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Change of arch dimension using two different expansion modalities in adults-MARPE and continuous archwire: a pilot study  

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)
Publication Information
The Journal of the Korean dental association / v.51, no.6, 2013 , pp. 330-336 More about this Journal
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
adults; MARPE; continuous archwire; expansion;
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1 Lee, K.J., et al., Miniscrew-assisted nonsurgical palatal expansion before orthognathic surgery for a patient with severe mandibular prognathism. Am J Orthod Dentofacial Orthop, 2010. 137(6): p. 830-9.   DOI   ScienceOn
2 Betts, N.J., et al., Diagnosis and treatment of transverse maxillary deficiency. Int J Adult Orthodon Orthognath Surg, 1995. 10(2): p. 75-96.
3 김나연, et al., 두부정모방사선 사진과 computed tomography에서의 횡적 계측치의 연관성. 대한설측교정학회지, 2012. 1(1): p. 1-10.
4 Proffit, W.R., T.A. Turvey, and C. Phillips, The hierarchy of stability and predictability in orthognathic surgery with rigid fixation: an update and extension. Head Face Med, 2007. 3: p. 21.   DOI   ScienceOn
5 Bartlett, D.W. and P. Shah, A critical review of non-carious cervical (wear) lesions and the role of abfraction, erosion, and abrasion. J Dent Res, 2006. 85(4): p. 306-12.   DOI   ScienceOn
6 Chung, C.H. and A.M. Goldman, Dental tipping and rotation immediately after surgically assisted rapid palatal expansion. Eur J Orthod, 2003. 25(4): p. 353-8.   DOI   ScienceOn
7 Jacobs, J.D., et al., Control of the transverse dimension with surgery and orthodontics. Am J Orthod, 1980. 77(3): p. 284-306.   DOI   ScienceOn
8 Koudstaal, M.J., et al., Surgically assisted rapid maxillary expansion (SARME): a review of the literature. Int J Oral Maxillofac Surg, 2005. 34(7): p. 709-14.   DOI   ScienceOn
9 Lanigan, D.T., J.H. Hey, and R.A. West, Aseptic necrosis following maxillary osteotomies: report of 36 cases. J Oral Maxillofac Surg, 1990. 48(2): p. 142-56.   DOI
10 Handelman, C.S., et al., Nonsurgical rapid maxillary expansion in adults: report on 47 cases using the Haas expander. Angle Orthod, 2000. 70(2): p. 129-44.
11 Pegoraro, L.F., et al., Noncarious cervical lesions in adults: prevalence and occlusal aspects. J Am Dent Assoc, 2005. 136(12): p. 1694-700.   DOI   ScienceOn