Surgically-assisted rapid palatal expansion is an acceptable approach for the correction of a transverse deficiency of the maxilla in skeletally mature patients (Fig. 1). Although it is effective, there may be serious complications,1 such as the loss of periodontal bone and the central incisors,2 but preoperative orthodontic preparation minimises the risk. Separation of the roots of the central incisors by preoperative orthodontic management improves overall clinical success, but the risk of dental complications still exists.
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