Case report: orthopedic treatment of the maxillopalatal complex using RAMPA combined with a novel hybrid intraoral appliance

  • Mitani, Yasushi
  • Moshfeghi, Mohammad
  • Kumamoto, Noriyuki
  • Shimazaki, Takahisa
  • Okai Kojima, Yuko
  • 외 3명
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초록

This paper reports on a clinical case of craniofacial displacement from treatment with a Right Angle Maxillary Protraction Appliance (RAMPA). A seven-year-old girl was treated over 17 months using VomPress (4 months) and Hybrid (13 months) intraoral devices with RAMPA. Finite Element Analysis (FEA) simulations of a skull model with all sutures and validated material properties supported clinical findings. RAMPA produced an anterosuperior maxillary shift, counterclockwise mandibular rotation (−1.0°), and a 2.9° clockwise decrease in RAMUS angle. Both clinical and FEA results show RAMPA with Hybrid enhances maxillary protraction while minimizing downward displacement of the mid-palatine suture.

키워드

class III malocclusionFEAhybridRAMPAsRMERAPID MAXILLARY EXPANSIONBORNE PALATAL EXPANDERSPROTRACTIONADOLESCENTSTHERAPYADULTS
제목
Case report: orthopedic treatment of the maxillopalatal complex using RAMPA combined with a novel hybrid intraoral appliance
저자
Mitani, YasushiMoshfeghi, MohammadKumamoto, NoriyukiShimazaki, TakahisaOkai Kojima, YukoTonogi, MorioOgisawa, ShouheiChoi, Bum Kyoo
DOI
10.1080/10255842.2025.2609650
발행일
2025-12
유형
Article; Early Access
저널명
Computer Methods in Biomechanics and Biomedical Engineering