Effects of Surgical and Nonsurgical Rapid Maxillary Expansion on Palatal Structures

Kurt, Gökmen; Altuğ, Ayşe Tuba; Türker, Gökhan; Kiliç, Banu; Kılıç, Erdem; Alkan, Alper

doi:10.1097/scs.0000000000003468

Cited by 12 publications

(10 citation statements)

References 12 publications

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“…RME procedure is widely preferred treatment option for the management of MTDs [7,13]. Undesirable side effects like decubitae or swelling in palatal mucosa, pain, tooth tilting, root resorption, caries and periodontal problems have been reported after the RME procedure [2,7,14]. Schuster et al…”

Section: Discussionmentioning

confidence: 99%

“…Clinically the MTDs usually present with posterior crossbite, crowding of the teeth, high/narrow palatal arch, and mouth breathing [5]. Rapid maxillary expansion (RME) is one of the most commonly used treatment approach to correct MTDs, since the use of fixed palatal expanders in the 1960s [6][7][8][9]. During RME treatment to rapidly correct the MTDs heavy forces are transmitted to the maxilla, and as well as the surrounding anatomical structures [10,11].…”

Section: Introductionmentioning

confidence: 99%

“…During RME treatment to rapidly correct the MTDs heavy forces are transmitted to the maxilla, and as well as the surrounding anatomical structures [10,11]. Based on the magnitude of the force applied, associated with the appliance used, or because of the patient related factors undesirable side effects like pain, swelling, edema, ulceration, gingival recession, root resorption, molar tipping, rotation of the mandible, open bite, and relapse have been reported previously [2,7,12].…”

Section: Introductionmentioning

confidence: 99%

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Persistent Palatal Hypertrophy Associated with Rapid Maxillary Expansion Procedure: Report of a Rare Case

Ömezli¹,

Torul²,

Avci³

2020

BioMedicine

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Maxillary transversal deficiency (MTD) is a common skeletal problem. If not treated on time, MTD evolve to a more complex malocclusion. This problem can affect facial growth and development. Rapid maxillary expansion (RME) procedure frequently used for the management. This technique is usually successful in young individuals but as the age advances and the articulations of the maxilla with surrounding facial bones get more rigid, it becomes ineffective. Undesirable side effects or results have been reported after use of RME in skeletally mature patients such as buccal tipping of posterior teeth, extrusion, periodontal tissue recession, fenestration of buccal cortex, necrosis of palatal tissue, failure in opening of midpalatal suture, pain, and relapse of expansion. Side effects of RME are often temporary and permanent damages are rarely seen. The aim of this report is to present the management of a permanent side effect of the RME procedure in a 13-year-old child.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Persistent Palatal Hypertrophy Associated with Rapid Maxillary Expansion Procedure: Report of a Rare Case

Ömezli¹,

Torul²,

Avci³

2020

BioMedicine

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show abstract

“…Following advancement, a wider portion of the mandible articulates with a narrower portion of the maxilla. A common treatment is widening of the maxilla through orthopaedic rapid maxillary expansion (RME) in younger patients or surgically assisted RME in adults . An alternate approach is mandibular advancement with simultaneous constriction …”

Section: Introductionmentioning

confidence: 99%

“…A common treatment is widening of the maxilla through orthopaedic rapid maxillary expansion (RME) in younger patients or surgically assisted RME in adults. 13,14 An alternate approach is mandibular advancement with simultaneous constriction. 12,15 With the increased awareness of obstructive sleep apnoea, attention has focused on airway changes resulting from orthodontics and orthognathic surgery.…”

mentioning

confidence: 99%

3D Airway changes using cone beam computed tomography in patients following mandibular advancement surgery with and without constriction

Furche

Edwards

Aronovich

et al. 2019

Orthod Craniofacial Res

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Structured Abstract Objectives The aim of this study was to compare three‐dimensional airway changes resulting from mandibular advancement surgery and mandibular advancement surgery with constriction. Setting and Sample Population The University of Michigan School of Dentistry and Medical Center. A total of 42 patients undergoing mandibular advancement with or without simultaneous constriction. Materials and Methods A retrospective airway evaluation of patients undergoing mandibular advancement with or without simultaneous mandibular constriction was performed. Cross‐sectional evaluation at standardized locations, minimum cross section and volumetric analysis were performed using Dolphin Imaging TM Version 11.7. Results Patients undergoing mandibular advancement with or without constriction experienced significant airway increases (P < 0.05). Patients who underwent mandibular advancement only gained nearly twice as much airway volume as mandibular advancement with simultaneous constriction (8.69 mm3 vs 4.3 mm3). The largest increase for both groups was observed in the minimum axial area in the oropharynx segment (119.5 mm2) and the axial area of the retroglossal region (137.2 mm2). Conclusions The findings demonstrate mandibular advancement with constriction results in airway enlargement following surgery.

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Influence of surgically assisted rapid maxillary expansion on the interdental papilla height of maxillary central incisors

Noverraz

et al. 2021

J Orofac Orthop

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Purpose To evaluate the influence of orthodontic treatment with surgically assisted rapid maxillary expansion (SARME) on the interdental papilla height of maxillary central incisors. Methods In this retrospective study, patients who completed orthodontic treatment including SARME at the Radboud University Medical Center Orthodontic Department before December 2019 were included. Frontal intraoral photographs taken before (T1) and after completion of treatment (T2) were examined to determine the papilla height between the maxillary central incisors using the Jemt classification. The difference between the Jemt classification at T1 and T2 (∆Jemt) was defined as the primary outcome variable. Secondary outcome variables were gender, age, treatment duration, type of expansion appliance, maximal central diastema during expansion, pretreatment overlapping between the central incisors, gingival biotype, crown morphology and the distance between the bone crest and incisal contact point. Kappa statistics and paired t‑tests were used to determine reliability of the measurements. Pearson’s Χ2 test and independent t‑tests were used to compare the variables between the groups of patients with and without papillary recession. Finally, multiple logistic regression analysis was performed. Results In all, 93 patients fulfilled the inclusion criteria and were included in the study. The Jemt score worsened for 30 patients (32%) between T1 and T2, indicating the occurrence of papillary recession. Incisal overlapping, crown morphology, small width to length ratio, increasing age and an increasing distance between crestal bone and the incisal contact point were factors associated with papillary recession. Conclusion After orthodontic treatment including SARME, one third of patients exhibited recession of papilla height of the maxillary central incisors.

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Effects of Surgical and Nonsurgical Rapid Maxillary Expansion on Palatal Structures

Abstract: The pattern of expansion was rotation of the maxillary halves for SARME and lateral displacement of the dentoalveolar structures for NG-RME. Patients with severe skeletal discrepancy or increased age are good candidates for SARME.

Cited by 12 publications

References 12 publications

Persistent Palatal Hypertrophy Associated with Rapid Maxillary Expansion Procedure: Report of a Rare Case

Persistent Palatal Hypertrophy Associated with Rapid Maxillary Expansion Procedure: Report of a Rare Case

3D Airway changes using cone beam computed tomography in patients following mandibular advancement surgery with and without constriction

Influence of surgically assisted rapid maxillary expansion on the interdental papilla height of maxillary central incisors

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