Unfortunately, data comparing the stability of surgical and nonsurgical management is still lacking. The success of nonsurgical management compared to surgical management depends on the growth stage of the patient. We conducted a literature search using a logical combination of the terms "palatal extension," "maxillary transverse deficiency," "diagnosis," and "management." More recent approaches include three-dimensional imaging, which has allowed for accurate depictions of the craniofacial region to be examined, allowing for evaluation of the spatial relationships between the jaw elements. This article puts forward a literature review on the topic, investigating the diagnosis and management of TDM, as well as stability after surgical and nonsurgical interventions. Methods for treating TDM have been reported since the mid-19th century and continue to evolve.
The craniofacial skeletal assessment as early as possible is critical, as the early diagnosis of TDM influences the effectiveness of treatment. Transverse deficiency of the maxilla (TDM) is the most common skeletal change that involves the maxilla.
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