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http://dx.doi.org/10.4041/kjod.2021.51.3.145

Midfacial soft tissue changes after maxillary expansion using micro-implant-supported maxillary skeletal expanders in young adults: A retrospective study  

Nguyen, Hieu (Department of Orthodontics, Institute of Oral Health Science, Ajou University School of Medicine)
Shin, Jeong Won (Department of Orthodontics, Institute of Oral Health Science, Ajou University School of Medicine)
Giap, Hai-Van (Department of Orthodontics, Institute of Oral Health Science, Ajou University School of Medicine)
Kim, Ki Beom (Department of Orthodontics, Center for Advanced Dental Education, Saint Louis University)
Chae, Hwa Sung (Department of Orthodontics, Institute of Oral Health Science, Ajou University School of Medicine)
Kim, Young Ho (Department of Orthodontics, Institute of Oral Health Science, Ajou University School of Medicine)
Choi, Hae Won (Department of Orthodontics, The Institute of Oral Health Science, Samsung Medical Center, Sungkyunkwan University School of Medicine)
Publication Information
The korean journal of orthodontics / v.51, no.3, 2021 , pp. 145-156 More about this Journal
Abstract
Objective: The aim of this retrospective study was to assess the midfacial soft tissue changes following maxillary expansion using micro-implant-supported maxillary skeletal expanders (MSEs) in young adults by cone-beam computerized tomography (CBCT) and to evaluate the correlations between hard and soft tissue changes after MSE usage. Methods: Twenty patients (mean age, 22.4 years; range, 17.6-27.1) with maxillary transverse deficiency treated with MSEs were selected. Mean expansion amount was 6.5 mm. CBCT images taken before and after expansion were superimposed to measure the changes in soft and hard tissue landmarks. Statistical analyses were performed using paired t-test and Pearson's correlation analysis on the basis of the normality of data. Results: Average lateral movement of the cheek points was 1.35 mm (right) and 1.08 mm (left), and that of the alar curvature points was 1.03 mm (right) and 1.02 mm (left). Average forward displacement of the cheek points was 0.59 mm (right) and 0.44 mm (left), and that of the alar curvature points was 0.61 mm (right) and 0.77 mm (left) (p < 0.05). Anterior nasal spine (ANS), posterior nasal spine (PNS), and alveolar bone width showed significant increments (p < 0.05). Changes in the cheek and alar curvature points on both sides significantly correlated with hard tissue changes (p < 0.05). Conclusions: Maxillary expansion using MSEs resulted in significant lateral and forward movements of the soft tissues of cheek and alar curvature points on both sides in young adults and correlated with the maxillary suture opening at the ANS and PNS.
Keywords
Maxillary expansion; Micro-implant-supported maxillary skeletal expander; Soft tissue change;
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1 Vanarsdall RL Jr. Transverse dimension and longterm stability. Semin Orthod 1999;5:171-80.   DOI
2 Oh H, Park J, Lagravere-Vich MO. Comparison of traditional RPE with two types of micro-implant assisted RPE: CBCT study. Semin Orthod 2019;25:60-8.   DOI
3 Bazina M, Cevidanes L, Ruellas A, Valiathan M, Quereshy F, Syed A, et al. Precision and reliability of Dolphin 3-dimensional voxel-based superimposition. Am J Orthod Dentofacial Orthop 2018;153:599-606.   DOI
4 Cantarella D, Dominguez-Mompell R, Mallya SM, Moschik C, Pan HC, Miller J, et al. Changes in the midpalatal and pterygopalatine sutures induced by micro-implant-supported skeletal expander, analyzed with a novel 3D method based on CBCT imaging. Prog Orthod 2017;18:34.   DOI
5 Kim KB, Adams D, Araujo EA, Behrents RG. Evaluation of immediate soft tissue changes after rapid maxillary expansion. Dental Press J Orthod 2012;17:157-64.
6 Abouei E, Lee S, Ford NL. Quantitative performance characterization of image quality and radiation dose for a CS 9300 dental cone beam computed tomography machine. J Med Imaging (Bellingham) 2015;2:044002.   DOI
7 Lima SM Jr, de Moraes M, Asprino L. Photoelastic analysis of stress distribution of surgically assisted rapid maxillary expansion with and without separation of the pterygomaxillary suture. J Oral Maxillofac Surg 2011;69:1771-5.   DOI
8 Lee TY, Kim KH, Yu HS, Kim KD, Jung YS, Baik HS. Correlation analysis of three-dimensional changes of hard and soft tissues in class III orthognathic surgery patients using cone-beam computed tomography. J Craniofac Surg 2014;25:1530-40.   DOI
9 Geran RG, McNamara JA Jr, Baccetti T, Franchi L, Shapiro LM. A prospective long-term study on the effects of rapid maxillary expansion in the early mixed dentition. Am J Orthod Dentofacial Orthop 2006;129:631-40.   DOI
10 Lee KJ, Park YC, Park JY, Hwang WS. Miniscrew-assisted nonsurgical palatal expansion before orthognathic surgery for a patient with severe mandibular prognathism. Am J Orthod Dentofacial Orthop 2010;137:830-9.   DOI
11 Moss JP. The use of three-dimensional imaging in orthodontics. Eur J Orthod 2006;28:416-25.   DOI
12 Lim HM, Park YC, Lee KJ, Kim KH, Choi YJ. Stability of dental, alveolar, and skeletal changes after miniscrew-assisted rapid palatal expansion. Korean J Orthod 2017;47:313-22.   DOI
13 Sarver DM. Interactions of hard tissues, soft tissues, and growth over time, and their impact on orthodontic diagnosis and treatment planning. Am J Orthod Dentofacial Orthop 2015;148:380-6.   DOI
14 Cevidanes LH, Motta A, Proffit WR, Ackerman JL, Styner M. Cranial base superimposition for 3-dimensional evaluation of soft-tissue changes. Am J Orthod Dentofacial Orthop 2010;137(4 Suppl):S120-9.   DOI
15 Nur RB, Cakan DG, Arun T. Evaluation of facial hard and soft tissue asymmetry using cone-beam computed tomography. Am J Orthod Dentofacial Orthop 2016;149:225-37.   DOI
16 Torun GS. Soft tissue changes in the orofacial region after rapid maxillary expansion: a cone beam computed tomography study. J Orofac Orthop 2017;78:193-200.   DOI
17 Cevidanes LH, Heymann G, Cornelis MA, DeClerck HJ, Tulloch JF. Superimposition of 3-dimensional cone-beam computed tomography models of growing patients. Am J Orthod Dentofacial Orthop 2009;136:94-9.   DOI
18 Nada RM, van Loon B, Maal TJ, Berge SJ, Mostafa YA, Kuijpers-Jagtman AM, et al. Three-dimensional evaluation of soft tissue changes in the orofacial region after tooth-borne and bone-borne surgically assisted rapid maxillary expansion. Clin Oral Investig 2013;17:2017-24.   DOI
19 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.   DOI
20 Molen AD. Considerations in the use of cone-beam computed tomography for buccal bone measurements. Am J Orthod Dentofacial Orthop 2010;137(4 Suppl):S130-5.   DOI
21 McNamara JA. Maxillary transverse deficiency. Am J Orthod Dentofacial Orthop 2000;117:567-70.   DOI
22 Cross DL, McDonald JP. Effect of rapid maxillary expansion on skeletal, dental, and nasal structures: a postero-anterior cephalometric study. Eur J Orthod 2000;22:519-28.   DOI
23 Haas AJ. Palatal expansion: just the beginning of dentofacial orthopedics. Am J Orthod 1970;57:219-55.   DOI
24 Adkins MD, Nanda RS, Currier GF. Arch perimeter changes on rapid palatal expansion. Am J Orthod Dentofacial Orthop 1990;97:194-9.   DOI
25 Gurel HG, Memili B, Erkan M, Sukurica Y. Longterm effects of rapid maxillary expansion followed by fixed appliances. Angle Orthod 2010;80:5-9.   DOI
26 MacGinnis M, Chu H, Youssef G, Wu KW, Machado AW, Moon W. The effects of micro-implant assisted rapid palatal expansion (MARPE) on the nasomaxillary complex--a finite element method (FEM) analysis. Prog Orthod 2014;15:52.   DOI
27 Lagravere MO, Carey J, Heo G, Toogood RW, Major PW. Transverse, vertical, and anteroposterior changes from bone-anchored maxillary expansion vs traditional rapid maxillary expansion: a randomized clinical trial. Am J Orthod Dentofacial Orthop 2010;137:304.e1-12; discussion 304-5.   DOI
28 Carlson C, Sung J, McComb RW, Machado AW, Moon W. Microimplant-assisted rapid palatal expansion appliance to orthopedically correct transverse maxillary deficiency in an adult. Am J Orthod Dentofacial Orthop 2016;149:716-28.   DOI
29 Magnusson A, Bjerklin K, Kim H, Nilsson P, Marcusson A. Three-dimensional computed tomographic analysis of changes to the external features of the nose after surgically assisted rapid maxillary expansion and orthodontic treatment: a prospective longitudinal study. Am J Orthod Dentofacial Orthop 2013;144:404-13.   DOI
30 Cantarella D, Dominguez-Mompell R, Moschik C, Sfogliano L, Elkenawy I, Pan HC, et al. Zygomaticomaxillary modifications in the horizontal plane induced by micro-implant-supported skeletal expander, analyzed with CBCT images. Prog Orthod 2018;19:41.   DOI
31 Abedini S, Elkenawy I, Kim E, Moon W. Three-dimensional soft tissue analysis of the face following micro-implant-supported maxillary skeletal expansion. Prog Orthod 2018;19:46.   DOI
32 Lee SR, Lee JW, Chung DH, Lee SM. Short-term impact of microimplant-assisted rapid palatal expansion on the nasal soft tissues in adults: a three-dimensional stereophotogrammetry study. Korean J Orthod 2020;50:75-85.   DOI
33 Staderini E, Patini R, De Luca M, Gallenzi P. Three-dimensional stereophotogrammetric analysis of nasolabial soft tissue effects of rapid maxillary expansion: a systematic review of clinical trials. Acta Otorhinolaryngol Ital 2018;38:399-408.   DOI
34 Cantarella D, Dominguez-Mompell R, Moschik C, Mallya SM, Pan HC, Alkahtani MR, et al. Midfacial changes in the coronal plane induced by microimplant-supported skeletal expander, studied with cone-beam computed tomography images. Am J Orthod Dentofacial Orthop 2018;154:337-45.   DOI