scholarly journals Evaluation of palate area before and after rapid maxillary expansion, using cone-beam computed tomography

2019 ◽  
Vol 24 (5) ◽  
pp. 40-45
Author(s):  
Carolina Bruder ◽  
Cristina Lucia Feijó Ortolani ◽  
Tatiana Araújo de Lima ◽  
Flavia Artese ◽  
Kurt Faltin Junior
Keyword(s):  
Computed Tomography ◽  
Surface Area ◽  
Cone Beam Computed Tomography ◽  
Repeated Measures ◽  
Rapid Maxillary Expansion ◽  
Cone Beam ◽  
P Value ◽  
Maxillary Expansion ◽  
Linear Measurements ◽  
Retention Period

ABSTRACT Objective: The aim of this study was to estimate the changes in the palate area after rapid maxillary expansion (RME) with the Hyrax expander in growing subjects, using cone beam computed tomography (CBCT). Methods: Fourteen patients (9 girls and 5 boys; mean age = 11.7 ± 2.4 years) who required RME as part of their orthodontic treatment were included in this study. CBCT records had been taken before RME treatment (T0), at the end of active expansion (T1) and after a 6-month retention period (T2). The CBCT scans were manipulated with Dolphin Imaging® version 11.7 Premium software, in which landmarks were positioned and measured in relation to sagittal, coronal and axial planes, to verify the palate surface area. In addition, linear measurements of the palatal depth and width were assessed. These measurements were compared by using analysis of variance (ANOVA) for repeated measures. A p-value smaller than 0.05 was considered statistically significant. Results: The palatal surface area and width significantly increased from T0 to T1, respectively by 9.27% and 9.71%, and both decreased in a non-significant manner from T1 to T2. The palatal depth had non-significant differences at T0, T1 and T2. Conclusions: RME promotes a significant gain in the surface area of the palate and an increase in intermolar width. The Hyrax appliance was effective for the treatment of maxillary atresia in growing patients. There was no vertical alteration of the palate. After a 6-month retention period, the maxilla transverse dimension and the surface area of the palate remained stable.

scholarly journals Effect of rapid maxillary expansion on nasal cavity assessed with cone-beam computed tomography

2020 ◽  
Vol 25 (3) ◽  
pp. 39-45
Author(s):  
Luciana Duarte Caldas ◽  
Wilton M. Takeshita ◽  
André Wilson Machado ◽  
Marcos Alan Vieira Bittencourt
Keyword(s):  
Computed Tomography ◽  
Nasal Cavity ◽  
Cone Beam Computed Tomography ◽  
Rapid Maxillary Expansion ◽  
Cone Beam ◽  
Maxillary Expansion ◽  
Linear Measurements ◽  
Skeletal Deformity ◽  
Anterior Portion ◽  
Posterior Portion

ABSTRACT Introduction: Rapid maxillary expansion (RME) is assumed as a well established procedure; although, some effects on facial complex are not yet fully understood. Objective: The aim of this research was to verify, using cone-beam computed tomography, the effect on linear dimensions of the nasal cavity. Methods: Sample consisted of twenty patients aged 7 to 16 years, with skeletal deformity that justified the use of CT scans, and who required the RME as part of the orthodontic treatment planning. Scans were taken before clinical procedures were performed (T0) and after stabilizing the expander screw (T1). Dolphin Imaging v. 11.5 3D software was used to measure six areas on nasal cavity: three at the anterior portion (upper, middle, and lower) and other three at the posterior portion (also upper, middle, and lower). Data were statistically treated using Shapiro-Wilk test to verify normality. Differences between T0 and T1 were calculated using the Spearman correlation and paired Student’s t-test, with a significance level of 5%. Results: All linear measurements presented a significant increase (p< 0.05) after RME, both in the anterior and posterior regions, suggesting some parallelism on the opening pattern, especially at the lower portion (p< 0.001). Conclusions: RME was able to significantly modify the internal dimensions of the nasal cavity.

scholarly journals Upper airway expansion after rapid maxillary expansion evaluated with cone beam computed tomography

2012 ◽  
Vol 82 (3) ◽  
pp. 458-463 ◽  
Author(s):  
Annelise Nazareth Cunha Ribeiro ◽  
João Batista de Paiva ◽  
José Rino-Neto ◽  
Edson Illipronti-Filho ◽  
Tarcila Trivino ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Upper Airway ◽  
Rapid Maxillary Expansion ◽  
Cone Beam ◽  
Maxillary Expansion

scholarly journals Evaluation of root resorption following rapid maxillary expansion using cone-beam computed tomography

2012 ◽  
Vol 82 (3) ◽  
pp. 488-494 ◽  
Author(s):  
Asli Baysal ◽  
Irfan Karadede ◽  
Seyit Hekimoglu ◽  
Faruk Ucar ◽  
Törün Ozer ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Root Resorption ◽  
Rapid Maxillary Expansion ◽  
Cone Beam ◽  
Maxillary Expansion

scholarly journals Rapid Maxillary Expansion and Upper Airway Morphology: A Systematic Review on the Role of Cone Beam Computed Tomography

2017 ◽  
Vol 2017 ◽  
pp. 1-10 ◽  
Author(s):  
Gabriele Di Carlo ◽  
Matteo Saccucci ◽  
Gaetano Ierardo ◽  
Valeria Luzzi ◽  
Francesca Occasi ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Randomized Clinical Trials ◽  
Upper Airway ◽  
Rapid Maxillary Expansion ◽  
Cone Beam ◽  
Cochrane Library ◽  
Maxillary Expansion ◽  
Screening Process ◽  
Airway Morphology

Objective. This study aimed to investigate the quality of cone beam computed tomography (CBCT) studies evaluating the effects of rapid maxillary expansion on upper airway morphology. Materials and Methods. A database search was conducted using PubMed, Ovid, and Cochrane Library up to December 2016. Studies in which CBCT was adopted to visualize the upper airway before and after rapid maxillary expansion were included. The population target was growing patients. Methodological quality assessment was performed. Results. The screening process resulted in the exclusion of 1079 references, resulting in only 9 remaining papers that fulfilled the inclusion criteria. No randomized clinical trials were found. The quality scores ranged from 36% to 68% of the maximum achievable, and the mean quality score of the studies was 50%. No good quality studies were detected in our sample. Conclusions. Inconsistencies in the CBCT protocols utilized were detected between studies. Head posture, tongue position, and segmentation protocols were not consistent. These discrepancies were reflected in the different results obtained in the studies. A valid and consistent protocol with regard to head and tongue positioning, as well as nasal cavity volume segmentation, is required.

scholarly journals Three-Dimensional Prospective Evaluation of Piezocision-Assisted and Conventional Rapid Maxillary Expansion: A Controlled Clinical Trial

2019 ◽  
Vol 7 (1) ◽  
pp. 127-133
Author(s):  
Ahmed I. Abdul-Aziz ◽  
Wael M. Refai
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Treatment Time ◽  
Rapid Maxillary Expansion ◽  
Cone Beam ◽  
Controlled Study ◽  
Controlled Clinical Trial ◽  
Maxillary Expansion ◽  
Posterior Crossbite ◽  
Significant Difference

BACKGROUND: Piezocision-assisted orthodontics (PAO) is considered one of the modern techniques aiming at reducing the treatment time and overcoming some limitations of orthodontic treatment. The use of piezocision as an adjunct in the treatment of posterior crossbite is limited, so additional research in this area is required. AIM: To three-dimensionally compare the skeletal and dental effects produced by piezocision-assisted rapid maxillary expansion (PARME) and conventional rapid maxillary expansion (RME) using cone beam computed tomography (CBCT). MATERIALS AND METHODS: This prospective controlled study comprised 14 consecutive non-syndromic patients with posterior crossbite. In 7 patients (mean age = 16.1 ± 0.3 years), PARME was used to correct the crossbite; whereas in the remaining 7 (mean age = 15.9 ± 0.5 years), RME was done. Cone beam computed tomography (CBCT) scans were performed before expansion (T1) and 3 months later after expansion (T2) to compare the skeletal and dental effects produced by the two expansion techniques. Transverse skeletal, dentolinear, and dentoangular variables at the level of maxillary first and second premolars and maxillary first molars were measured and compared within and between groups using the appropriate statistical test. RESULTS: For the transverse skeletal variables, PARME showed a non-significant increase; whereas, RME showed a significant increase. Regarding the dentolinear measurements, a significant increase in coronal widths and an insignificant increase in apical widths was seen in PARME, whereas, the RME showed a non-significant increase for both coronal and apical widths. Non-significant decreases (protrusion of teeth) in the dentoangular measurements were seen in both groups. Between-group comparisons showed a non-significant difference except for the dentolinear coronal widths. CONCLUSION: PARME is effective in treating posterior crossbite. Because of the more dental expansion produced by PARME as compared to the conventional RME, PARME should be limited only to mild or moderate not severe forms of palatal constriction. The available evidence regarding the effectiveness of corticotomy- and/or piezocision-assisted maxillary expansion for correction of posterior crossbite is limited and inadequate.

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