Three-dimensional zygomatic changes after rapid maxillary expansion in growing patients; [Dreidimensionale Jochbeinveränderungen nach schneller Gaumennahterweiterung bei heranwachsenden Patienten]

被引：0
作者：
Ok U. [1 ]
Kayalar E. [2 ]
Sadry S. [2 ]
机构：
[1] Department of Orthodontics, Faculty of Dentistry, Istanbul Gelisim University, Avcilar, Istanbul
[2] Department of Orthodontics, Faculty of Dentistry, Istanbul Aydin University, Istanbul
来源：
Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie | 2023年 / 84卷 / 3期
关键词：
Biometry; Craniofacial sutures; Orthodontic appliances; removable; Orthodontic treatment; Zygomatic bone;
D O I：
10.1007/s00056-021-00348-5
中图分类号：
学科分类号：
摘要：
Purpose: To assess the effects of rapid maxillary expansion (RME) treatment on the zygomatic bone complex (ZBC). Methods: In this single-center retrospective study, pre- and posttreatment cone-beam computed tomography (CBCT) images of 38 patients treated with RME were analyzed to investigate changes in the coordinates of the ZBC landmarks. At the start of treatment (T0), the patients’ mean age was 11.1 ± 3.8 years (range 8.3–14.9 years). Cohen’s d test was used to evaluate statistical differences. Results: There were statistically significant differences between T0 and T1 (P < 0.01) in the measurement values for the maxillary transverse width (ΔT: 3.18 ± 2.58, d: 1.23), frontozygomatic sutures (ΔT: 1.09 ± 0.56, d: 0.43), lowest point of the zygomaticomaxillary sutures (ΔT: 3.16 ± 1.78, d: 0.78), frontomaxillary angular parameter (right side ΔT: 2.81 ± 1.63, d: 1.73; left side ΔT: 2.52 ± 1.20, d: 2.10), frontozygomatic angular parameter (right side ΔT: 2.81 ± 1.63 d: 1.07; left side ΔT: 2.21 ± 2.79, d: 0.61), anterior intermaxillary distance (ΔT: 2.11 ± 1.42, d: 0.99), interzygomaticotemporal distance (ΔT: 2.00 ± 2.42, d: 0.99), and zygomatic angular parameter (right side ΔT: 2.06 ± 1.29, d: 1.6; left side ΔT: 2.02 ± 1.86, d: 1.09). Conclusions: After RME in growing patients, the zygomatic bone showed pyramidal expansion in the coronal plane and parallel palatal expansion in the axial plane. In addition, significant lateral relocation of the zygomatic bone occurred. The zygomatic bone tended to rotate outward in conjunction with the maxilla, with a typical center of rotation close to the superior side of the frontozygomatic suture. These results shed light on the patterns of skeletal expansion in the zygomatic bone associated with RME in growing patients. © 2021, Springer Medizin Verlag GmbH, ein Teil von Springer Nature.
引用
收藏
页码：147 / 156
页数：9
相关论文
共 43 条
[1]  
Baccetti T., Franchi L., Cameron C.G., McNamara J.A., Treatment timing for rapid maxillary expansion, Angle Orthod, 71, pp. 343-350, (2001)
[2]  
Baldawa R.S., Bhad W.A., Stress distribution analysis during an intermaxillary dysjunction: a 3-D FEM study of an adult human skull, Ann Maxillofac Sur, 1, (2011)
[3]  
Baldini A., Nota A., Santariello C., Caruso S., Assi V., Ballanti F., Gatto R., Cozza P., Sagittal dentoskeletal modifications associated with different activation protocols of rapid maxillary expansion, Eur J Paediatr Dent, 19, pp. 151-155, (2018)
[4]  
Baydas B., Yavuz I., Uslu H., Dagsuyu I.M., Ceylan I., Nonsurgical rapid maxillary expansion effects on craniofacial structures in young adult females. A bone scintigraphy study, Angle Orthod, 76, pp. 759-767, (2006)
[5]  
Bazargani F., Feldmann I., Bondemark L., Three-dimensional analysis of effects of rapid maxillary expansion on facial sutures and bones, Angle Orthod, 83, pp. 1074-1082, (2013)
[6]  
Berger J.L., Pangrazio-Kulbersh V., Borgula T., Kaczynski R., Stability of orthopedic and surgically assisted rapid palatal expansion over time, Am J Orthod Dentofacial Orthop, 114, pp. 638-645, (1998)
[7]  
Braun S., Bottrel J.A., Lee K.-G., Lunazzi J.J., Legan H.L., The biomechanics of rapid maxillary sutural expansion, Am J Orthod Dentofacial Orthop, 118, pp. 257-261, (2000)
[8]  
Brunetto D.P., Sant'Anna E.F., Machado A.W., Moon W., Non-surgical treatment of transverse deficiency in adults using microimplant-assisted rapid palatal expansion (MARPE), Dental Press J Orthod, 22, pp. 110-125, (2017)
[9]  
Bucci R., D'Anto V., Rongo R., Valletta R., Martina R., Michelotti A., Dental and skeletal effects of palatal expansion techniques: a systematic review of the current evidence from systematic reviews and meta-analyses, J Oral Rehabil, 43, pp. 543-564, (2016)
[10]  
Cantarella D., Dominguez-Mompell R., Mallya S.M., Moschik C., Pan H.C., Miller J., Moon W., Changes in the midpalatal and pterygopalatine sutures induced by micro-implant-supported skeletal expander, analyzed with a novel 3D method based on CBCT imaging, Prog Orthod, 18, (2017)
12345