryngologic Perspective. Journal of clinical medicine. 2022;11(17):5243. https://doi.org/10.3390/jcm11175243