Post Expansion Evaluation of the Midpalatal Suture in Children Submitted to Rapid Palatal Expansion: a CT Study

2007 ◽  
Vol 31 (2) ◽  
pp. 142-148 ◽  
Author(s):  
Omar Gabriel da Silva Filho ◽  
Tulio Silva Lara ◽  
Helena Cristina da Silva ◽  
Francisco Antônio Bertoz
Keyword(s):  
Prospective Study ◽  
Ct Scans ◽  
Midpalatal Suture ◽  
Tomographic Images ◽  
Palatal Expansion ◽  
Rapid Palatal Expansion ◽  
Anterior Nasal Spine

The aim of this prospective study was to evaluate the midpalatal suture in children submitted to rapid palatal expansion, at the end of the retention stage, with CT scans. The sample was comprised of 17 children aged between 5 years 2 months and 10 years 5 months. The tomographic images showed that the midpalatal suture was completely ossified from the anterior nasal spine area to the posterior nasal spine area at the end of the retention phase, that is, 8 to 9 months postexpansion.

Evaluation of the midpalatal suture during rapid palatal expansion in children: a CT study

2005 ◽  
Vol 29 (3) ◽  
pp. 231-238 ◽  
Author(s):  
Omar Gabriel da Silva Filho ◽  
Tulio Silva Lara ◽  
Araci Malagodi de Almeida ◽  
Helena Cristina da Silva
Keyword(s):  
Computerized Tomography ◽  
Mixed Dentition ◽  
Midpalatal Suture ◽  
Palatal Expansion ◽  
Rapid Palatal Expansion ◽  
Anterior Nasal Spine ◽  
The Impact

The midpalatal suture of 18 children submitted to rapid palatal expansion with the Haas fixed expander and ranging in age from 5 years 2 months to 10 years 5 months was evaluated with computerized tomography. The posterior nasal spine undergoes the impact of RPE in patients in the primary and mixed dentition stages, similarly to the anterior nasal spine though to a lesser extent. The average opening of the midpalatal suture was 2.21 mm in the anterior nasal spine region and 0.95 mm in the posterior nasal spine region.

Would midpalatal suture characteristics help to predict the success rate of miniscrew-assisted rapid palatal expansion?

2021 ◽  
Author(s):  
Adriana Souza de Jesus ◽  
Cibele Braga de Oliveira ◽  
Wilson Humio Murata ◽  
Selly Sayuri Suzuki ◽  
Ary dos Santos-Pinto
Keyword(s):  
Success Rate ◽  
Midpalatal Suture ◽  
Palatal Expansion ◽  
Rapid Palatal Expansion

Bone density of the midpalatal suture 7 months after surgically assisted rapid palatal expansion in adults

2011 ◽  
Vol 139 (4) ◽  
pp. S109-S116 ◽  
Author(s):  
Silvia Petrick ◽  
Thorsten Hothan ◽  
Volker Hietschold ◽  
Matthias Schneider ◽  
Winfried Harzer ◽  
...  
Keyword(s):  
Bone Density ◽  
Midpalatal Suture ◽  
Palatal Expansion ◽  
Rapid Palatal Expansion

Rapid palatal expansion: Part 1. Mineralizationpattern of the midpalatal suture in cats

1998 ◽  
Vol 113 (4) ◽  
pp. 371-378
Author(s):  
Alexander Dan Vardimon ◽  
Tamar Brosh ◽  
Adir Spiegler ◽  
Myron Lieberman ◽  
Sandu Pitaru
Keyword(s):  
Midpalatal Suture ◽  
Palatal Expansion ◽  
Rapid Palatal Expansion

Rapid palatal expansion. Part 2: Dentoskeletal changes in cats with patent versus synostosed midpalatal suture

1998 ◽  
Vol 113 (5) ◽  
pp. 488-497 ◽  
Author(s):  
Alexander Dan Vardimon ◽  
Tamar Brosh ◽  
Adir Spiegler ◽  
Myron Lieberman ◽  
Sandu Pitaru
Keyword(s):  
Midpalatal Suture ◽  
Palatal Expansion ◽  
Rapid Palatal Expansion

scholarly journals Corticopuncture Facilitated Microimplant-Assisted Rapid Palatal Expansion

2018 ◽  
Vol 2018 ◽  
pp. 1-12
Author(s):  
Selly Sayuri Suzuki ◽  
Laila Fernanda Souza Braga ◽  
Denise Nami Fujii ◽  
Won Moon ◽  
Hideo Suzuki
Keyword(s):  
Treatment Plan ◽  
Caucasian Patient ◽  
Midpalatal Suture ◽  
Palatal Expansion ◽  
Rapid Palatal Expansion ◽  
Basal Bone ◽  
Bone Width ◽  
Novel Approach ◽  
Thread Length ◽  
Invasive Method

Introduction. Microimplant-assisted rapid palatal expansion (MARPE) has been considered an alternative to avoid extensive surgical procedures. In order to obtain skeletal results of MARPE, force should be enough to overcome areas of resistance and the first one that is required to be disrupted is the midpalatal suture, which becomes increasingly interdigitated after adolescence. Objective. The present study aimed at providing a novel approach using a minimally invasive method called corticopuncture (CP) in association with MARPE illustrated by a case report of a 35-year-old Brazilian female Caucasian patient presenting maxillary transverse deficiency. Method. Treatment plan started with an orthopedic correction of the transverse problem using a MARPE device. After many unsuccessful attempts to activate MARPE, corticopunctures were performed along the midpalatal suture. CP procedure at the midpalatal suture included 8 perforations (2 mm apart), performed after previous predrilling followed by miniscrew insertion (5 mm thread length and 1.8 mm diameter). Results. After CP and new activation protocol, the opening of the midpalatal suture was observed by CBCT images, showing skeletal results, suture split of 3.14 mm (premolar area) and 2.06 (molar area), an increase of 4.3 mm (premolar) and 3.03 mm (molar) in basal bone width, 4.43 mm (premolar) and 3.1 mm (molar) in cortical bone width, and minimal dental effects (mean of 1.2° of tooth tipping). Conclusion. The combination of MARPE and corticopuncture method was proved to be a nonsurgical treatment option to correct maxillary transverse deficiency in an adult patient. CP was able to weaken suture interdigitation thus facilitating the split.

scholarly journals Miniscrew-assisted rapid palatal expansion (MARPE) protocols applied in different ages and stages of maturation of the midpalatal suture: cases report

2021 ◽  
Vol 10 (11) ◽  
pp. e503101119480
Author(s):  
Marcelo de Melo Quintela ◽  
Sabrina Buchmann Rossi ◽  
Katty Lalangui Vera ◽  
Jaime Cordova Peralta ◽  
Isaias Donizeti Silva ◽  
...  
Keyword(s):  
Adult Patient ◽  
Bone Volume ◽  
Chronological Age ◽  
Bone Thickness ◽  
Midpalatal Suture ◽  
Surgical Interventions ◽  
Palatal Expansion ◽  
Posterior Crossbite ◽  
Rapid Palatal Expansion

Objective: To evaluate the Microimplant-assisted Rapid Palatal Expansion (MARPE), considered an alternative to surgical interventions for disjunction of the midpalatal suture in adolescent patients and young adults with maxillary transverse deficiency. The stage of ossification of the midpalatal suture, bone quality and adequate activation protocols are factors that can influence the quantity and quality of the orthopedic separation. Methodology: This paper demonstrates the application of MARPE in an unfavorable case report, of an adult patient with total crossbite, in an advanced stage of fusion of the palatine and maxillary processes, with poverty in the posterior bone volume, in comparison with the same therapy in an adolescent at an earlier stage of sutural maturation. In both cases, after tomographic examinations and oral scanning, the installations and recommended activation protocol were performed. These were not sufficient in the case of the adult patient, and generated side effects that, to be overcome, required changes in activations and additional maneuvers. Results: The application of MARPE may require clinical versatility to adopt differentiated protocols in relation to chronological age, bone thickness and sutural ossification stage. Conclusion: In the end, new computer tomography scans and a clinical examination showed satisfactory results in both patients. In the unfavorable case, the opening of the midpalatal suture occurred at more modest levels, but it was sufficient to correct the posterior crossbite.

scholarly journals Retrospective Case Series Regarding the Advantages of Cortico-Puncture (CP) Therapy in Association with Micro-Implant Assisted Rapid Palatal Expander (MARPE)

2021 ◽  
Vol 11 (3) ◽  
pp. 1306
Author(s):  
Eugen-Silviu Bud ◽  
Mariana Păcurar ◽  
Alexandru Vlasa ◽  
Ana Petra Lazăr ◽  
Luminița Lazăr ◽  
...  
Keyword(s):  
Sagittal Plane ◽  
Case Series ◽  
Imaging Study ◽  
Positive Outcome ◽  
Retrospective Case ◽  
Midpalatal Suture ◽  
Palatal Expansion ◽  
Post Surgery ◽  
Anterior Nasal Spine ◽  
Suture Opening

Transverse maxillary deficiency currently affects 8–23% of adults. One of the most widely used orthodontic treatments today in patients with transverse maxillary defects is the maxillary skeletal expander (MSE). This was a retrospective observational imaging study regarding structural bone changes that may occur during healing after the placement of micro-implant assisted rapid palatal expanders (MARPE) in combination with cortico-puncture (CP) therapy. Regarding the magnitude of the mid-palatal suture opening, the mean split at the anterior nasal spine (ANS) and the posterior nasal spine (PNS) was 3.76 and 3.12 mm, respectively. The amount of split at the PNS was smaller than at the ANS, approximately 85% of the distance, showing that the opening of the midpalatal suture was almost parallel in the sagittal plane. On average, one-half of the anterior nasal spine (ANS) moved more than the contralateral by 0.89 mm. In the present study, we show that MARPE associated with CP therapy had a positive outcome on the midpalatal suture opening. This occurred in safe conditions, without post-surgery bleeding, and showing healing at the corticotomy level, with no signs of swelling or sepsis, which are side effects usually associated with more complex surgical treatments. Our results suggest that non-surgical palatal expansion, assisted by MARPE and CP, is achievable and predictable in young adults.

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