Sutural loading in bone‐ versus dental‐borne rapid palatal expansion: An ex vivo study

Fox, Gavin C.; Jones, Thomas A.; Wilson, John; Claro, Wanda I.; Williams, Richard; Trojan, Terry M.; Dayeh, Ayman Al

doi:10.1111/ocr.12384

Cited by 3 publications

(3 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This is advantageous because it has few adverse effects on the anchor teeth; however, the amount of maxillary intermolar width expansion might be small and clinically ineffective in improving posterior crossbite. 20 In contrast, MARPE, a tooth and bone-borne RPE in which four teeth and four miniscrews play the role of anchors, evenly distributes stress on the anchor teeth and miniscrews. As a result, buccal crown tipping of the anchor tooth and the stress on the buccal plate can be reduced, and a clinically usable amount of the maxillary intermolar width can be obtained.…”

Section: Marpe For Non -Surg Ic Al Tre Atment Of the Tr An S Ver S mentioning

confidence: 99%

“…The bone‐borne expander can effectively focus on the split of the midpalatal suture, by applying all distraction forces to the miniscrews placed near the midpalatal suture. This is advantageous because it has few adverse effects on the anchor teeth; however, the amount of maxillary intermolar width expansion might be small and clinically ineffective in improving posterior crossbite 20 . In contrast, MARPE, a tooth and bone‐borne RPE in which four teeth and four miniscrews play the role of anchors, evenly distributes stress on the anchor teeth and miniscrews.…”

Section: Marpe For Non‐surgical Treatment Of the Transverse Maxillomamentioning

confidence: 99%

See 1 more Smart Citation

Clinical applications of miniscrews that broaden the scope of non‐surgical orthodontic treatment

Choi

Jeon

Lee

et al. 2020

Orthod Craniofacial Res

View full text Add to dashboard Cite

Currently, miniscrews or mini-implants, which are widely used as temporary anchorage devices for orthodontic treatment, are mainly made of grade 5 titanium alloy (Ti6Al4V). This allows for small-sized miniscrews less likely developing a fracture during insertion, reduces patient discomfort, and avoids root or periodontal ligament proximity when placed in the inter-radicular spaces. 1 Typically, the miniscrews are cylindrical and tapered and have a diameter of 1.0-2.3 mm and a length of 5.0-17.0 mm. They must be at least 1 mm in diameter and at least 3.8 mm in length within the alveolar bone, to ensure stability. 2 The failure rate of the miniscrew is 13.5%-14.0%, which is correlated with the cortical bone thickness. 3,4 The failure rate in the mandible is higher than that in the maxilla due to excessive insertion

show abstract

Section: Marpe For Non -Surg Ic Al Tre Atment Of the Tr An S Ver S mentioning

confidence: 99%

Section: Marpe For Non‐surgical Treatment Of the Transverse Maxillomamentioning

confidence: 99%

Clinical applications of miniscrews that broaden the scope of non‐surgical orthodontic treatment

Choi

Jeon

Lee

et al. 2020

Orthod Craniofacial Res

View full text Add to dashboard Cite

show abstract

“…Several studies investigated the biomechanical behavior of jackscrew appliances through finite elements analysis [39][40][41][42] or in both in vitro [39,[43][44][45] and in vivo settings [46][47][48][49][50]. However, the underlying biological processes behind maxillary skeletal expansion remain inadequately understood, and the clinical parameters for predicting expansion success are still lacking.…”

Section: Introductionmentioning

confidence: 99%

Comparison of Mechanical Behavior of Clear Aligner and Rapid Palatal Expander on Transverse Plane: An In Vitro Study

Bruni,

Abate,

Maspero

et al. 2024

Bioengineering

View full text Add to dashboard Cite

(1) Background: This study aims to investigate, within a controlled laboratory environment, the magnitude of the transversal load and the force decay over time produced by clear aligners in comparison to a Rapid Palatal Expander (RPE). (2) Methods: Resin models of a dental maxillary arch, additively manufactured from an intraoral scan, were inserted in a testing machine with uniaxial load cells to measure the force trend over time expressed by RPE and clear aligners. The mechanical load was recorded during a certain timeframe for both appliances. (3) Results: The force expressed by the RPE ranged from 30 to 50 N for each activation, decreasing with a nonlinear pattern over time. The force expressed by the clear aligner ranged from 3 to 5 N, decreasing with a linear pattern over time. In contrast, the force generated by the clear aligner fell within the range of 3 to 5 N, showing a linear reduction in force magnitude over the observed period of time. (4) Conclusions: The RPE exerted a force magnitude approximately ten times greater than that generated by clear aligners. Nevertheless, it is essential to acknowledge that the oral environment can significantly influence these results. These limitations underscore the need for caution when applying these findings to clinical settings.

show abstract

Kann eine chirurgisch assistierte schnelle Gaumennahterweiterung (SARPE) gegenüber einer kieferorthopädischen schnellen Gaumennahterweiterung (ORPE) für Mädchen über 14 Jahren empfohlen werden?

et al. 2023

View full text Add to dashboard Cite

Background For patients with a maxillary transversal deficiency (MTD), various treatment options are available, partly based on the practitioner’s experience. This study aimed to determine a cut-off age for decision making between surgically assisted rapid palatal expansion (SARPE) over orthodontic rapid palatal expansion (ORPE) based on skeletal maturation in a female population. Methods A total of 100 cone beam computed tomography (CBCT) images of young females were analyzed on maturation of the pterygomaxillary (PMS), zygomaticomaxillary (ZMS), transpalatal (TPS), and midpalatal (MPS) sutures. Based on the maturation of these four junctions, four independent observers had to determine whether they would prefer ORPE or SARPE to widen the maxilla. Results For the PMS, the results show a closure of 83–100% from 13 to 17 years. As for the TPS, a closure of 78–85% was observed from 15 years of age. For the 15- to 17-year-old females, a closed ZMS was present in 32–47%. Regarding MPS, closed sutures presented in 61% (stages D and E) of the 15-year-old females. The cut-off age at which SARPE was recommended was 15.1 years for the orthodontist observers and 14.8 years for the maxillofacial surgeon observers. Conclusions Significant maturation of MPS was reached at the age of 15 in a female population. The PMS, TPS, MPS, and ZMS closed sequentially. A comprehensive diagnostic approach is necessary for choosing the appropriate treatment. When in doubt, age could assist decision making in a female population, with a cut-off age of 15 years in favor of SARPE based on this study.

show abstract

Sutural loading in bone‐ versus dental‐borne rapid palatal expansion: An ex vivo study

Cited by 3 publications

References 33 publications

Clinical applications of miniscrews that broaden the scope of non‐surgical orthodontic treatment

Clinical applications of miniscrews that broaden the scope of non‐surgical orthodontic treatment

Comparison of Mechanical Behavior of Clear Aligner and Rapid Palatal Expander on Transverse Plane: An In Vitro Study

Kann eine chirurgisch assistierte schnelle Gaumennahterweiterung (SARPE) gegenüber einer kieferorthopädischen schnellen Gaumennahterweiterung (ORPE) für Mädchen über 14 Jahren empfohlen werden?

Contact Info

Product

Resources

About