The korean journal of orthodontics (대한치과교정학회지)

The Korean Association Of Orthodontists (대한치과교정학회)
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Long-term effects of maxillary skeletal expander treatment on functional breathing

  • Andrew Combs (Center for Health Science, Section of Orthodontics, UCLA School of Dentistry) ;
  • Ney Paredes (Private Practice) ;
  • Ramon Dominguez-Mompell (Department of Orthodontics, Rey Juan Carlos University) ;
  • Martin Romero-Maroto (Department of Orthodontics, Rey Juan Carlos University) ;
  • Boshi Zhang (Center for Health Science, Section of Orthodontics, UCLA School of Dentistry) ;
  • Islam Elkenawy (Center for Health Science, Section of Orthodontics, UCLA School of Dentistry) ;
  • Luca Sfogliano (Center for Health Science, Section of Orthodontics, UCLA School of Dentistry) ;
  • Layla Fijany (Center for Health Science, Section of Orthodontics, UCLA School of Dentistry) ;
  • Ozge Colak (Department of Orthodontics, State University of New York) ;
  • Ben Wu (Orthodontic and Craniofacial Development Research, Forsyth Institute) ;
  • Won Moon (Orthodontic and Craniofacial Development Research, Forsyth Institute)
  • Received : 2023.04.21
  • Accepted : 2023.11.22
  • Published : 2024.01.25
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Abstract

Objective: To investigate the long-term effects of maxillary skeletal expander (MSE) treatment on functional breathing. Methods: Objective measures of breathing, the peak nasal inspiratory flow (PNIF), and peak oral inspiratory flow (POIF), and subjective measures of breathing, the visual analog scale (VAS) and nasal obstruction symptom evaluation (NOSE) survey, were used to investigate the long-term effects of MSE in functional breathing. Seventeen patients, mean age 19.4 ± 3.9 years treated at the UCLA Orthodontics Clinic were assessed on their functional breathing at 3 timepoints: pre-expansion (T0), post-expansion (T1), and post-orthodontic treatment (T2). Results: Immediately after expansion (T1), all the objective functional breathing values were significantly increased in comparison to T0 (P < 0.05). The VAS total, VAS right and VAS left were significantly lower at T1 in comparison to T0 (P < 0.05). At 26.8 ± 3.9 months after MSE expansion (T2), PNIF total, PNIF right, PNIF left, and POIF were significantly higher when compared to T0 (P < 0.05). Also, VAS total, VAS right and VAS left were significantly lower at T2 when compared to T0 (P < 0.05). Additionally, there was a positive correlation between PNIF and the magnitude of expansion at anterior nasal spine and zygomaticomaxillary point (ZMA). There was a positive correlation between total VAS and the magnitude of expansion at the ZMA. There were no significant changes for the NOSE subjective breathing measurement at all time comparisons. Conclusions: Overall, MSE treatment produces an increased objective and subjective airway improvement that continues to remain stable in the long-term post expansion.

Keywords

References

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