Changes in maxillary width and upper airway spaces in young adults after surgically assisted rapid palatal expansion with surgically facilitated orthodontic therapy

2019 ◽  
Vol 127 (5) ◽  
pp. 381-386
Author(s):  
Panpan Liu ◽  
Delong Jiao ◽  
Xiaoya Wang ◽  
Jing Liu ◽  
Domingo Martin ◽  
...  
2020 ◽  
Vol 11 (5) ◽  
pp. 103-107
Author(s):  
Abdal Hadi Kawaiah ◽  
Ananda Kumar Kondepati ◽  
Shalini Devaprasad Pasumarthi ◽  
Tulika Mishra ◽  
Pratik Kumar Singh ◽  
...  

Obstructive sleep apnea syndrome (OSAS) is defined as “the stoppage of ventilation or incidence of significant hypoventilation during sleep, which is characterized by episodes of partial or complete upper airway obstruction related with hypoxemia and/or hypercarbia. There have been many treatments reported for this syndrome including Mandibular repositioning appliance (MRA), continuous positive airway pressure (CPAP), weight loss, exercise, intraoral appliance therapy, soft tissue procedures, and maxillomandibular advancement (MMA) surgery. Present study is an attempt where three patients of OSAS have been treated withMiniscrew-assisted rapid palatal expansion (MARPE). The results of BMI, AHI index showed the promising effect. Even the use of MARPE has improved the air flow and increased the rapid palatal area.


2021 ◽  
Vol 11 ◽  
pp. 247-253
Author(s):  
Bushra Sufyan Almaqrami ◽  
Huwate Saireke ◽  
Wang Xiying ◽  
Peter Ngan ◽  
Cao Hui ◽  
...  

Background: The objective of this article was to illustrate the process in the fabrication of a custom cast splint Microimplant-Assisted Rapid Palatal Expansion (MARPE) appliance for treatment of maxillary deficiency in young adults. Findings: The fabrication of a custom-made MARPE appliance allows the casting base to design according to the shape of the patient’s palate close to the palatal mucosa. In this new design, one end consists of a casting body, inserting hole, and teeth retention device (circumferential rings) connected to the other end by a jackscrew. Connection of all parts in the integral casting unit increases the strength of the expansion appliance and avoids distortion, deformation, or damage to the palatal mucosa due to increased resistance from the oromaxillofacial area. Conclusion: This custom design can improve the clinical outcome of maxillary expansion, especially in patients with narrow and high-arched palates.


2019 ◽  
Vol 49 (6) ◽  
pp. 360 ◽  
Author(s):  
Hyerin Shin ◽  
Chung-Ju Hwang ◽  
Kee-Joon Lee ◽  
Yoon Jeong Choi ◽  
Sang-Sun Han ◽  
...  

2017 ◽  
Vol 7 ◽  
pp. 113-119 ◽  
Author(s):  
Evan. A. Clement ◽  
N. R. Krishnaswamy

Objective The aim of this study was to evaluate skeletal and dentoalveolar changes before and after skeletal anchorage-assisted rapid palatal expansion in young adults by cone beam computed tomography. Materials and Methods This pilot study included ten patients with a mean age of 21.5 years with maxillary transverse deficiency treated with the skeletal expander. Three dimensional evaluation of the changes before and after expansion was evaluated with Cone Beam CT. Statistical analysis was performed using paired t-test. Results Skeletal expander produced an increase in maxillary transverse dimension at the skeletal, alveolar, and dental level. The maximum expansion was at the level of dentition, and the least amount of expansion was at the level of the frontonasal suture. There was also evidence of sutural divergence and buccal tipping. Conclusion The maxillary skeletal expander is an effective method for correction of maxillary transverse deficiency without surgery in adults.


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