The effect of rapid maxillary expansion in children: a meta-analysis

Santana, Denise M.C.; Nogueira, Vania S.; Lima, Silvana Andréa Molina; Fernandes, L.; Weber, Silke Anna Theresa

doi:10.1016/j.bjorl.2020.12.017

Cited by 11 publications

(6 citation statements)

References 19 publications

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“…The sample size primarily depended on previous studies [ 27 , 28 ]. Because, either unilateral or bilateral maxillary constriction are commonly seen in daily orthodontic practice and the early intervention of this form of malocclusion in proper timing using either slow or rapid palatal expansion is always applicable and resulted in a great improvement and prevents further aggressive interventions in the adult age [ 29 , 30 ], so maxillary width variable was selected for sample size calculation. The G* power 3.0.10 software (ver.…”

Section: Methodsmentioning

confidence: 99%

Comparison of three-dimensional maxillary growth across spheno-occipital synchondrosis maturation stages

et al. 2023

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Background This study aimed to three-dimensionally compare the maxillary growth among the spheno-occipital synchondrosis (SOS) maturation stages in both genders. Methods This is a cross-sectional study of a retrospective type in which cone-beam computed tomography (CBCT) images of 500 patients aged 6 to 25 years (226 males and 274 females) were analyzed. The SOS was evaluated using the four-stage scoring system; completely open, partially fused, semi-fused, or completely fused. The SOS scoring and three-dimensional cephalometric measurements were analyzed by Invivo 6.0.3 software. Descriptive and analytical statistics were performed and a P-value < 0.05 was considered statistically significant. Results There was a statistically significant difference in maxillary measurements among SOS maturation stages in both genders (P < 0.05). The mean differences in the maxillary growth among the SOS maturation stages between SOS stages 2 and 3 were higher than those between stages 1and 2 and stages 3 and 4 for maxillary length and height in both genders. However, the mean difference in the maxillary width was higher between SOS stages 1 and 2 than those stages 2 and 3 and stages 3 and 4. On other hand, there may be lesser maxillary growth between SOS stages 3 and 4 for maxillary width, length (in males), and height. The growth curves showed high active growth of the maxilla as the SOS was still fusing (especially stage 2 and 3) than those of the fused (stage 4). Moreover, the acceleration of growth occurred earlier in females than males regarding chronological age but not for SOS maturation stages. Conclusions The SOS maturation stages are valid and reliable maxillary skeletal maturation indicators for three-dimensional maxillary growth in both genders.

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Section: Methodsmentioning

confidence: 99%

Comparison of three-dimensional maxillary growth across spheno-occipital synchondrosis maturation stages

et al. 2023

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“…One study included in this meta analysis indicated that in those over 14 years of age, RME would not achieve ideal results due to the degree of established ossification at this age. In adults where the ossification process has occurred in the mid palatal suture, RME can only be achieved by surgically assisted RME [ 71 ].…”

Section: Dental Treatmentsmentioning

confidence: 99%

Craniofacial Sleep Medicine: The Important Role of Dental Providers in Detecting and Treating Sleep Disordered Breathing in Children

et al. 2022

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Obstructive sleep apnea (OSA) is a clinical disorder within the spectrum of sleep-related breathing disorders (SRDB) which is used to describe abnormal breathing during sleep resulting in gas exchange abnormalities and/or sleep disruption. OSA is a highly prevalent disorder with associated sequelae across multiple physical domains, overlapping with other chronic diseases, affecting development in children as well as increased health care utilization. More precise and personalized approaches are required to treat the complex constellation of symptoms with its associated comorbidities since not all children are cured by surgery (removal of the adenoids and tonsils). Given that dentists manage the teeth throughout the lifespan and have an important understanding of the anatomy and physiology involved with the airway from a dental perspective, it seems reasonable that better understanding and management from their field will give the opportunity to provide better integrated and optimized outcomes for children affected by OSA. With the emergence of therapies such as mandibular advancement devices and maxillary expansion, etc., dentists can be involved in providing care for OSA along with sleep medicine doctors. Furthermore, the evolving role of myofunctional therapy may also be indicated as adjunctive therapy in the management of children with OSA. The objective of this article is to discuss the important role of dentists and the collaborative approach between dentists, allied dental professionals such as myofunctional therapists, and sleep medicine specialists for identifying and managing children with OSA. Prevention and anticipatory guidance will also be addressed.

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“…One of the orthodontic treatments frequently used for the correction of posterior crossbites Rapid Maxillary Expansion (RME) in order to increase the perimeter of the upper arch by opening the midpalatal suture. 9 , 10 The effects of RME on the orofacial myofunctional condition are still unclear and few longitudinal studies investigating these aspects are available.…”

Section: Introductionmentioning

confidence: 99%

Effect of rapid maxillary expansion on masticatory and swallowing functions in children with posterior crossbite

Grechi,

Itikawa,

Gallarreta

et al. 2023

Brazilian Journal of Otorhinolaryngology

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The effect of rapid maxillary expansion in children: a meta-analysis

Cited by 11 publications

References 19 publications

Comparison of three-dimensional maxillary growth across spheno-occipital synchondrosis maturation stages

Comparison of three-dimensional maxillary growth across spheno-occipital synchondrosis maturation stages

Craniofacial Sleep Medicine: The Important Role of Dental Providers in Detecting and Treating Sleep Disordered Breathing in Children

Effect of rapid maxillary expansion on masticatory and swallowing functions in children with posterior crossbite

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