Long-term dental and skeletal changes in patients submitted to surgically assisted rapid maxillary expansion: A meta-analysis

Vilani, Giselle Naback Lemes; Mattos, Cláudia Trindade; Ruellas, Antônio Carlos de Oliveira; Maia, Lucianne Cople

doi:10.1016/j.oooo.2012.01.040

Cited by 30 publications

(32 citation statements)

References 27 publications

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“…Earlier studies showed that RPE treatment produced a significant increase in all measured transverse dimensions (10,(23)(24)(25), which was in agreement with our results. All interdental distances (between canines, premolars and molars) in our evaluated sample were significantly wider after therapy, which is in agreement with previous reports (26,27).…”

Section: Discussionsupporting

confidence: 94%

Three‐dimensional analysis of palatal shape in patients treated with SARME using traditional and geometric morphometrics

Trefný

Krajíček

Velemínská

2015

Orthod Craniofacial Res

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Section: Discussionsupporting

confidence: 94%

Three‐dimensional analysis of palatal shape in patients treated with SARME using traditional and geometric morphometrics

Trefný

Krajíček

Velemínská

2015

Orthod Craniofacial Res

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“…In case of disagreement regarding which article fulfilled the inclusion criteria, consensus was reached by discussion between the two reviewers. The articles that fulfilled the inclusion criteria were included in the systematic review and were qualitatively analyzed using the Cochrane collaboration recommendations 17 and a modification of the methodological quality scoring scale developed by Vilani et al 18 (Table 2). This modification was proposed to evaluate both the selected randomized and non-randomized controlled studies.…”

Section: Methodsmentioning

confidence: 99%

Mandibular dental arch short and long-term spontaneous dentoalveolar changes after slow or rapid maxillary expansion: a systematic review

Alves

Maranhão

Janson

et al. 2017

Dental Press J. Orthod.

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Objective: The aim of this systematic review was to analyze the short and long-term spontaneous dentoalveolar changes of the mandibular dental arch after slow (SME) or rapid (RME) maxillary expansion in the mixed and early permanent dentitions. Methods:An electronic search was performed in the following databases: PubMed/Medline, Cochrane Library, Scopus, Embase and Web of Science. Eligibility criteria for article selection included randomized controlled trials and prospective studies written in English, with no restriction of year of publication, involving patients who underwent SME or RME during the mixed or early permanent dentitions. A double-blind search of articles was performed by two reviewers. Initially, the title and the abstract of the studies were read, and their references were also hand-searched for possible missing studies. A methodological quality scoring scale was used to analyze the selected articles. Results:The search retrieved 373 articles, but only 6 were selected for review after application of the eligibility and exclusion criteria. Non-clinically significant spontaneous dentoalveolar changes of approximately 1mm were found in the mandibular dental arch in the short and long-term, after slow or rapid maxillary expansions. Furthermore, no significant differences were found between treated and control groups. Conclusions: There is enough evidence to conclude that negligible short and long-term spontaneous dentoalveolar changes tend to occur in the mandibular dental arch after SME or RME in the mixed and early permanent dentitions. More randomized studies with appropriate control group are required to better evaluate this issue.

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“…However, most of the patients needed a second surgery to correct the vertical height and further improve the occlusion, thus confirming the general notion that malocclusion often involves multiple diagnoses and additional treatments [15,24]. There is no consensus in the literature regarding the type of distractor (tooth-borne or bone-borne) that should be used for SARME for the provision of optimal expansion and stability [9,[27][28][29]. However, hybrid devices might be a beneficial alternative, wherein the force is applied onto two points (tooth and bone) instead of one (tooth alone), thereby causing a parallel expansion of the palatal vault instead of just tipping the tooth.…”

Section: Discussionmentioning

confidence: 99%

Satisfactory outcomes after orthognathic surgery with surgically assisted rapid maxillary expansion using a hybrid device

et al. 2020

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The self-reported functional outcomes, clinical findings, and results of dental cast analysis before and after orthognathic surgery with surgically assisted rapid maxillary expansion (SARME) using a hybrid rapid maxillary expander (RME) were evaluated. Data were collected from 43 patients who underwent orthognathic surgery with SARME using a hybrid RME between 2001 and 2013. The patients were recruited during a follow-up clinical examination and were required to complete a questionnaire about their opinions and self-reported functional outcomes.Dental casts were used to analyze posttreatment palatal expansion. The mean follow-up time was 68 months (range: 25-135 months). The most common indication for SARME was the presence of a crossbite. Of the 30 patients who underwent a follow-up clinical examination (69.8% answer rate), 4 (13.3%) had symptoms of temporomandibular disorder (TMD), 1 (3.3%) experienced myalgia, and 3 (10.0%) experienced arthralgia on clinical palpation. Cast analysis revealed significant palatal expansion. The intercanine distance, intermolar distance, and palatal height were increased by 3, 5, and 2 mm, respectively. Overall, the patients were satisfied with the preoperative information, improved functions, and aesthetic results. The prevalence of TMD symptoms and other side effects following orthognathic surgery with SARME using a hybrid RME was low, and significant palatal expansions were achieved.

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Long-term dental and skeletal changes in patients submitted to surgically assisted rapid maxillary expansion: A meta-analysis

Cited by 30 publications

References 27 publications

Three‐dimensional analysis of palatal shape in patients treated with SARME using traditional and geometric morphometrics

Three‐dimensional analysis of palatal shape in patients treated with SARME using traditional and geometric morphometrics

Mandibular dental arch short and long-term spontaneous dentoalveolar changes after slow or rapid maxillary expansion: a systematic review

Satisfactory outcomes after orthognathic surgery with surgically assisted rapid maxillary expansion using a hybrid device

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