The purpose of this study was to compare skeletal and dental aspects of three different expansion methods in the mixed dentition period in sagittal, vertical, and transversal planes, treatment periods, complications, and relapse tendencies in early periods. Patients with unilateral or bilateral posterior crossbites in the mixed dentition were studied. They were divided into three groups of 10 patients in each group. The first group received treatment with removable plates for semirapid maxillary expansion; the second group with quad-helix appliances for slow maxillary expansion; and the third group with conventional fixed hyrax appliances for rapid maxillary expansion (RME). Lateral and posteroanterior cephalometric films, occlusal films, and dental casts were taken before and after expansion, and after retention with the same appliances. Cephalometric and dental cast analyses were made. Both skeletal and dental changes were observed after all three expansion methods.
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http://dx.doi.org/10.1016/s0889-5406(97)70191-4 | DOI Listing |
Med Oral Patol Oral Cir Bucal
January 2025
Department of Oral and Maxillofacial Surgery International University of Catalonia Josep Trueta s/n, Sant Cugat del Vallès CP 08195, Barcelona, Spain
Background: Transverse maxillary deficiency is a relatively common type of malocclusion, that if left untreated will probably affect the permanent dentition. Recent investigations have proposed the use of bone-supported miniscrews around the midpalatal suture to expand the palate in late adolescents. The aim of this systematic review was to assess the efficacy of the Miniscrew Assisted Rapid Palatal Expansion (MARPE) technique in young adult patients, by quantifying skeletal expansion in relation to the age of the patient, as well as the impact upon other craniofacial sutures, and to describe the possible dental side effects.
View Article and Find Full Text PDFJ Clin Med
January 2025
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Gazi University, 06490 Ankara, Turkey.
: This study aimed to compare the effects of surgically assisted rapid palatal expansion (SARPE) techniques and their combinations on the stresses (von Mises, maximum principal, and minimum principal) and displacements that occur in the maxilla, facial bones, and maxillary teeth using three-dimensional finite element analysis (FEA). : SARPE was simulated using seven different osteotomy techniques. The FEA models were simulated with a combination of various osteotomies, including midpalatal and lateral osteotomies, lateral osteotomy with a step, and separation of the pterygomaxillary junction.
View Article and Find Full Text PDFMedicina (Kaunas)
January 2025
Department of Orthodontics, Faculty of Dentistry, Ataturk University, 25030 Erzurum, Turkey.
: The aim of this prospective study was to assess the effects of rapid maxillary expansion (RME) and/or face mask (FM) treatments on the pharyngeal airway in patients with skeletal Class III malocclusion caused by maxillary deficiency. This study utilized cone beam computed tomography (CIBT) for a three-dimensional (3D) analysis of airway changes, comparing the results with those of a control group consisting of untreated skeletal Class III patients. : The study included 60 participants (34 boys, 26 girls) aged 9 to 14 years, all diagnosed with skeletal Class III malocclusion due to maxillary underdevelopment.
View Article and Find Full Text PDFJ World Fed Orthod
January 2025
Department of Orthodontics and Dentofacial Orthopaedics, Manav Rachna Dental College, Manav Rachna International Institute of Research and Studies, Faridabad, Haryana, India.
Background: The advances in technology have enabled the customization of appliances including mini-screw-assisted rapid palatal expansion (MARPE) appliances for skeletal expansion in young adult patients. The study assessed the short-term effects of customized MARPE appliances on the hard tissues, soft tissues, and airway volume over a period of 6 months.
Methods: A total of 15 patients in the age range of 15 to 25 years were treated for transverse maxillary deficiency using a three-dimensional (3D) printed customized MARPE appliance.
Korean J Orthod
January 2025
Department of Orthodontics, Hacettepe University, Ankara, Türkiye.
Objective: This study aimed to evaluate the effects of attachment design on maxillary molar distalization and simultaneous expansion during distalization, and the influence of third molars on distalization in the clear aligner technique using the finite element method.
Methods: Six models were created to evaluate three different attachment designs on the second molars. Model I: employed a vertical rectangular attachment; Model II: used a vertical rectangular attachment with the presence of the third molar; Model III: used a combined semi-elliptical attachment; and Model IV: featured an opposed semi-elliptical attachment with buccal and palatal components.
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