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DENTAL AND SKELETAL CHANGES OF THE MAXILLA AFTER RAPID MAXILLARY EXPANSION


Authors: A. Nocar;  M. Horáček;  T. Dostálová;  J. Trojanová
Authors place of work: Stomatologická klinika dětí a dospělých, 2. lékařská fakulta, Univerzita Karlova, a Fakultní nemocnice Motol, Praha
Published in the journal: Česká stomatologie / Praktické zubní lékařství, ročník 122, 2022, 3, s. 79-86
Category: Review Article
doi: https://doi.org/10.51479/cspzl.2022.006

Summary

Introduction and aim: The aim is to summarize the current literature regarding possible dental and skeletal changes after rapid maxillary expansion (RME). RME is one type of treatment for transverse maxillary anomalies. It is an effective orthodontic treatment procedure in mixed and permanent dentition. It is indicated in patients with transverse dental arch dysplasia. The treated patients are diagnosed with crossbite in the lateral dentition. The goal of treatment is maxillary expansion, which is possible in younger patients due to immature sutures in the maxillary region, especially the palatal suture. The maxillary expansion is mediated by a special orthodontic appliance that is activated periodically. During this treatment, the surrounding structures are also affected and it is therefore advisable to know the limits of the treatment and its effect on the entire perimaxillary complex. In terms of skeletal changes, we focus on transverse, anterior, posterior and vertical changes, palatal suture, nasal cavity, sutures and synchondrosis as well as orbital structures. As an example of dental changes, we consider the change in the position of the molars and the possibility of root and alveolar bone resorption. An example of a commonly used orthodontic appliance for RME is the hyrax. This palatal expander is anchored to the lateral teeth and activated as needed under individually determined conditions. In addition to clinical examination, changes during RME can be monitored by twodimensional imaging methods such as skull posteroanterior view and teleradiography, and with the development of imaging methods, by three-dimensional X-ray imaging such as cone beam computed tomography (CBCT).

Material and methods: The literature search and review focused on rapid maxillary expansion and the changes that accompany it. PubMed, Web of Science, Cochrane, and Scopus databases were used to find literature. The size of the patient cohort, length and method of follow-up, inclusion of a control group, and long-term stability were important for subsequent article selection.

Conclusion: RME is a proven orthodontic method to widen the palatal suture in younger individuals. RME treatment affects not only the palatal suture but also the adjacent maxillary structures. In practice, we find the dental changes mainly include a change in the intermolar distance, buccal inclination of the teeth, possible resorption of the tooth root or resorption of the vestibular alveolar bone. Significant skeletal changes are in the nasal cavity, where air passage may be positively affected with a reduction in airway resistance. Other skeletal effects include, for example, changes in the perimaxillary sutures and synchondroses or orbital structures.

Keywords:

skeletal changes – RME – CBCT – dental changes


Zdroje

1. Angelieri F, Franchi L, Cevidanes LH, Bueno-Silva B, McNamara JA Jr. Prediction of rapid maxillary expansion by assessing the maturation of the midpalatal suture on cone beam CT. Dent Press J Orthod. 2016; 21(6): 115–125.

2. Lagravère MO, Ling CP, Woo J, Harzer W, Major PW, Carey JP. Transverse, vertical, and anterior-posterior changes between tooth-anchored versus Dresden bone-anchored rapid maxillary expansion 6 months post-expansion: A CBCT randomized controlled clinical trial. Int Orthod. 2020; 18(2): 308–316.

3. Büyükçavuş MH. Alternate Rapid Maxillary Expansion and Constriction (Alt-RAMEC) protocol: A comprehensive literature review. Turk J Orthod. 2019; 32(1): 47–51.

4. Buck LM, Dalci O, Darendeliler MA, Papadopoulou AK. Effect of surgically assisted rapid maxillary expansion on upper airway volume: A systematic review. J Oral Maxillofac Surg. 2016; 74(5): 1025–1043.

5. Angell EC. Treatment of irregularity of the permanent or adult teeth. Dental Cosmos. 1860; 1: 540–544.

6. Hartono N, Soegiharto BM, Widayati R. The difference of stress distribution of maxillary expansion using rapid maxillary expander (RME) and maxillary skeletal expander (MSE) – a finite element analysis. Prog Orthod. 2018; 19(1): 33. doi: 10.1186/s40510-018-0229-x

7. Dogra N, Sidhu MS, Dabas A, Grover S, Gupta M. Cone-beam computed tomography evaluation of dental, skeletal, and alveolar bone changes associated with bonded rapid maxillary expansion. J Indian Orthod Soc 2016; 50(1): 19–25.

8. Kamínek M et al. Ortodoncie. 1. vydání. Praha: Galén; 2014, 200–201.

9. Handelman CS, Wang L, BeGole EA, Haas AJ. Nonsurgical rapid maxillary expansion in adults: report on 47 cases using the Haas expander. Angle Orthod. 2000; 70(2): 129–144.

10. Camporesi M, Franchi L, Doldo T, Defraia E. Evaluation of mechanical properties of three different screws for rapid maxillary expansion. Biomed Eng Online. 2013; 12: 128. doi: 10.1186/1475-925X-12-128

11. Chang JY, McNamara JA Jr, Herberger TA. A longitudinal study of skeletal side effects induced by rapid maxillary expansion. Am J Orthod Dentofacial Orthop. 1997; 112(3): 330– 337.

12. Pinheiro FH, Garib DG, Janson G, Bombonatti R, de Freitas MR. Longitudinal stability of rapid and slow maxillary expansion. Dent Press J Orthod. 2014; 19(6): 70–77.

13. Kumar M, Shanavas M, Sidappa A, Kiran M. Cone beam computed tomography – know its secrets. J Int Oral Health. 2015; 7(2): 64–68.

14. Baccetti T, Franchi L, Cameron CG, McNamara JA Jr. Treatment timing for rapid maxillary expansion. Angle Orthod. 2001; 71(5): 343–350.

15. Garib DG, Henriques JF, Carvalho PE, Gomes SC. Longitudinal effects of rapid maxillary expansion. Angle Orthod. 2007; 77(3): 442–448.

16. Schauseil M, Ludwig B, Zorkun B, Hellak A, Korbmacher-Steiner H. Density of the midpalatal suture after RME treatment – a retrospective comparative low-dose CT-study. Head Face Med. 2014; 20: 10–18. doi: 10.1186/1746-160X-10-18

17. Leonardi R, Sicurezza E, Cutrera A, Barbato E. Early post-treatment changes of circumaxillary sutures in young patients treated with rapid maxillary expansion. Angle Orthod. 2011; 81(1): 36–41.

18. Lione R, Ballanti F, Franchi L, Baccetti T, Cozza P. Treatment and posttreatment skeletal effects of rapid maxillary expansion studied with low-dose computed tomography in growing subjects. Am J Orthod Dentofacial Orthop. 2008; 134(3): 389–392.

19. Ballanti F, Lione R, Baccetti T, Franchi L, Cozza P. Treatment and posttreatment skeletal effects of rapid maxillary expansion investigated with low-dose computed tomography in growing subjects. Am J Orthod Dentofacial Orthop. 2010; 138(3): 311–317.

20. Weissheimer A, de Menezes LM, Mezomo M, Dias DM, de Lima EM, Rizzatto SM. Immediate effects of rapid maxillary expansion with Haas-type and hyrax-type expanders: a randomized clinical trial. Am J Orthod Dentofacial Orthop. 2011; 140(3): 366–376.

21. Christie KF, Boucher N, Chung CH. Effects of bonded rapid palatal expansion on the transverse dimensions of the maxilla: a cone-beam computed tomography study. Am J Orthod Dentofacial Orthop. 2010; 137(4): 79–85.

22. Alyessary AS, Othman SA, Yap AUJ, Radzi Z, Rahman MT. Effects of non-surgical rapid maxillary expansion on nasal structures and breathing: A systematic review. Int Orthod. 2019; 17(1): 12–19.

23. Wertz RA. Changes in nasal airflow incident to rapid maxillary expansion. Angle Orthod. 1968; 38(1): 1–11.

24 Hershey HG, Stewart BL, Warren DW. Changes in nasal airway resistance associated with rapid maxillary expansion. Am J Orthod. 1976; 69(3): 274–284.

25. Doruk C, Sökücü O, Biçakçi AA, Yilmaz U, Tas F. Comparison of nasal volume changes during rapid maxillary expansion using acoustic rhinometry and computed tomography. Eur J Orthod. 2007; 29(3): 251–255.

26. Palaisa J, Ngan P, Martin C, Razmus T. Use of conventional tomography to evaluate changes in the nasal cavity with rapid palatal expansion. Am J Orthod Dentofacial Orthop. 2007; 132(4): 458–466.

27. Oliveira De Felippe NL, Da Silveira AC, Viana G, Kusnoto B, Smith B, Evans CA. Relationship between rapid maxillary expansion and nasal cavity size and airway resistance: short- and long-term effects. Am J Orthod Dentofacial Orthop. 2008; 134(3): 370–382.

28. Matsumoto MA, Itikawa CE, Valera FC, Faria G, Anselmo-Lima WT. Long-term effects of rapid maxillary expansion on nasal area and nasal airway resistance. Am J Rhinol Allergy. 2010; 24(2): 161–165.

29. Langer MR, Itikawa CE, Valera FC, Matsumoto MA, Anselmo-Lima WT. Does rapid maxillary expansion increase nasopharyngeal space and improve nasal airway resistance? Int J Pediatr Otorhinolaryngol. 2011; 75(1):122–125.

30. Cordasco G, Nucera R, Fastuca R, Matarese G, Lindauer SJ, Leone P, Manzo P, Martina R. Effects of orthopedic maxillary expansion on nasal cavity size in growing subjects: a low dose computer tomography clinical trial. Int J Pediatr Otorhinolaryngol. 2012; 76(11): 1547–1551.

31. Itikawa CE, Valera FCP, Matsumoto MAN, Lima WTA. Effect of rapid maxillary expansion on the dimension of the nasal cavity and on facial morphology assessed by acoustic rhinometry and rhinomanometry. Dental Press J Orthod. 2012; 17(4): 129–133.

32. Chang Y, Koenig LJ, Pruszynski JE, Bradley TG, Bosio JA, Liu D. Dimensional changes of upper airway after rapid maxillary expansion: a prospective cone-beam computed tomography study. Am J Orthod Dentofacial Orthop. 2013; 143(4): 462–470.

33. Leonardi R, Cutrera A, Barbato E. Rapid maxillary expansion affects the spheno-occipital synchondrosis in youngsters. A study with low-dose computed tomography. Angle Orthod. 2010; 80(1): 106–110.

34. Sicurezza E, Palazzo G, Leonardi R. Three-dimensional computerized tomographic orbital volume and aperture width evaluation: a study in patients treated with rapid maxillary expansion. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2011; 111(4): 503–507.

35. Lo Giudice A, Rustico L, Ronsivalle V, Nicotra C, Lagravère M, Grippaudo C. Evaluation of the changes of orbital cavity volume and shape after tooth-borne and bone-borne rapid maxillary expansion (RME). Head Face Med. 2020; 16(1): 21. doi: 10.1186/s13005-020-00235-1

36. Agarwal A, Mathur R. Maxillary expansion. Int J Clin Pediatr Dent. 2010; 3(3): 139–146.

37. McNamara JA Jr, Baccetti T, Franchi L, Herberger TA. Rapid maxillary expansion followed by fixed appliances: a long-term evaluation of changes in arch dimensions. Angle Orthod. 2003; 73(4): 344–353.

38. Baccetti T, Franchi L, Cameron CG, McNamara JA Jr. Treatment timing for rapid maxillary expansion. Angle Orthod. 2001; 71(5): 343–350.

39. Garib DG, Henriques JF, Janson GP. Longitudinal cephalometric appraisal of rapid maxillary expansion effects. Rev Dental Press Ortod Ortop Facial 2001; 6(1): 17–30.

40. Cozza P, Giancotti A, Petrosino A. Rapid palatal expansion in mixed dentition using a modified expander:a cephalometric investigation. J Orthod. 2001; 28(2): 129–134.

41. Yu YL, Tang GH, Gong FF, Chen LL, Qian YF. A comparison of rapid palatal expansion and Damon appliance on non-extraction correction of dental crowding. Shanghai Kou Qiang Yi Xue. 2008; 17(3): 237–242.

42. Nam HJ, Gianoni-Capenakas S, Major PW, Heo G, Lagravère MO. Comparison of skeletal and dental changes obtained from a tooth-borne maxillary expansion appliance compared to the damon system assessed through a digital volumetric imaging: a randomized clinical trial. J Clin Med. 2020; 9(10): 3167. doi: 10.3390/ jcm9103167

43. Akin M, Baka ZM, Ileri Z, Basciftci FA. Alveolar bone changes after asymmetric rapid maxillary expansion. Angle Orthod. 2015; 85(5): 799–805.

44. Baysal A, Uysal T, Veli I, Ozer T, Karadede I, Hekimoglu S. Evaluation of alveolar bone loss following rapid maxillary expansion using cone-beam computed tomography. Korean J Orthod. 2013; 43(2): 83–95.

45. Domann CE, Kau CH, English JD, Xia JJ, Souccar NM, Lee RP. Cone beam computed tomography analysis of dentoalveolar changes immediately after maxillary expansion. Orthodontics (Chic.). 2011; 12(3): 202–209.

46. Artun J, Van't Hullenaar R, Doppel D, Kuijpers-Jagtman AM. Identification of orthodontic patients at risk of severe apical root resorption. Am J Orthod Dentofacial Orthop. 2009; 135(4): 448–455.

47. Lund H, Gröndahl K, Hansen K, Gröndahl HG. Apical root resorption during orthodontic treatment. A prospective study using cone beam CT. Angle Orthod. 2012; 82(3): 480–487.

48. Ghoneima A, Abdel-Fattah E, Eraso F, Fardo D, Kula K, Hartsfield J. Skeletal and dental changes after rapid maxillary expansion: a computed tomography study. Aust Orthod J. 2010; 26(2): 141–148.

49. Lione R, Franchi L, Cozza P. Does rapid maxillary expansion induce adverse effects in growing subjects? Angle Orthod. 2013; 83(1): 172–182.

50. Paetyangkul A, Türk T, Elekdağ-Türk S, Jones AS, Petocz P, Cheng LL, Darendeliler MA. Physical properties of root cementum: Part 16. Comparisons of root resorption and resorption craters after the application of light and heavy continuous and controlled orthodontic forces for 4, 8, and 12 weeks. Am J Orthod Dentofacial Orthop. 2011; 139(3): 279–284.

51. Oh C, Türk T, Elekdağ-Türk S, Jones AS, Petocz P, Cheng LL, Darendeliler MA. Physical properties of root cementum: Part 19. Comparison of the amounts of root resorption between the right and left first premolars after application of buccally directed heavy orthodontic tipping forces. Am J Orthod Dentofacial Orthop. 2011; 140(1): 49–52.

52. Langford SR, Sims MR. Root surface resorption, repair, and periodontal attachment following rapid maxillary expansion in man. Am J Orthod. 1982; 81(2): 108–115.

53. Chan EK, Darendeliler MA. Exploring the third dimension in root resorption. Orthod Craniofac Res. 2004; 7(2): 64–70.

54. Baysal A, Karadede I, Hekimoglu S, Ucar F, Ozer T, Veli I, Uysal T. Evaluation of root resorption following rapid maxillary expansion using cone-beam computed tomography. Angle Orthod. 2012; 82(3): 488–494.

55. Artun J, Van‘t Hullenaar R, Doppel D, Kuijpers-Jagtman AM. Identification of orthodontic patients at risk of severe apical root resorption. Am J Orthod Dentofacial Orthop. 2009; 135(4): 448–455.

56. Ericson S, Kurol J. Incisor root resorptions due to ectopic maxillary canines imaged by computerized tomography: a comparative study in extracted teeth. Angle Orthod. 2000; 70(4): 276–283.

57. Dudic A, Giannopoulou C, Martinez M, Montet X, Kiliaridis S. Diagnostic accuracy of digitized periapical radiographs validated against microcomputed tomography scanning in evaluating orthodontically induced apical root resorption. Eur J Oral Sci. 2008; 116(5): 467–472.

58. Alqerban A, Jacobs R, Fieuws S, Willems G. Comparison of two cone beam computed tomographic systems versus panoramic imaging for localization of impacted maxillary canines and detection of root resorption. Eur J Orthod. 2011; 33(1): 93–102.

59. Castro IO, Alencar AH, Valladares-Neto J, Estrela C. Apical root resorption due to orthodontic treatment detected by cone beam computed tomography. Angle Orthod. 2013; 83(2): 196–203.

60. Akyalcin S, Alexander SP, Silva RM, English JD. Evaluation of three-dimensional root surface changes and resorption following rapid maxillary expansion: a cone beam computed tomography investigation. Orthod Craniofac Res. 2015; 18(1): 117–126.

61. Dindaroğlu F, Doğan S. Evaluation and comparison of root resorption between tooth-borne and tooth-tissue borne rapid maxillary expansion appliances: A CBCT study. Angle Orthod. 2016; 86(1): 46–52.

Štítky
Maxillofacial surgery Orthodontics Dental medicine
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Czech Dental Journal

Číslo 3

2022 Číslo 3
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