Rapid maxillary expansion for maxillary atresia and mandibular alignment: A mixed dentition case report

Authors

DOI:

https://doi.org/10.33448/rsd-v13i4.45569

Keywords:

Posterior crossbite; Orthodontics; Rapid palatal expansion; HYRAX.

Abstract

Introduction: Posterior crossbite is a common malocclusion in orthodontics. It often accompanies maxillary atresia, leading to unilateral or bilateral posterior crossbite. Rapid maxillary expansion (RME) is an approach to treat atresia, correct transverse discrepancies, and increase the perimeter of the maxillary arch. Objective: To present the case of an 8-year-old patient with maxillary atresia, skeletal Class I, dental Class I, and no space in the maxillary anterior and mandibular regions for the alignment of the incisors. Clinical procedures: RME was performed using a HYRAX type expander. After 20 days of daily activations, there was a change in the morphology of the palate, an increase in the arch perimeter, facilitating the eruption of incisors and canines. Final considerations: RME is an effective and efficient orthopedic treatment, recommended for correcting transverse deviations, normalizing structural and functional problems. As positive side effects, the indirect action on the mandibular molars and canines allowed the alignment of the incisors.

References

Adina, S., Dipalma, G., Bordea, I. R., Lucaciu, O., Feurdean, C., Inchingolo, A. D., et al. (2020). Orthopedic joint stability influences growth and maxillary development: clinical aspects. J Biol Regul Homeost Agents, 34(3), 747-756.

Alsawaf, D. H., Almaasarani, S. G., Hajeer, M. Y., & Rajeh, N. (2022). The effectiveness of the early orthodontic correction of functional unilateral posterior crossbite in the mixed dentition period: a systematic review and meta-analysis. Prog Orthod, 23(1), 5.

Alves, A. C. M., Maranhao, O. B. V., Janson, G., & Garib, D. G. (2017). Mandibular dental arch short and long-term spontaneous dentoalveolar changes after slow or rapid maxillary expansion: a systematic review. Dental Press J Orthod, 22(3), 55-63.

Brunetto, M., WeissheimerA, Hartmann, G. C., Bark, M. J., & Tanaka, O. (2021). Borda Wala. O que é e para quê? Orthod. Sci. Prac, 14-18.

Bruno, G., Stefani, A., Benetazzo, C., Cavallin, F., & Gracco, A. (2020). Changes in nasal septum morphology after rapid maxillary expansion: a Cone-Beam Computed Tomography study in pre-pubertal patient. Dental Press J Orthod, 25(5), 51-56.

Cantore, S., Ballini, A., Farronato, D., Malcangi, G., Dipalma, G., Assandri, F., et al. (2016). Evaluation of an oral appliance in patients with mild to moderate obstructive sleep apnea syndrome intolerant to continuous positive airway pressure use: Preliminary results. Int J Immunopathol Pharmacol, 29(2), 267-273.

Chisari, J. R., McGorray, S. P., Nair, M., & Wheeler, T. T. (2014). Variables affecting orthodontic tooth movement with clear aligners. Am J Orthod Dentofacial Orthop, 145(4 Suppl), S82-91.

Estrela, C. (2018). Metodologia Científica: Ciência, Ensino, Pesquisa. In Google Books. Artes Medicas. https://books.google.com.br/books?hl=ptBR&lr=&id=67VIDwAAQBAJ&oi=fnd&pg=PR1&dq=Estrela

Gil, A.C. (2002) Métodos e técnicas de pesquisa social. São Paulo: Atlas.

Grassia, V., d'Apuzzo, F., Jamilian, A., Femiano, F., Favero, L., & Perillo, L. (2015). Comparison between rapid and mixed maxillary expansion through an assessment of arch changes on dental casts. Prog Orthod, 16, 20.

Grippaudo, C., Paolantonio, E. G., Antonini, G., Saulle, R., La Torre, G., & Deli, R. (2016). Association between oral habits, mouth breathing and malocclusion. Acta Otorhinolaryngol, 36, 386–394.

Gryson, J. A. (1977). Changes in mandibular interdental distance concurrent with rapid maxillary expansion. Angle Orthod, 47(3), 186-192.

Haas, A. J. (1980). Long-term posttreatment evaluation of rapid palatal expansion. Angle Orthod, 50(3), 189-217.

Kravitz, N. D. (2023). Calculating Crowding. J Clin Orthod, 57(6), 317.

Kutin, G., & Hawes, R. R. (1969). Posterior cross-bites in the primary and mixed dentition. Am J Orthod., 56, 491-504.

Lagana, G., Paoloni, V., Pavoni, C., Palmacci, D., & Malara, A. (2023). Tridimensional Changes in Mandibular Arch after Rapid Maxillary Expansion Therapy: A Clinical Study. Children (Basel), 10(5).

Lo Giudice, A., Ronsivalle, V., Lagravere, M., Leonardi, R., Martina, S., & Isola, G. (2020). Transverse dentoalveolar response of mandibular arch after rapid maxillary expansion (RME) with tooth-borne and bone-borne appliances. Angle Orthod, 90(5), 680-687.

Martina, R., Cioffi, I., Farella, M., Leone, P., Manzo, P., Matarese, G., et al. (2012). Transverse changes determined by rapid and slow maxillary expansion--a low-dose CT-based randomized controlled trial. Orthod Craniofac Res, 15(3), 159-168.

McNamara, J. A. (2000). Maxillary transverse deficiency. Am J Orthod Dentofacial Orthop, 117(5), 567-570.

Nascimento, B. C. D., Santos, C., Santos, M., & Normando, D. (2023). Self-correction of posterior crossbite in childhood: a systematic review of long-term follow-up studies. Eur J Orthod.

Oshagh, M., Momeni, D. S., Hematiyan, M., Hajian, K., & Shokoohi, Z. (2012). Comparison of dental arch changes andpatients’ discomforts between newly designed maxillary expansion screw and slow expansion procedures. Journal of Dentistry, 13, 110-119.

Pacheco, A. A., Franco, A., Antelo, O. M., Pithon, M. M., & Tanaka, O. M. (2018). Changes in the mandibular arch after rapid maxillary expansion in children: A three-dimensional analysis using digital models. Eur J Gen Dent 7, 47-50.

Pereira, J. D. S., Jacob, H. B., Locks, A., Brunetto, M., & Ribeiro, G. L. U. (2017). Evaluation of the rapid and slow maxillary expansion using cone-beam computed tomography: a randomized clinical trial. Dental Press J Orthod, 22(2), 61-68.

Sandikcioglu, M., & Hazar, S. (1997). Skeletal and dental changes after maxillary expansion in the mixed dentition. Am J Orthod Dentofacial Orthop, 111(3), 321-327.

Subtelny, J. D. (1980). Oral respiration: facial maldevelopment and corrective dentofacial orthopedics. Angle Orthod, 50(3), 147-164.

Tanaka, O., Ribeiro, G. L. U., Gasparello, G. G., Marchesan, C. H. C., & Pithon, M. M. (2023). Expansão rápida da maxila: uma técnica controversa ou avanço revolucionário na Ortodontia? . Orthod Sci Pract, 16, 8-11.

Tanaka, O. M., Fornazari, I. A., Parra, A. X., de Castilhos, B. B., & Franco, A. (2016). Complete Maxillary Crossbite Correction with a Rapid Palatal Expansion in Mixed Dentition Followed by a Corrective Orthodontic Treatment. Case Rep Dent, 2016, 8306397.

Thilander, B., Wahlund, S., & Lennartsson, B. (1984). The effect of early interceptive treatment in children with posterior cross-bite. Eur J Orthod, 6(1), 25-34.

Ugolini, A., Agostino, P., Silvestrini-Biavati, A., Harrison, J. E., & Batista, K. B. (2021). Orthodontic treatment for posterior crossbites. Cochrane Database Syst Rev, 12(12), CD000979.

Ugolini, A., Doldo, T., Ghislanzoni, L. T., Mapelli, A., Giorgetti, R., & Sforza, C. (2016). Rapid palatal expansion effects on mandibular transverse dimensions in unilateral posterior crossbite patients: a three-dimensional digital imaging study. Prog Orthod, 17, 1.

Published

20/04/2024

How to Cite

TANAKA, O. M. .; GASPARELLO, G. G. .; FORNAZARI, I. A. .; ESPINDOLA, J. C. P. .; GAVA, T. N. .; LAZARO, G. M. .; BARK, M. J. . Rapid maxillary expansion for maxillary atresia and mandibular alignment: A mixed dentition case report. Research, Society and Development, [S. l.], v. 13, n. 4, p. e8013445569, 2024. DOI: 10.33448/rsd-v13i4.45569. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/45569. Acesso em: 24 nov. 2024.

Issue

Section

Health Sciences