Three-dimensional evaluation of periodontal effects after surgically assisted rapid maxillary expansion

Authors

DOI:

https://doi.org/10.33448/rsd-v11i6.28783

Keywords:

Palatal Expansion Technique; Periodontal Attachment Loss; Cone-Beam Computed Tomography.

Abstract

Objective: To evaluate the periodontal effects of maxillary teeth in patients who underwent surgically assisted rapid maxillary expansion (SARME) and compare the results with the amount of expansion and the surgical technique performed.  Material and Methods: Cone-beam computed tomography (CBCT) of nineteen patients who underwent SARME were selected, preoperative (up to one month before surgery) and postoperative (six to eight months after surgery) to analyze measurements of bone thickness, alveolar bone level alveolar segment tilting, and tooth tipping. An analysis of all medical records was also performed, regarding the amount of expansion achieved, and surgical technique performed. The patients were divided in groups with and without pterigomaxillary disjunction. Results: Tooth upper first premolar and first molar on the left side, and second premolar and first molar on the right side all presented bone loss in the period after surgery. All teeth, with exception of first molars in both sides of the maxillae, presented dental tipping. And, it was also found that the greater the amount of expansion, the greater will be the bone loss in level and thickness (BL, ABT5). And, that the greater the angulation of the tooth, the greater the bone level loss. Conclusions: In conclusion, after surgery and the use of the Hyrax device, the buccal alveolar bone thickness suffered statically significant losses, also, some teeth suffered segment tilting and tooth tipping. The present study also found greater bone loss in patients who suffered a greater amount of expansion.

References

Alves, N., Oliveira, T. F. M., Pereira-Filho, V. A., Gonçales, E. S., Gabrielli, M. A. C., & Passeri, L. A. (2017). Nasolabial changes after two different approaches for surgically assisted rapid maxillary expansion. International Journal of Oral and Maxillofacial Surgery, 46(9), 1088–1093. https://doi.org/10.1016/j.ijom.2017.04.011

Baka, Z. M., Akin, M., Ucar, F. I., & Ileri, Z. (2015). Cone-beam computed tomography evaluation of dentoskeletal changes after asymmetric rapid maxillary expansion. American Journal of Orthodontics and Dentofacial Orthopedics, 147(1), 61–71. https://doi.org/10.1016/j.ajodo.2014.09.014

Bazina, M., Cevidanes, L., Ruellas, A., Valiathan, M., Quereshy, F., Syed, A., Wu, R., & Palomo, J. M. (2018). Precision and reliability of Dolphin 3-dimensional voxel-based superimposition. American Journal of Orthodontics and Dentofacial Orthopedics, 153(4), 599–606. https://doi.org/10.1016/j.ajodo.2017.07.025

Behlfelt, K., Linder-aronson, S., Mcwilliam, J., Neander, P., & Laage-Hellman, J. (1989). Dentition in children with enlarged tonsils compared to control children. European Journal of Orthodontics, 11(4), 416–429. https://doi.org/10.1093/oxfordjournals.ejo.a036014

Bresolin, D., Shapiro, P. A., Shapiro, G. G., Chapko, M. K., & Dassel, S. (1983). Mouth breathing in allergic children: Its relationship to dentofacial development. American Journal of Orthodontics, 83(4), 334–340. https://doi.org/10.1016/0002-9416(83)90229-4

Brunetto, M., Da Silva Pereira Andriani, J., Ribeiro, G. L. U., Locks, A., Correa, M., & Correa, L. R. (2013). Three-dimensional assessment of buccal alveolar bone after rapid and slow maxillary expansion: A clinical trial study. American Journal of Orthodontics and Dentofacial Orthopedics, 143(5), 633–644. https://doi.org/10.1016/j.ajodo.2012.12.008

Coatoam, G. W., Behrents, R. G., & Bissada, N. F. (1981). The Width of Keratinized Gingiva During Orthodontic Treatment: Its Significance and Impact on Periodontal Status. Journal of Periodontology, 52(6), 307–313. https://doi.org/10.1902/jop.1981.52.6.307

Cortese, A., Savastano, G., Savastano, M., Spagnuolo, G., & Papa, F. (2009). New Technique: Le Fort I Osteotomy for Maxillary Advancement and Palatal Distraction in 1 Stage. Journal of Oral and Maxillofacial Surgery, 67(1), 223–228. https://doi.org/10.1016/j.joms.2007.08.005

Cureton, S. L., & Cuenin, M. (1999). Surgically assisted rapid palatal expansion: orthodontic preparation for clinical success. American Journal of Orthodontics and Dentofacial Orthopedics : Official Publication of the American Association of Orthodontists, Its Constituent Societies, and the American Board of Orthodontics, 116(1), 46–59. https://doi.org/10.1016/S0889-5406(99)70302-1

Gauthier, C., Voyer, R., Paquette, M., Rompré, P., & Papadakis, A. (2011). Periodontal effects of surgically assisted rapid palatal expansion evaluated clinically and with cone-beam computerized tomography: 6-month preliminary results. American Journal of Orthodontics and Dentofacial Orthopedics, 139(4 SUPPL.), 16–19. https://doi.org/10.1016/j.ajodo.2010.06.022

Haas, A. J. (1980). Long-term posttreatment evaluation of rapid palatal expansion. In Angle Orthodontist. 50(3), 189–217. https://doi.org/10.1043/0003-3219(1980)050<0189:LPEORP>2.0.CO;2

Karabiber, G., Yılmaz, H. N., Nevzatoğlu, Ş., Uğurlu, F., & Akdoğan, T. (2019). Three-dimensional evaluation of surgically assisted asymmetric rapid maxillary expansion. American Journal of Orthodontics and Dentofacial Orthopedics, 155(5), 620–631. https://doi.org/10.1016/j.ajodo.2018.05.024

Kayalar, E., Schauseil, M., Hellak, A., Emekli, U., Fıratlı, S., & Korbmacher-Steiner, H. (2019). Nasal soft- and hard-tissue changes following tooth-borne and hybrid surgically assisted rapid maxillary expansion: A randomized clinical cone-beam computed tomography study. Journal of Cranio-Maxillofacial Surgery, 47(8), 1190–1197. https://doi.org/10.1016/j.jcms.2019.01.005

Kilic, E., Kilic, B., Kurt, G., Sakin, C., & Alkan, A. (2013). Effects of surgically assisted rapid palatal expansion with and without pterygomaxillary disjunction on dental and skeletal structures: A retrospective review. Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology, 115(2), 167–174. https://doi.org/10.1016/j.oooo.2012.02.026

Koudstaal, M. J., Poort, L. J., van der Wal, K. G. H., Wolvius, E. B., Prahl-Andersen, B., & Schulten, A. J. M. (2005). Surgically assisted rapid maxillary expansion (SARME): A review of the literature. International Journal of Oral and Maxillofacial Surgery, 34(7), 709–714. https://doi.org/10.1016/j.ijom.2005.04.025

Kunz, F., Linz, C., Baunach, G., Böhm, H., & Meyer-Marcotty, P. (2016). Expansion patterns in surgically assisted rapid maxillary expansion. Journal of Orofacial Orthopedics, 77(5), 357–365. https://doi.org/10.1007/s00056-016-0043-3

Landis, J. R., & Koch, G. G. (1977). The Measurement of Observer Agreement for Categorical Data. Biometrics, 33(1), 159–174.

Laudemann, K., Petruchin, O., Mack, M. G., Kopp, S., Sader, R., & Landes, C. A. (2009). Evaluation of surgically assisted rapid maxillary expansion with or without pterygomaxillary disjunction based upon preoperative and post-expansion 3D computed tomography data. Oral and Maxillofacial Surgery, 13(3), 159–169. https://doi.org/10.1007/s10006-009-0167-3

Pereira, M. D., Koga, A. F., Prado, G. P. R., & Ferreira, L. M. (2017). Complications from Surgically Assisted Rapid Maxillary Expansion with HAAS and HYRAX Expanders. Journal of Craniofacial Surgery, 29(2), 275–278. https://doi.org/10.1097/SCS.0000000000004079

Ramieri, G. A., Nasi, A., Dell’Acqua, A., & Verzé, L. (2008). Facial soft tissue changes after transverse palatal distraction in adult patients. International Journal of Oral and Maxillofacial Surgery, 37(9), 810–818. https://doi.org/10.1016/j.ijom.2008.05.006

Sendyk, M., Sendyk, W. R., Pallos, D., Boaro, L. C. C., de Paiva, J. B., & Rino Neto, J. (2018). Periodontal clinical evaluation before and after surgically assisted rapid maxillary expansion. Dental Press Journal of Orthodontics, 23(1), 79–86. https://doi.org/10.1590/2177-6709.23.1.079-086.oar

Souza Pinto, G. N. de, Iwaki Filho, L., Previdelli, I. T. dos S., Ramos, A. L., Yamashita, A. L., Stabile, G. A. V., Stabile, C. L. P., & Iwaki, L. C. V. (2019). Three-dimensional alterations in pharyngeal airspace, soft palate, and hyoid bone of class II and class III patients submitted to bimaxillary orthognathic surgery: A retrospective study. Journal of Cranio-Maxillofacial Surgery, 47(6), 883–894. https://doi.org/10.1016/j.jcms.2019.03.015

Steiner, G. G., Pearson, J. K., & Ainamo, J. (1981). Changes of the Marginal Periodontium as a Result of Labial Tooth Movement in Monkeys. Journal of Periodontology, 52(6), 314–320. https://doi.org/10.1902/jop.1981.52.6.314

Suri, L., & Taneja, P. (2008). Surgically assisted rapid palatal expansion: A literature review. American Journal of Orthodontics and Dentofacial Orthopedics, 133(2), 290–302. https://doi.org/10.1016/j.ajodo.2007.01.021

Sygouros, A., Motro, M., Ugurlu, F., & Acar, A. (2014). Surgically assisted rapid maxillary expansion: Cone-beam computed tomography evaluation of different surgical techniques and their effects on the maxillary dentoskeletal complex. American Journal of Orthodontics and Dentofacial Orthopedics, 146(6), 748–757. https://doi.org/10.1016/j.ajodo.2014.08.013

Williams, B. J. D., Currimbhoy, S., Silva, A., & O’Ryan, F. S. (2012). Complications following surgically assisted rapid palatal expansion: A retrospective cohort study. Journal of Oral and Maxillofacial Surgery, 70(10), 2394–2402. https://doi.org/10.1016/j.joms.2011.09.050

Yamashita, A. L., Iwaki Filho, L., Leite, P. C. C., Navarro, R. de L., Ramos, A. L., Previdelli, I. T. S., Ribeiro, M. H. D. M., & Iwaki, L. C. V. (2017). Three-dimensional analysis of the pharyngeal airway space and hyoid bone position after orthognathic surgery. Journal of Cranio-Maxillofacial Surgery, 45(9), 1408–1414. https://doi.org/10.1016/j.jcms.2017.06.016

Zandi, M., Miresmaeili, A., Heidari, A., & Lamei, A. (2016). The necessity of pterygomaxillary disjunction in surgically assisted rapid maxillary expansion: A short-term, double-blind, historical controlled clinical trial. Journal of Cranio-Maxillofacial Surgery, 44(9), 1181–1186. https://doi.org/10.1016/j.jcms.2016.04.026

Zanutto, I. M., Iwaki Filho, L., Silva, B. G. da, Silva, M. C. da, Tolentino, E. de S., Sigua-Rodriguez, E. A., & Iwaki, L. C. V. (2021). Analysis of the pterygopalatine fossa in patients undergoing surgically-assisted rapid maxillary expansion: a morphometric study using cone beam. Research, Society and Development, 10(12). https://doi.org/10.33448/rsd-v10i12.20388

Downloads

Published

20/04/2022

How to Cite

FELIPE, B. C. .; PINTO, G. N. de S.; YAMASHITA, A. L.; YAMASHITA, F. C. .; SIGUA-RODRIGUEZ, E. A.; SILVA, B. G. da .; RAMOS, A. L.; IWAKI FILHO, L.; IWAKI, L. C. V. . Three-dimensional evaluation of periodontal effects after surgically assisted rapid maxillary expansion . Research, Society and Development, [S. l.], v. 11, n. 6, p. e7811628783, 2022. DOI: 10.33448/rsd-v11i6.28783. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/28783. Acesso em: 28 may. 2022.

Issue

Section

Health Sciences