<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0034-7507</journal-id>
<journal-title><![CDATA[Revista Cubana de Estomatología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Estomatol]]></abbrev-journal-title>
<issn>0034-7507</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0034-75072022000300004</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Tratamiento multidisciplinario del exceso vertical total y deficiencia transversal del maxilar sin mordida cruzada posterior]]></article-title>
<article-title xml:lang="en"><![CDATA[Multidisciplinary treatment of total vertical excess and transverse maxillary deficiency without posterior crossbite]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García Menéndez]]></surname>
<given-names><![CDATA[Michele]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A1"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández Gálvez]]></surname>
<given-names><![CDATA[Yusleni]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Abull Juaregui]]></surname>
<given-names><![CDATA[Jeydel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ducasse Olivera]]></surname>
<given-names><![CDATA[Pedro Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ruiz Gálvez]]></surname>
<given-names><![CDATA[Olga Ileana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de La Habana  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Clínico Quirúrgico &#8220;Hermanos Ameijeiras&#8221; Centro de Posgrado Departamento de Cirugía Maxilofacial]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2022</year>
</pub-date>
<volume>59</volume>
<numero>3</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0034-75072022000300004&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0034-75072022000300004&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0034-75072022000300004&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  La corrección del exceso vertical del maxilar traerá no solo cambios verticales en el perfil, sino también sagitales y transversales. La ausencia clínica de mordida cruzada posterior puede enmascarar deficiencias del ancho y provocar planes de tratamiento incorrectos.  Objetivo:  Describir los aspectos más importantes en la atención de un caso con exceso vertical y deficiencia transversal del maxilar sin mordida cruzada posterior.  Presentación de caso:  Paciente femenina de 26 años de edad acude a consulta por &#8220;dientes hacia adelante&#8221;. El examen físico y el estudio de los medios diagnósticos permitieron concluir la existencia de exceso vertical y deficiencia transversal del maxilar. Clínicamente no se observó mordida cruzada posterior. El tratamiento por etapas incluyó ortodoncia, expansión e impactación quirúrgica del maxilar.  Conclusiones:  El ascenso quirúrgico del maxilar debe planificarse a partir de un análisis holístico. Incluye los cambios sagitales del perfil y de la relación transversal entre las arcadas, provocados por el efecto de rotación mandibular. La ausencia de mordida cruzada posterior no excluye la existencia de deficiencia transversal del maxilar. Asimismo, la dimensión definitiva de la expansión debe establecerse una vez que la arcada inferior alcance sus dimensiones definitivas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  The correction of the vertical excess of the maxilla will bring not only vertical changes in the profile, but also sagittal and transverse ones. The clinical absence of posterior crossbite can mask width deficiencies and lead to incorrect treatment plans.  Objective:  Describe the most important aspects in the care of a case with vertical excess and transverse deficiency of the maxilla without posterior cross bite.  Case presentation:  A 26-year-old female patient comes to the consultation for "teeth forward". The physical examination and the study of the diagnostic means allowed to conclude the existence of vertical excess and transverse deficiency of the maxilla. Clinically, no posterior crossbite was observed. Staged treatment included orthodontics, expansion and surgical impaction of the maxilla.  Conclusions:  The surgical ascent of the maxilla should be planned based on a holistic analysis. It includes the sagittal changes of the profile and the transverse relationship between the arcades, caused by the effect of mandibular rotation. The absence of posterior crossbite does not exclude the existence of transverse maxillary deficiency. Likewise, the definitive dimension of the expansion must be established once the lower arcade reaches its definitive dimensions.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[exceso vertical del maxilar]]></kwd>
<kwd lng="es"><![CDATA[deficiencia transversal del maxilar]]></kwd>
<kwd lng="es"><![CDATA[cirugía ortognática]]></kwd>
<kwd lng="en"><![CDATA[vertical excess of the maxilla]]></kwd>
<kwd lng="en"><![CDATA[transverse maxillary deficiency]]></kwd>
<kwd lng="en"><![CDATA[orthognathic surgery]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Naini]]></surname>
<given-names><![CDATA[FB]]></given-names>
</name>
<name>
<surname><![CDATA[Gill]]></surname>
<given-names><![CDATA[DS]]></given-names>
</name>
</person-group>
<source><![CDATA[Orthognathic Surgery. Principles, planing and practice]]></source>
<year>2017</year>
<publisher-loc><![CDATA[Iowa ]]></publisher-loc>
<publisher-name><![CDATA[John Wiley &amp; Sons Ltd]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Reyneke]]></surname>
<given-names><![CDATA[JP]]></given-names>
</name>
<name>
<surname><![CDATA[Conley]]></surname>
<given-names><![CDATA[RS]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Surgical/Orthodontic Correction of Transverse Maxillary Discrepancies]]></article-title>
<source><![CDATA[Oral and Maxillofacial Surgery Clinics]]></source>
<year>2020</year>
<volume>32</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>53-69</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Alleman]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Steinbacher]]></surname>
<given-names><![CDATA[DM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Width and Transverse Problems]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[Steinbacher]]></surname>
<given-names><![CDATA[DM]]></given-names>
</name>
</person-group>
<source><![CDATA[Aesthetic Orthognathic Surgery and Rhinoplasty]]></source>
<year>2019</year>
<page-range>145-73</page-range><publisher-loc><![CDATA[Connecticut, USA ]]></publisher-loc>
<publisher-name><![CDATA[Wiley-Blackwell]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Khan]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Adeni]]></surname>
<given-names><![CDATA[KM]]></given-names>
</name>
<name>
<surname><![CDATA[Parameswaran]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Vijayalakshmi]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Surgical Management of Hyperdivergent Class II Malocclusion with Vertical Maxillary Excess: A 2-year Follow-up]]></article-title>
<source><![CDATA[Contemp Clin Dent]]></source>
<year>2018</year>
<volume>9</volume>
<numero>Suppl 2</numero>
<issue>Suppl 2</issue>
<page-range>S382-S7</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[McNamaraa]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Maxillary transverse deficiency]]></article-title>
<source><![CDATA[American Journal of Orthodontics and Dentofacial Orthopedics]]></source>
<year>2000</year>
<volume>117</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>556-9</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Miloro]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Ghali]]></surname>
<given-names><![CDATA[GE]]></given-names>
</name>
<name>
<surname><![CDATA[Larsen]]></surname>
<given-names><![CDATA[PE]]></given-names>
</name>
<name>
<surname><![CDATA[Waite]]></surname>
<given-names><![CDATA[PD]]></given-names>
</name>
</person-group>
<source><![CDATA[Peterson´s principles of oral and maxillofacial surgery]]></source>
<year>2011</year>
<edition>3</edition>
<publisher-loc><![CDATA[Connecticut ]]></publisher-loc>
<publisher-name><![CDATA[Peoples´s Medical Publishing House-USA]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gregoret]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Tuber]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Escobar P]]></surname>
<given-names><![CDATA[LH]]></given-names>
</name>
<name>
<surname><![CDATA[Matos da Fonseca]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<source><![CDATA[Ortodoncia y cirugía ortognática]]></source>
<year>1997</year>
<publisher-loc><![CDATA[Barcelona ]]></publisher-loc>
<publisher-name><![CDATA[ESPAXS,SA]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rakosi]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Irmtrud]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<source><![CDATA[Atlas de ortopedia maxilar: Diagnóstico]]></source>
<year>1992</year>
<publisher-loc><![CDATA[Barcelona ]]></publisher-loc>
<publisher-name><![CDATA[Ediciones científicas y técnicas SA]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sawchuk]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Currie]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Vich]]></surname>
<given-names><![CDATA[ML]]></given-names>
</name>
<name>
<surname><![CDATA[Palomo]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
<name>
<surname><![CDATA[Flores-Mir]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Diagnostic methods for assessing maxillary skeletal and dental transverse deficiencies: A systematic review]]></article-title>
<source><![CDATA[Korean journal of orthodontics]]></source>
<year>2016</year>
<volume>46</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>331-42</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Singaraju]]></surname>
<given-names><![CDATA[GS]]></given-names>
</name>
<name>
<surname><![CDATA[Chembeti]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Mandava]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Reddy]]></surname>
<given-names><![CDATA[VK]]></given-names>
</name>
<name>
<surname><![CDATA[Shetty]]></surname>
<given-names><![CDATA[SK]]></given-names>
</name>
<name>
<surname><![CDATA[George]]></surname>
<given-names><![CDATA[SA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A Comparative Study of Three Types of Rapid Maxillary Expansion Devices in Surgically Assisted Maxillary Expansion: A Finite Element Study]]></article-title>
<source><![CDATA[J Int Oral Health]]></source>
<year>2015</year>
<volume>7</volume>
<numero>9</numero>
<issue>9</issue>
<page-range>40-6</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Starch-Jensen]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Blæhr]]></surname>
<given-names><![CDATA[TL]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Transverse Expansion and Stability after Segmental Le Fort I Osteotomy versus Surgically Assisted Rapid Maxillary Expansion: a Systematic Review]]></article-title>
<source><![CDATA[J Oral Maxillofac Res]]></source>
<year>2016</year>
<volume>7</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>e1-e</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bazargani]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Algharbi]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Dimberg]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Do different maxillary expansion appliances influence the outcomes of the treatment?]]></article-title>
<source><![CDATA[European Journal of Orthodontics]]></source>
<year>2017</year>
<volume>40</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>97-106</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gürler]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Akar]]></surname>
<given-names><![CDATA[NK]]></given-names>
</name>
<name>
<surname><![CDATA[Delilba&#351;&#305;]]></surname>
<given-names><![CDATA[Ç]]></given-names>
</name>
<name>
<surname><![CDATA[Kaçar]]></surname>
<given-names><![CDATA[&#304;]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Skeletal changes following surgically assisted rapid maxillary expansion (SARME)]]></article-title>
<source><![CDATA[Eur Oral Res]]></source>
<year>2018</year>
<volume>52</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>94-8</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Peleg]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Mijiritsky]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Manor]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Inchingolo]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Blinder]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Mortellaro]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Predictability of Mandibular Autorotation After Le Fort I Maxillary Impaction in Case of Vertical Maxillary Excess]]></article-title>
<source><![CDATA[Journal of Craniofacial Surgery]]></source>
<year>2019</year>
<volume>30</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>1102-4</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Venkategowda]]></surname>
<given-names><![CDATA[PRH]]></given-names>
</name>
<name>
<surname><![CDATA[Prakash]]></surname>
<given-names><![CDATA[AT]]></given-names>
</name>
<name>
<surname><![CDATA[Roy]]></surname>
<given-names><![CDATA[ET]]></given-names>
</name>
<name>
<surname><![CDATA[Shetty]]></surname>
<given-names><![CDATA[KS]]></given-names>
</name>
<name>
<surname><![CDATA[Thakkar]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Maurya]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Stability of Vertical, Horizontal and Angular Parameters Following Superior Repositioning of Maxilla by Le Fort I Osteotomy: A Cephalometric Study]]></article-title>
<source><![CDATA[J Clin Diagn Res]]></source>
<year>2017</year>
<volume>11</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>ZC10-ZC4</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
