Comparison of Different Types of Palatal Expanders: Scoping Review

Inchingolo, Angelo Michele; Patano, Assunta; De Santis, Matteo; Del Vecchio, Gaetano; Ferrante, Laura; Morolla, Roberta; Pezzolla, Carmela; Sardano, Roberta; Dongiovanni, Leonardo; Inchingolo, Francesco; Bordea, Ioana Roxana; Palermo, Andrea; Inchingolo, Alessio Danilo; Dipalma, Gianna

doi:10.3390/children10071258

Cited by 6 publications

(8 citation statements)

References 51 publications

(72 reference statements)

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“…The increase in maxillary width achieved with the RME appliance is 4.41 mm, with a standard deviation of 1.63 mm in the molar area. The result correlates with the results obtained by Woowon Jang values [86], as well as with those of other researchers [87][88][89][90][91]. Inchingolo, in a scoping review, reports an increase in the width of upper permanent molars by 5.4 mm through RME [89].…”

Section: Discussionsupporting

confidence: 90%

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Change in Dental Arch Parameters—Perimeter, Width and Length after Treatment with a Printed RME Appliance

Bogdanov,

Yordanova,

Gurgurova

2024

Applied Sciences

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One of the important parameters in orthodontics is the perimeter of the dental arch. Precise assessment is necessary in cases of maxillary constriction treated with a rapid maxillary expander (RME). The orthodontic software allows customization of the processes from diagnosis to manufacturing of the treatment device. The aim of the present study is to evaluate a relationship between the parameters of the dental arch—perimeter, width, and length—and to follow the changes during treatment. The study is based on the digital measurements of 3D models of 33 patients treated with a digitally planned and printed RME. In the results an increase of 3.99 mm in perimeter was achieved. The rest of the parameters were changed as follows: The width of the dental arch was increased in the premolar area by an average of 3.3 mm; in the area of the first molars, the increase was 4.41 mm; the length of the dental arch in the anterior segment was reduced by an average of 0.54 mm; and the whole length by 0.52 mm. Correlation between the studied variables was described by linear equations. In conclusion, rapid maxillary expansion is a reliable method for gaining predictable space in the dental arch.

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Section: Discussionsupporting

confidence: 90%

“…The result correlates with the results obtained by Woowon Jang values [86], as well as with those of other researchers [87][88][89][90][91]. Inchingolo, in a scoping review, reports an increase in the width of upper permanent molars by 5.4 mm through RME [89]. Colino-Gallardo found an intermolar width increase of 5.21 ± 1.55 mm [90].…”

Section: Discussionsupporting

confidence: 90%

Change in Dental Arch Parameters—Perimeter, Width and Length after Treatment with a Printed RME Appliance

Bogdanov,

Yordanova,

Gurgurova

2024

Applied Sciences

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“…Keyword searches of the Web of Science (29), Scopus (21) and Pubmed (96) databases yielded a total of 146 articles. The subsequent elimination of duplicates (32) resulted in the inclusion of 114 articles.…”

Section: Resultsmentioning

confidence: 99%

Predictability of Dental Distalization with Clear Aligners: A Systematic Review

Inchingolo,

Carpentiere

et al. 2023

Bioengineering

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The current review aims to evaluate the scientific evidence relating to the effectiveness of treatment with clear aligners (CAs) in controlling distalization orthodontic tooth movement. “Orthodontics, aligners” and “distalization” were the search terms used on the Scopus, Web of Science and Pubmed databases with the Boolean operator “AND”. The results of the last ten years of research were 146 studies; of these, 19 publications were included for this review. The distalization movement is possible with invisible masks alone, but the risk of losing anchorage in the anterior sectors is very probable. The stability of the results and the reduction of unwanted effects can be guaranteed by the use of skeletal anchoring devices and interproximal enamel reduction (IPR), with which compensations are obtained to reduce the initial overjet. Temporary anchorage devices (TADs) can be used to manage posterior anchorage after distalization of maxillary molars with aligners. This hybrid approach has demonstrated the greatest orthodontic success. TADs are useful aids to provide direct and indirect skeletal anchorage. The opposite effect must be considered when planning dental distalization, especially of the molars, in patients with large overjet, and corrective measures or the use of auxiliaries may be necessary to prevent midcourse corrections. This systematic review provides a critical evidence-based assessment of the predictability of dental distalization with CAs, an ever-evolving orthodontic technique.

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“…Studies demonstrated that rapid maxillary expansion significantly improved nasal airflow and reduced oral breathing. According to the outcomes of this article, the majority of the sample (71.6%) had an awareness of the palatal expander and the implications of unhealthy oral breathing [30,31].…”

Section: Discussionmentioning

confidence: 98%

Analysis of General Knowledge on Obstructive Sleep Apnea Syndrome (OSAS) among Italian Pediatricians

Saran,

Saccomanno,

Viti

et al. 2024

Children

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Introduction: Obstructive sleep apnea syndrome (OSAS) is a disorder characterized by partial or total airway obstruction during sleep. Studies have shown variability in the level of knowledge and awareness about OSAS among pediatricians. The management of childhood obstructive sleep apnea syndrome (OSAS) depends on the severity of the disease, the presence of comorbidities, and the child’s age. The American Pediatric Academy recommends a multidisciplinary approach involving a pediatrician, a sleep specialist, and an otolaryngologist to provide comprehensive care for children with OSAS. The aim of this cross-sectional study is to evaluate the level of knowledge among pediatricians in Italy regarding the diagnosis of pediatric OSAS. Material and Methods: An anonymized survey was conducted among Italian pediatricians. The survey was administered electronically using Google Forms, and a total of 350 pediatricians were invited to participate. Out of the 350 invitations, 299 pediatricians responded to the survey. The statistical analysis performed consisted of descriptive analysis. The study included 297 pediatricians. Results: Pediatricians demonstrated proficiency in identifying common nocturnal and day symptoms of OSAS. A majority (68.9%) considered the oral and otorhinolaryngologist areas during checkups. Approximately 70.6% took patient weight into account, and 62.8% were aware of the regional diagnostic-therapeutic-assistance pathway. Conclusions: According to the results of this manuscript, there is evidence of a good level of knowledge about OSAS, but disseminating more information about OSAS and all the health issues associated with this syndrome is suggested. This study also has limitations caused by the complexity of the pathology.

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Comparison of Different Types of Palatal Expanders: Scoping Review

Cited by 6 publications

References 51 publications

Change in Dental Arch Parameters—Perimeter, Width and Length after Treatment with a Printed RME Appliance

Change in Dental Arch Parameters—Perimeter, Width and Length after Treatment with a Printed RME Appliance

Predictability of Dental Distalization with Clear Aligners: A Systematic Review

Analysis of General Knowledge on Obstructive Sleep Apnea Syndrome (OSAS) among Italian Pediatricians

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