scholarly journals Volumetric upper airway changes after rapid maxillary expansion: a systematic review and meta-analysis

2016 ◽  
pp. cjw048 ◽  
Author(s):  
Lloyd M. Buck ◽  
Oyku Dalci ◽  
M. Ali Darendeliler ◽  
Spyridon N. Papageorgiou ◽  
Alexandra K. Papadopoulou
Keyword(s):  
Systematic Review ◽  
Meta Analysis ◽  
Upper Airway ◽  
Rapid Maxillary Expansion ◽  
Maxillary Expansion

Rapid maxillary expansion for pediatric obstructive sleep apnea: A systematic review and meta-analysis

2016 ◽  
Vol 127 (7) ◽  
pp. 1712-1719 ◽  
Author(s):  
Macario Camacho ◽  
Edward T. Chang ◽  
Sungjin A. Song ◽  
Jose Abdullatif ◽  
Soroush Zaghi ◽  
...  
Keyword(s):  
Systematic Review ◽  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Meta Analysis ◽  
Rapid Maxillary Expansion ◽  
Maxillary Expansion ◽  
Obstructive Sleep

scholarly journals Clinical effect on the alveolar bone of maxillary molar after rapid maxillary expansion: a systematic review and meta-analysis

2021 ◽  
Author(s):  
Bowen Zhang ◽  
Mengqiao Wang ◽  
Fenglu Zhao ◽  
Zijie Zhang ◽  
Fulan Wei
Keyword(s):  
Systematic Review ◽  
Cortical Thickness ◽  
Alveolar Bone ◽  
Data Extraction ◽  
Meta Analysis ◽  
Rapid Maxillary Expansion ◽  
Cochrane Central Register ◽  
Maxillary Expansion ◽  
Manual Search ◽  
The Stability

Abstract Background This study assessed the effects of rapid maxillary expansion (RME) on alveolar bone cortical thickness and vertical bone level of maxillary first molar. Material and methods PubMed, Web of Science, Cochrane Central Register of Controlled Trials (CENTRAL), Scopus and a manual search in reference lists of the included studies were searched up to November 2020. The data extraction and risk of bias assessment were performed independently by two authors. Review Manager 5 was used for quantitative analysis. Results Eight studies were selected for the systematic review, and six studies were statistically selected in meta-analysis. The thickness of the distal buccal alveolar bone was significantly reduced of both left (MD 0.53;95% CI:0.15–0.90) and right (MD 0.61;95% CI:0.28–0.94) sides of the maxillary first molar after RME. The same was true for the left (MD 0.63;95% CI:0.28–0.98) and right (MD 0.63;95% CI:0.36–0.91) sides of the mesial buccal side. And the vertical distance between the cusp tip and the buccal alveolar crest increased significantly after RME (SMD − 0.92;95% CI: -1.20–0.64). However, the study of palatal cortical thickness of maxillary first molar needs more clinical trials because of its high heterogeneity (left: I2 = 92%; right: I2 = 86%). Conclusions According to current studies, RME can reduce the buccal cortical thickness of maxillary first molars and increase vertical bone loss. More research is needed to determine the stability of the results. However, it is advisable to evaluate the alveolar bone before treatment.

scholarly journals Transverse Skeletal Effects of Rapid Maxillary Expansion in Pre and Post Pubertal Subjects: A Systematic Review

2019 ◽  
Vol 7 (3) ◽  
pp. 467-477 ◽  
Author(s):  
Nouran Fouad Seif-Eldin ◽  
Sherif Aly Elkordy ◽  
Mona Salah Fayed ◽  
Amr Ragab Elbeialy ◽  
Faten Hussein Eid
Keyword(s):  
Systematic Review ◽  
Meta Analysis ◽  
Rapid Maxillary Expansion ◽  
Maxillary Expansion ◽  
Manual Search ◽  
Weak Evidence ◽  
Skeletal Effects ◽  
Tooth Tissue ◽  
Permanent Increase

OBJECTIVE: The aim of this systematic review was to assess the transverse skeletal effects of rapid maxillary expansion (RME) in pre and post-pubertal subjects. MATERIAL AND METHODS: Five databases were searched till May 2018; Pubmed, Cochrane, Scopus, Lilacs and Web of science in addition to the manual search of other sources. There were no language restrictions. Methodological Index for Non-Randomized Studies MINORS was used to assess the quality and risk of bias of the trials included. RESULTS: Six studies were finally included in the qualitative analysis. A meta-analysis wasn’t performed due to the heterogeneity of methodologies and outcomes. All of the included studies showed drawbacks in their structure yielding weak evidence. On the short term, RME caused an increase in the maxillary and lateral-nasal widths in pre-pubertal subjects by 3.4 mm and 3.3 mm, and by 2.8 and 2.2 mm respectively in post-pubertal subjects. Although statistically insignificant, the maxillary width increase was more than that of the post-pubertal subjects by 0.6 mm. Over the long term, expansion produced permanent increases in the transverse dimensions of both the dento-alveolar and skeletal components of the maxilla and circum-maxillary structures in pre-pubertal subjects. The post-pubertal subjects presented with a statistically significant increase only in the later-nasal width by 1.3 mm than the untreated controls with no permanent increase in the skeletal maxillary width. CONCLUSION: The literature is very deficient regarding the use of skeletal age as a reference in the treatment of skeletal crossbites using RME. Only weak evidence exists supporting the increased maxillary and lateral-nasal widths after tooth-tissue borne RME in pre-pubertal subjects, with these effects being less in the post-pubertal ones.

scholarly journals Effect of Surgically Assisted Rapid Maxillary Expansion on Upper Airway Volume: A Systematic Review

2016 ◽  
Vol 74 (5) ◽  
pp. 1025-1043 ◽  
Author(s):  
Lloyd M. Buck ◽  
Oyku Dalci ◽  
M. Ali Darendeliler ◽  
Alexandra K. Papadopoulou
Keyword(s):  
Systematic Review ◽  
Upper Airway ◽  
Rapid Maxillary Expansion ◽  
Maxillary Expansion

scholarly journals Does rapid maxillary expansion change natural head position in children with maxillary constriction? A systematic review and meta-analysis

2019 ◽  
Vol 76 ◽  
pp. 1
Author(s):  
Aline Monise Sebastiani ◽  
Kauhanna Vianna de Oliveira ◽  
Nathaly Dias Morais ◽  
Eduardo Pizzatto ◽  
Carmen Lúcia Mueller Storrer ◽  
...  
Keyword(s):  
Systematic Review ◽  
Web Of Science ◽  
Meta Analysis ◽  
Head Position ◽  
Rapid Maxillary Expansion ◽  
Cochrane Library ◽  
Maxillary Expansion ◽  
Maxillary Constriction

Objetivo: uma revisão sistemática foi realizada para avaliar se a posição natural da cabeça (PNS) muda em crianças com constrição maxilar antes e após expansão rápida da maxila (ERM). Material e método: uma pesquisa foi realizada no MEDLINE via PubMeb, Scopus, Web of Science, LILACS, BBO e Cochrane Library sem restrições. Também foram pesquisadas a conferência anual dos resumos da IADR (1990–2017) e o registro de ensaios não publicados e em andamento. As dissertações e teses foram pesquisadas usando os bancos de dados ProQuest Dissertations e “Periódicos CAPES (Coordenação de Aperfeiçoamento de Pessoal de Nível Superior) de Teses”. Os estudos compararam a posição natural da cabeça em pacientes submetidos a expansão rápida da maxila (ERM) e pacientes não tratados, ambos com constrição maxilar. Resultados: um total de 3023 estudos foram identificados, três permaneceram em estudo qualitativo e todos esses estudos foram considerados de risco "pouco claro" de viés nos principais domínios. Apenas dois estudos apresentaram dados semelhantes para serem incluídos na meta-análise. Ambos os estudos avaliaram a posição natural da cabeça, através do ângulo entre a linha násio-sela e a vertical verdadeira (SN-Ver). As meta-análises demonstraram que, após 12 meses de acompanhamento, o ângulo SN-Ver diminuiu 3,39 graus (intervalo de confiança de 95% [IC] = 0,57 a 6,21; p = 0,02). Conclusão: o ERM promoveu aumento do ângulo SN-VER na criança após 12 meses de intervenção; no entanto, existem poucos estudos na literatura sobre esse tópico, e há necessidade de mais estudos bem delineados para investigar essa alteração.

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