Evaluation of dentoskeletal effects of surgically assisted rapid maxillary expansion using computed tomography

Authors

DOI:

https://doi.org/10.33448/rsd-v11i15.36691

Keywords:

Transverse maxillary deficiency; Surgically assisted rapid maxillary expansion; Cone beam computed tomography.

Abstract

Introduction: Patients with transverse maxillary deficiency may have unilateral or bilateral posterior crossbite, crowded and rotated teeth and narrow palate. The treatment for adults is surgically assisted rapid maxillary expansion, a procedure that results in changes not only to bones, but also to teeth, nasal cavity, air space, lips and surrounding soft tissues. Objective: This study evaluated dentoskeletal changes in patients that underwent surgically assisted rapid maxillary expansion (SARME). Methods: Cone beam computed tomography (CBCT) scans were obtained before and after SARME. The thickness of buccal and lingual cortical bone and the angle of the long axis of posterior maxillary teeth were measured. Data were analyzed statistically. Results showed changes in thickness of buccal and lingual cortical bone and tooth movement and tipping. Conclusion: Tooth tipping increased and buccal bone thickness decreased, although osteotomies were used.

References

Anttila, A., Finne, K., Keski-Nisula, K., Somppi, M., Panula, K., & Peltomäki, T. (2004). Feasibility and long-term stability of surgically assisted rapid maxillary expansion with lateral osteotomy. European Journal of Orthodontics, 26(4), 391–395. https://doi.org/10.1093/ejo/26.4.391

Araujo, R. M. D. S., Landre, J., Silva, D. D. L. A., Pacheco, W., Pithon, M. M., & Oliveira, D. D. (2013). Influence of the expansion screw height on the dental effects of the hyrax expander: A study with finite elements. American Journal of Orthodontics and Dentofacial Orthopedics, 143(2). https://doi.org/10.1016/j.ajodo.2012.09.016

Basdra, E. K., Zöller, J. E., & Komposch, G. (1995). Surgically assisted rapid palatal expansion. Journal of Clinical Orthodontics : JCO, 29(12), 762–766.

Bell, W. H., & Epker, B. N. (1976). Surgical-orthodontic expansion of the maxilla. American Journal of Orthodontics, 70(5). https://doi.org/10.1016/0002-9416(76)90276-1

Betts, N. J., & Lisenby, W. C. (1994). Normal adult transverse jaw values obtained using standardized posteroanterior cephalometrics. JOURNAL OF DENTAL RESEARCH, 73, 298.

Betts, N. J., Vanarsdall, R. L., Barber, H. D., Higgins-Barber, K., & Fonseca, R. J. (1995). Diagnosis and treatment of transverse maxillary deficiency. The International Journal of Adult Orthodontics and Orthognathic Surgery, 10(2), 75–96.

Bretos, J. L. G., Pereira, M. D., Gomes, H. C., Toyama Hino, C., & Ferreira, L. M. (2007). Sagittal and vertical maxillary effects after surgically assisted rapid maxillary expansion (SARME) using Haas and Hyrax expanders. The Journal of Craniofacial Surgery, 18(6), 1322–1326. https://doi.org/10.1097/scs.0b013e3180a772a3

Chung, C.-H., & Goldman, A. M. (2003). Dental tipping and rotation immediately after surgically assisted rapid palatal expansion. European Journal of Orthodontics, 25(4), 353–358. https://doi.org/10.1093/ejo/25.4.353

de Assis, D. S. F. R., Duarte, M. A. H., & Gonçales, E. S. (2010). Clinical evaluation of the alar base width of patients submitted to surgically assisted maxillary expansion. Oral and Maxillofacial Surgery, 14(3). https://doi.org/10.1007/s10006-010-0211-3

de Assis, D. S. F. R., Ribeiro, P. D., Duarte, M. A. H., & Gonçales, E. S. (2011). Evaluation of the mesio-buccal gingival sulcus depth of the upper central incisors in patients submitted to surgically assisted maxillary expansion. Oral and Maxillofacial Surgery, 15(2). https://doi.org/10.1007/s10006-010-0233-x

Ferraro-Bezerra, M., Tavares, R. N., de Medeiros, J. R., Nogueira, A. S., Avelar, R. L., & Studart Soares, E. C. (2018). Effects of Pterygomaxillary Separation on Skeletal and Dental Changes After Surgically Assisted Rapid Maxillary Expansion: A Single-Center, Double-Blind, Randomized Clinical Trial. Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons, 76(4), 844–853. https://doi.org/10.1016/j.joms.2017.08.032

Garib, D. G., Henriques, J. F. C., Janson, G., de Freitas, M. R., & Fernandes, A. Y. (2006). Periodontal effects of rapid maxillary expansion with tooth-tissue-borne and tooth-borne expanders: a computed tomography evaluation. American Journal of Orthodontics and Dentofacial Orthopedics : Official Publication of the American Association of Orthodontists, Its Constituent Societies, and the American Board of Orthodontics, 129(6), 749–758. https://doi.org/10.1016/j.ajodo.2006.02.021

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 : Official Publication of the American Association of Orthodontists, Its Constituent Societies, and the American Board of Orthodontics, 139(4 Suppl), S117-28. https://doi.org/10.1016/j.ajodo.2010.06.022

Gonçales, E. S. (2011). Análise da distribuição das tensões dentáriasem maxila submetida a expansãocirurgicamente assistida. In Faculdade de Odontologia de Bauru, Universidade de São Paulo. https://doi.org/10.11606/T.25.2012.tde-13032012-092604

Gonçales, E. S., Nary Filho, H., Padovan, L. E. M., Cardoso, M. de A., & Ribeiro Júnior, P. D. (2009). Cirurgia ortognática: guia de orientação para portadores de deformidades faciais esqueléticas (Santos (ed.)).

Haas, A. J. (1961). Rapid Expansion Of The Maxillary Dental Arch And Nasal Cavity By Opening The Midpalatal Suture. The Angle Orthodontist, 31(2), 73–90. https://doi.org/10.1043/0003-3219(1961)031<0073:REOTMD>2.0.CO;2

Hino, C. T., Pereira, M. D., Sobral, C. S., Kreniski, T. M., & Ferreira, L. M. (2008). Transverse effects of surgically assisted rapid maxillary expansion: a comparative study using Haas and Hyrax. The Journal of Craniofacial Surgery, 19(3), 718–725. https://doi.org/10.1097/SCS.0b013e31816aaa91

Houston, W. J. (1983). The analysis of errors in orthodontic measurements. American Journal of Orthodontics, 83(5), 382–390. https://doi.org/10.1016/0002-9416(83)90322-6

Langlais, R. P., & Langland, O. E. (2002). PRINCÍPIOS DO DIAGNÓSTICO POR IMAGEM EM ODONTOLOGIA (Santos (ed.)).

Lanigan, D. T., & Mintz, S. M. (2002). Complications of surgically assisted rapid palatal expansion: Review of the literature and report of a case. Journal of Oral and Maxillofacial Surgery, 60(1). https://doi.org/10.1053/joms.2002.29087

Lima, S. M. J., de Moraes, M., & Asprino, L. (2011). Photoelastic analysis of stress distribution of surgically assisted rapid maxillary expansion with and without separation of the pterygomaxillary suture. Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons, 69(6), 1771–1775. https://doi.org/10.1016/j.joms.2010.07.035

Loddi, P. P., Pereira, M. D., Wolosker, A. B., Hino, C. T., Kreniski, T. M., & Ferreira, L. M. (2008). Transverse effects after surgically assisted rapid maxillary expansion in the midpalatal suture using computed tomography. The Journal of Craniofacial Surgery, 19(2), 433–438. https://doi.org/10.1097/SCS.0b013e318163e2f5

Nada, R. M., Fudalej, P. S., Maal, T. J. J., Bergé, S. J., Mostafa, Y. A., & Kuijpers-Jagtman, A. M. (2012). Three-dimensional prospective evaluation of tooth-borne and bone-borne surgically assisted rapid maxillary expansion. Journal of Cranio-Maxillo-Facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery, 40(8), 757–762. https://doi.org/10.1016/j.jcms.2012.01.026

Pereira, A. S., Shitsuka, D. M., Parreira, F. J., & Shitsuka, R. (2018). Metodologia da pesquisa científica.

Rômulo de Medeiros, J., Ferraro Bezerra, M., Gurgel Costa, F. W., Pinheiro Bezerra, T., de Araújo Alencar, C. R., & Studart Soares, E. C. (2017). Does pterygomaxillary disjunction in surgically assisted rapid maxillary expansion influence upper airway volume? A prospective study using Dolphin Imaging 3D. International Journal of Oral and Maxillofacial Surgery, 46(9), 1094–1101. https://doi.org/10.1016/j.ijom.2017.04.010

Schwarz, G. M., Thrash, W. J., Byrd, D. L., & Jacobs, J. D. (1985). Tomographic assessment of nasal septal changes following surgical-orthodontic rapid maxillary expansion. American Journal of Orthodontics, 87(1). https://doi.org/10.1016/0002-9416(85)90172-1

Starnbach, H., Bayne, D., Cleall, J., & Subtelny, J. D. (1966). Facioskeletal and dental changes resulting from rapid maxillary expansion. The Angle Orthodontist, 36(2), 152–164. https://doi.org/10.1043/0003-3219(1966)036<0152:FADCRF>2.0.CO;2

White, S. C., & Pharoah, M. J. (2000). Oral Radiology: Principles and Interpretation. Mosby. https://books.google.com.br/books?id=rcFpAAAAMAAJ

Woods, M., Wiesenfeld, D., & Probert, T. (1997). Surgically-assisted maxillary expansion. Australian Dental Journal, 42(1), 38–42. https://doi.org/10.1111/j.1834-7819.1997.tb00094.x

Zupan, J., Ihan Hren, N., & Verdenik, M. (2022). An evaluation of three-dimensional facial changes after surgically assisted rapid maxillary expansion (SARME): an observational study. BMC oral health, 22(1), 155. https://doi.org/10.1186/s12903-022-02179-1

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Published

22/11/2022

How to Cite

TIEGHI NETO, V.; BARBOSA, C. G. .; SANCHES, I. M. .; SEIXAS, D. R. .; GONÇALES, A. G. B. .; GONÇALES, E. S. . Evaluation of dentoskeletal effects of surgically assisted rapid maxillary expansion using computed tomography. Research, Society and Development, [S. l.], v. 11, n. 15, p. e429111536691, 2022. DOI: 10.33448/rsd-v11i15.36691. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/36691. Acesso em: 14 nov. 2024.

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Health Sciences