American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics · 2022
Dentoskeletal effects of rapid maxillary expander therapy in early mixed dentition patients with different vertical growing patterns without posterior crossbite: A retrospective study.
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Rozzi Matteo, Alesi Giuseppe, Mucedero Manuela, Cozza Paola
Аннотация
INTRODUCTION: This study aimed to analyze the variation of dentoskeletal effects after rapid maxillary expander therapy in subjects with different vertical growth patterns.
METHODS: The study sample consisted of 94 patients (32 males, 62 females; mean age 8.9 ± 1.5 years) treated with rapid maxillary expander (RME) anchored on first permanent molars. For each subject, lateral cephalograms and maxillary digital dental casts were available before RME, immediately after appliance removal, and 1 year after appliance removal. All the subjects were divided into 3 groups according to their vertical facial patterns (low-angle, normal-angle, and high-angle). Cephalometric analysis was conducted on lateral cephalograms. The virtual 3-dimensional models were used to analyze the torque of the first permanent molars and intercanine and intermolar width. The differences between the vertical facial subgroups were contrasted by analysis of variance multicomparison test (P <0.05).
RESULTS: In the short-term (from before to immediately after RME removal), high-angle subjects showed a mandibular clockwise rotation compared with other groups. No significant long-term vertical and sagittal skeletal changes (from before to 1 year after RME removal) were found between the groups. A greater increase in maxillary molar torque was observed in high-angle subjects than in the other groups. The low-angle patients showed a greater increase in the intercanine diameter.
CONCLUSIONS: Hyperdivergent subjects showed increased buccal tipping of the anchor molars after the expansion. Hypodivergent and normodivergent subjects showed lower buccal tipping after the expansion and an increased expansion effect in the anterior region.
METHODS: The study sample consisted of 94 patients (32 males, 62 females; mean age 8.9 ± 1.5 years) treated with rapid maxillary expander (RME) anchored on first permanent molars. For each subject, lateral cephalograms and maxillary digital dental casts were available before RME, immediately after appliance removal, and 1 year after appliance removal. All the subjects were divided into 3 groups according to their vertical facial patterns (low-angle, normal-angle, and high-angle). Cephalometric analysis was conducted on lateral cephalograms. The virtual 3-dimensional models were used to analyze the torque of the first permanent molars and intercanine and intermolar width. The differences between the vertical facial subgroups were contrasted by analysis of variance multicomparison test (P <0.05).
RESULTS: In the short-term (from before to immediately after RME removal), high-angle subjects showed a mandibular clockwise rotation compared with other groups. No significant long-term vertical and sagittal skeletal changes (from before to 1 year after RME removal) were found between the groups. A greater increase in maxillary molar torque was observed in high-angle subjects than in the other groups. The low-angle patients showed a greater increase in the intercanine diameter.
CONCLUSIONS: Hyperdivergent subjects showed increased buccal tipping of the anchor molars after the expansion. Hypodivergent and normodivergent subjects showed lower buccal tipping after the expansion and an increased expansion effect in the anterior region.