It also includes billing documents for those services.Įxample of uses of your health information for treatment purposes: A nurse obtains treatment information about you and records it in a health record. Such information may include documenting your symptoms, examination and test results, diagnoses, treatment, and applying for future care or treatment. Protected health information is the information we create and obtain in providing our services to you. Mueller are permitted by federal privacy laws to make uses and disclosures of your health information for purposes of treatment, payment, and health care operations. With your consent, Virginia Facial Surgery and Dr. This notice describes how medical information about you may be used and disclosed and how you can get access to this information. As the key is turned, the gentle “pulling pressure” that the bone realizes actually stimulates the bones to grow as the bones are separated.

Mueller will instruct you on how and when to turn the key. The key is provided by your orthodontist, and Dr. Patients or a caregiver will turn the expander with a key after the surgery. Mueller opens the palatal suture with side releasing incisions and activates the RPE appliance. This procedure is called Surgically Assisted Rapid Palatal Expander (SARPE). During the procedure, Dr. Mueller can expand the maxilla by using an RPE and having surgery performed. If it is required after the age of 11, a surgically assisted rapid palatal expansion (SARPE) procedure is necessary. Therefore, rapid palatal expansion should be performed between the ages of 7 – 11. The bones of the palate begin to fuse at the onset of puberty. Since palatal expansion involves separating the bones that make up the hard palate and join in the midline (called the palatal suture), it is better to perform this procedure at a younger age before the palatal suture becomes fused. Rapid palatal expansion is often used to correct this problem.

Therefore, correction of a posterior cross-bite helps prevent asymmetrical growth of the lower jaw. Also, a posterior cross-bite, if it is only on one side, can cause the lower jaw to grow asymmetrically to that side. We correct posterior cross-bites as soon as we see them because we can obtain more room for other un-erupted teeth. The result of this is called a cross-bite. When there is large discrepancy of overlap due to transverse (right to left) jaw growth problems, the upper teeth can reside on the inside of the lower teeth in the back sections of the mouth. In a normal bite (occlusion), the upper teeth overlap the lower teeth by about half the width of the upper tooth. Surgically-Assisted Rapid Palatal Expansion(SARPE Procedure)

Surgically Assisted Rapid Palatal Expansion (SARPE) Procedure.

Corrective Jaw Surgery (Orthognathic Surgery).

Sarpasp tube extension