The Journal of the Korean dental association (대한치과의사협회지)

The Korean Dental Association (대한치과의사협회)
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Change of arch dimension using two different expansion modalities in adults-MARPE and continuous archwire: a pilot study

임상가를 위한 특집 4 - 성인에서 미니스크류 보강형 비수술적 구개확장장치와 연속호선에 의한 악궁확장 효과 비교

  • Koo, Yun-Jin (Department of Orthodontics, Yonsei University College of Dentistry) ;
  • Choi, Tae-Hyun (Department of Orthodontics, Yonsei University College of Dentistry) ;
  • Jang, Ji-Sung (Department of Orthodontics, Yonsei University College of Dentistry) ;
  • Lee, Kee-Joon (Department of Orthodontics, Yonsei University College of Dentistry)
  • 구윤진 (연세대학교 치과대학 교정과학교실) ;
  • 최태현 (연세대학교 치과대학 교정과학교실) ;
  • 장지성 (연세대학교 치과대학 교정과학교실) ;
  • 이기준 (연세대학교 치과대학 교정과학교실)
  • Received : 2013.05.15
  • Accepted : 2013.05.29
  • Published : 2013.06.01
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Abstract

Considering the high prevalence, transverse control in adult patients presenting relatively narrow maxillary width is a challenging issue. This study compared the pattern of arch expansion induced by either miniscrew-assisted rapid palatal expander (MARPE) or continuous archwire engaged on self-ligating brackets. Age-matched adults groups(N=15 each) were treated with respective appliance. In both groups, all intercanine, interpremolar, and intermolar widths increased, and significantly greater change was noted in the intermolar region. Buccal tipping was minimal in both groups. Subsequent arch length increase, lingual tipping of incisors and distal tipping of molars were also found in both groups. According to the results, it can be concluded that the MARPE induced generally more arch expansion, particularly in the intermolar width, indicating that the adults showing buccal crossbite of the molars may have to undergo expansion via MARPE prior to arch alignment using continuous archwire.

Keywords

References

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