The korean journal of orthodontics (대한치과교정학회지)

The Korean Association Of Orthodontists (대한치과교정학회)
권호 표지
DOI QR코드

DOI QR Code

Short-term treatment effects produced by rapid maxillary expansion evaluated with computed tomography: A systematic review with meta-analysis

  • Giudice, Antonino Lo (Department of Medical-Surgical Specialties, Section of Orthodontics, School of Dentistry, University of Catania) ;
  • Spinuzza, Paola (Department of Biomedical and Dental Sciences and Morphofunctional Imaging, Section of Orthodontics, School of Dentistry, University of Messina) ;
  • Rustico, Lorenzo (Department of Biomedical and Dental Sciences and Morphofunctional Imaging, Section of Orthodontics, School of Dentistry, University of Messina) ;
  • Messina, Gabriele (Department of Biomedical and Dental Sciences and Morphofunctional Imaging, Section of Orthodontics, School of Dentistry, University of Messina) ;
  • Nucera, Riccardo (Department of Biomedical and Dental Sciences and Morphofunctional Imaging, Section of Orthodontics, School of Dentistry, University of Messina)
  • Received : 2020.03.20
  • Accepted : 2020.06.08
  • Published : 2020.09.30
Download PDF
⟨ Previous Next ⟩

Abstract

Objective: To identify the available evidence on the effects of rapid maxillary expansion (RME) with three-dimensional imaging and provide meta-analytic data from studies assessing the outcomes using computed tomography. Methods: Eleven electronic databases were searched, and prospective case series were selected. Two authors screened all titles and abstracts and assessed full texts of the remaining articles. Seventeen case series were included in the quantitative synthesis. Seven outcomes were investigated: nasal cavity width, maxillary basal bone width, alveolar buccal crest width, alveolar palatal crest width, inter-molar crown width, inter-molar root apex width, and buccopalatal molar inclination. The outcomes were investigated at two-time points: post-expansion (2-6 weeks) and post-retention (4-8 months). Mean differences and 95% confidence intervals were used to summarize and combine the data. Results: All the investigated outcomes showed significant differences post-expansion (maxillary basal bone width, +2.46 mm; nasal cavity width, +1.95 mm; alveolar buccal crest width, +3.90 mm; alveolar palatal crest width, +3.09 mm; intermolar crown width, +5.69 mm; inter-molar root apex width, +2.85 mm; and dental tipping, +3.75°) and post-retention (maxillary basal bone width, +2.21 mm; nasal cavity width, +1.55 mm; alveolar buccal crest width, +3.57 mm; alveolar palatal crest width, +3.32 mm; inter-molar crown width, +5.43 mm; inter-molar root apex width, +4.75 mm; and dental tipping, 2.22°) compared to pre-expansion. Conclusions: After RME, skeletal expansion of the nasomaxillary complex was greater in most caudal structures. Maxillary basal bone showed 10% post-retention relapse. During retention period, uprighting of maxillary molars occurred.

Keywords

References

  1. Angell DH. Treatment of irregularity of the permanent or adult teeth. Dent Cosmos 1860;1:540-4.
  2. Haas AJ. Palatal expansion: just the beginning of dentofacial orthopedics. Am J Orthod 1970;57:219-55. https://doi.org/10.1016/0002-9416(70)90241-1
  3. Lo Giudice A, Fastuca R, Portelli M, Militi A, Bellocchio M, Spinuzza P, et al. Effects of rapid vs slow maxillary expansion on nasal cavity dimensions in growing subjects: a methodological and reproducibility study. Eur J Paediatr Dent 2017;18:299-304.
  4. Lo Giudice A, Barbato E, Cosentino L, Ferraro CM, Leonardi R. Alveolar bone changes after rapid maxillary expansion with tooth-born appliances: a systematic review. Eur J Orthod 2018;40:296-303. https://doi.org/10.1093/ejo/cjx057
  5. Wertz RA. Skeletal and dental changes accompanying rapid midpalatal suture opening. Am J Orthod 1970;58:41-66. https://doi.org/10.1016/0002-9416(70)90127-2
  6. Leonardi R, Annunziata A, Caltabiano M. Landmark identification error in posteroanterior cephalometric radiography. A systematic review. Angle Orthod 2008;78:761-5. https://doi.org/10.2319/0003-3219(2008)078[0761:LIEIPC]2.0.CO;2
  7. Timms DJ, Preston CB, Daly PF. A computed tomographic assessment of maxillary movement induced by rapid expansion - a pilot study. Eur J Orthod 1982;4:123-7. https://doi.org/10.1093/ejo/4.2.123
  8. Podesser B, Williams S, Bantleon HP, Imhof H. Quantitation of transverse maxillary dimensions using computed tomography: a methodological and reproducibility study. Eur J Orthod 2004;26:209-15. https://doi.org/10.1093/ejo/26.2.209
  9. Ballanti F, Lione R, Fanucci E, Franchi L, Baccetti T, Cozza P. Immediate and post-retention effects of rapid maxillary expansion investigated by computed tomography in growing patients. Angle Orthod 2009;79:24-9. https://doi.org/10.2319/012008-35.1
  10. Baratieri C, Nojima LI, Alves M Jr, Gomes de Souza MM, Goncalves Nojima M. Transverse effects of rapid maxillary expansion in Class II malocclusion patients: a Cone-Beam Computed Tomography study. Dental Press J Orthod 2010;15:89-97.
  11. Baysal A, Veli I, Ucar FI, Eruz M, Ozer T, Uysal T. Changes in mandibular transversal arch dimensions after rapid maxillary expansion procedure assessed through Cone-Beam Computed Tomography. Korean J Orthod 2011;41:200-10. https://doi.org/10.4041/kjod.2011.41.3.200
  12. 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 Suppl):S79-85. https://doi.org/10.1016/j.ajodo.2008.11.024
  13. Cordasco G, Nucera R, Fastuca R, Matarese G, Lindauer SJ, Leone P, et al. Effects of orthopedic maxillary expansion on nasal cavity size in growing subjects: a low dose computer tomography clinical trial. Int J Pediatr Otorhinolaryngol 2012;76:1547-51. https://doi.org/10.1016/j.ijporl.2012.07.008
  14. Dias LS. Avaliacao pos-expansao rapida da maxila com aparelhos do tipo Haas e Hyrax por meio de tomografia computadorizada cone beam [MD thesis]. Porto Alegre: Pontificia Universidade Catolica do Rio Grande do Sul; 2010.
  15. 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;50:19-25. https://doi.org/10.4103/0301-5742.175709
  16. Gorgulu S, Gokce SM, Olmez H, Sagdic D, Ors F. Nasal cavity volume changes after rapid maxillary expansion in adolescents evaluated with 3-dimensional simulation and modeling programs. Am J Orthod Dentofacial Orthop 2011;140:633-40. https://doi.org/10.1016/j.ajodo.2010.12.020
  17. Helmkamp ME. Three-dimensional evaluation of implant-supported rapid maxillary expansion vs. traditional tooth-borne rapid maxillary expansion using Cone-Beam Computed Tomography [MD thesis]. St. Louis: St. Louis University; 2016.
  18. Kanomi R, Deguchi T, Kakuno E, Takano-Yamamoto T, Roberts WE. CBCT of skeletal changes following rapid maxillary expansion to increase arch-length with a development-dependent bonded or banded appliance. Angle Orthod 2013;83:851-7. https://doi.org/10.2319/082012-669.1
  19. Li L, Qi S, Wang H, Ren S, Ban J. Cone-Beam Computed Tomography analysis of effects of rapid maxillary expansion on cranio maxillo-facial bones and upper airway. Honghua Xi Kou Qiang Yi Xue Za Zhi 2015;50:403-7.
  20. Luebbert J, Ghoneima A, Lagravere MO. Skeletal and dental effects of rapid maxillary expansion assessed through three-dimensional imaging: A multicenter study. Int Orthod 2016;14:15-31.
  21. Martins LP. Analise dos resultados do tratamento da mordida cruzada posterior funcional com o expansor fixo hyrax [MD thesis]. San Pablo: Universidade Estadual Paulista; 2011.
  22. Mosleh MI, Kaddah MA, Abd ElSayed FA, ElSayed HS. Comparison of transverse changes during maxillary expansion with 4-point bone-borne and toothborne maxillary expanders. Am J Orthod Dentofacial Orthop 2015;148:599-607. https://doi.org/10.1016/j.ajodo.2015.04.040
  23. Pangrazio-Kulbersh V, Wine P, Haughey M, Pajtas B, Kaczynski R. Cone Beam Computed Tomography evaluation of changes in the naso-maxillary complex associated with two types of maxillary expanders. Angle Orthod 2012;82:448-57. https://doi.org/10.2319/072211-464.1
  24. Podesser B, Williams S, Crismani AG, Bantleon HP. Evaluation of the effects of rapid maxillary expansion in growing children using computer tomography scanning: a pilot study. Eur J Orthod 2007;29:37-44. https://doi.org/10.1093/ejo/cjl068
  25. Rocco MA. Avaliacao dos efeitos da expansao rapida da maxila no volume aereo nasal, por meio da tomografia computadorizada de feixe conico [PhD dissertation]. San Pablo: Universidade Estadual Paulista; 2012.
  26. Weissheimer A, de Menezes LM, Mezomo M, Dias DM, de Lima EM, Rizzatto SM. Immediate effects of rapid maxillary expansion with c-type and hyraxtype expanders: a randomized clinical trial. Am J Orthod Dentofacial Orthop 2011;140:366-76. https://doi.org/10.1016/j.ajodo.2010.07.025
  27. Schiffman PH, Tuncay OC. Maxillary expansion: a meta analysis. Clin Orthod Res 2001;4:86-96. https://doi.org/10.1034/j.1600-0544.2001.040205.x
  28. Lagravere MO, Heo G, Major PW, Flores-Mir C. Meta-analysis of immediate changes with rapid maxillary expansion treatment. J Am Dent Assoc 2006;137:44-53. https://doi.org/10.14219/jada.archive.2006.0020
  29. Zhou Y, Long H, Ye N, Xue J, Yang X, Liao L, et al. The effectiveness of non-surgical maxillary expansion: a meta-analysis. Eur J Orthod 2014;36:233-42. https://doi.org/10.1093/ejo/cjt044
  30. Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gotzsche PC, Ioannidis JP, et al. The PRISMA statement for reporting systematic reviews and metaanalyses of studies that evaluate health care interventions: explanation and elaboration. J Clin Epidemiol 2009;62:e1-34. https://doi.org/10.1016/j.jclinepi.2009.06.006
  31. Korn EL, Baumrind S. Transverse development of the human jaws between the ages of 8.5 and 15.5 years, studied longitudinally with use of implants. J Dent Res 1990;69:1298-306. https://doi.org/10.1177/00220345900690061501
  32. Chambers D, Rodgers M, Woolacott N. Not only randomized controlled trials, but also case series should be considered in systematic reviews of rapidly developing technologies. J Clin Epidemiol 2009;62:1253-60.e4. https://doi.org/10.1016/j.jclinepi.2008.12.010
  33. Dalziel K, Round A, Stein K, Garside R, Castelnuovo E, Payne L. Do the findings of case series studies vary significantly according to methodological characteristics? Health Technol Assess 2005;9:iii-iv, 1-146.
  34. Fitzpatrick-Lewis D, Ciliska D, Thomas H. The methods for the synthesis of studies without control groups. Hamilton: National Collaborating Centre for Methods and Tools; 2009.
  35. Guo B, Moga C, Harstall C, Schopflocher D. A principal component analysis is conducted for a case series quality appraisal checklist. J Clin Epidemiol 2016;69:199-207.e2. https://doi.org/10.1016/j.jclinepi.2015.07.010
  36. Guyatt GH, Oxman AD, Vist GE, Kunz R, Falck-Ytter Y, Alonso-Coello P, et al. GRADE: an emerging consensus on rating quality of evidence and strength of recommendations. BMJ 2008;336:924-6. https://doi.org/10.1136/bmj.39489.470347.AD
  37. Newman MG, Weyant R, Hujoel P. JEBDP improves grading system and adopts strength of recommendation taxonomy grading (SORT) for guidelines and systematic reviews. J Evid Based Dent Pract 2007;7:147-50. https://doi.org/10.1016/j.jebdp.2007.09.014
  38. Baratieri C, Alves M Jr, Bolognese AM, Nojima MC, Nojima LI. Changes in skeletal and dental relationship in Class II Division I malocclusion after rapid maxillary expansion: a prospective study. Dental Press J Orthod 2014;19:75-81. https://doi.org/10.1590/2176-9451.19.3.075-081.oar
  39. Brandt S. JCO interviews Dr. Andrew J. Haas. J Clin Orthod 1973;7:227-34.

Cited by

  1. A Simplified Digital Approach to the Treatment of a Postpuberty Patient with a Class III Malocclusion and Bilateral Crossbite vol.2021, 2021, https://doi.org/10.1155/2021/3883187
  2. Pain Reduction during Rapid Palatal Expansion Due to LED Photobiomodulation Irradiation: A Randomized Clinical Trial vol.12, pp.1, 2022, https://doi.org/10.3390/life12010037