Aim: The aim of this study is to compare the dental and orthopaedic effects of the Leaf Expander with rapid and slow maxillary expanders.
Materials And Methods: The sample comprised 30 patients with a posterior crossbite divided into three groups: the rapid maxillary expander (RME) group (3 m, 7 f), average age 8.9 years; the slow maxillary expander (SME) group (7 m, 3 f) average age 12.2 years; the Leaf Expander (LE) group (7 m, 3 f), average age 7.9 years. Postero-anterior cephalometric studies have been obtained at the beginning of the therapy (T1) and after 9 months (T2). Nasal width, maxillary width, mandibular width, upper permanent molars width have been measured by a calibrated examiner.
Results: All the measurements increased significantly after the treatment (paired t-test P=0.05). Maxillary average width increased of 4.2 mm (SD 3.6 mm) in RME; + 2.8 mm (SD 2.8 mm) in RSE and +3.6 mm (SD 2.2 mm) in LE group. Upper permanent molars width increased: + 5.4 mm (SD 3.31 mm) in RME; + 5.4 mm (SD 3.3 mm) in SME and + 3.8 mm (SD 2.1 mm) in LE group. No statistical differencesbetween the groups have been found (t-student test P=.05).
Conclusions: The effectiveness of the LE in transversal deficiency correction has been confirmed.
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http://dx.doi.org/10.23804/ejpd.2018.19.03.6 | DOI Listing |
Turk J Orthod
December 2024
Karadeniz Technical University Faculty of Dentistry, Department of Orthodontics, Trabzon, Turkey.
Objective: This study aimed to evaluate the skeletal, dental, and soft tissue effects of the nickel titanium memory Leaf Expander in a growing sample of patients with unilateral posterior crossbite compared with a control group using digital models and lateral cephalometric radiographs.
Methods: The research included a total of 24 patients, 12 of whom were treated and 12 untreated. The Leaf Expander group consisted of 4 males and 8 females (mean age= 8.
Eur J Paediatr Dent
September 2024
Surgical, Medical and Dental Department, University of Modena and Reggio Emilia, 41124 Modena, Italy.
Aim: To evaluate palatal surface effects induced by LE and RPE, alongside spontaneous changes in an untreated group, and to compare differences in canine and molar inclination among the three groups.
Materials: This randomised clinical trial aimed to compare digital models pre- and post-treatment over 12 months in patients receiving tooth-borne Leaf Expander® (LE) and tooth-borne Hyrax-type maxillary expander (RPE) treatments, alongside untreated patients. Analysis included 24 LE patients (13 males, 11 females, mean age 8.
Orthod Craniofac Res
February 2025
Surgical, Medical and Dental Department, University of Modena and Reggio Emilia, Modena, Italy.
Objective: The aim of this randomized controlled trial (RCT) was to evaluate the spontaneous distorotation of upper first permanent molars and the transverse dentoalveolar changes on digital casts in growing patients following maxillary expansion treatment using either the Leaf Expander® or the rapid maxillary expander (RME), both anchored to the deciduous second molar.
Trial Design And Setting: This study was a two-arm, parallel-assignment, RCT with a dual-centre design conducted at two teaching hospitals in Italy.
Participants: Inclusion criteria included maxillary transverse deficiency, prepubertal development stage (cervical vertebra maturation stage [CVMS] 1-2) and early mixed dentition with fully erupted upper first permanent molars.
Orthod Craniofac Res
December 2024
Department of Surgical Sciences and Integrated Diagnostics, University of Genoa, Genoa, Italy.
Children (Basel)
April 2024
Surgical, Medical and Dental Department, University of Modena and Reggio Emilia, 41125 Modena, Italy.
Background: This systematic review aims to analyze the spontaneous dentoalveolar changes in the mandibular arch after maxillary expansion in growing patients obtained with different expansion protocols: Rapid Maxillary Expansion (RME), Slow Maxillary Expansion (SME), and Leaf Expander.
Methods: The study adhered to the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidelines. Eligibility criteria were established in the PICO format, involving patients who underwent slow, rapid, or leaf maxillary expansion during the mixed or early permanent dentitions.
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