Journal of Shandong University (Health Sciences) ›› 2018, Vol. 56 ›› Issue (12): 55-61.doi: 10.6040/j.issn.1671-7554.0.2018.1230

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A comparative study of the effectiveness between surgically assisted rapid palatal expansion and miniscrew-assisted rapid palatal expansion in adults

WANG Xiaoya1,2, LI Jiayu1,2, GUO Jing1,2, ZHANG Lihong3   

  1. 1. Department of Orthodontics, School of Stomatology, Shandong University, Jinan 250012, Shandong, China;
    2. Shandong Provincial Key Laboratory of Oral Tissue Regeneration, Jinan 250012, Shandong, China;
    3. Medical Imaging Department, Shandong Medical College, Jinan 276000, Shandong, China
  • Published:2022-09-27

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Abstract: Objective To evaluate and compare the expansion effectiveness between surgically assisted rapid palatal expansion(SARPE)and miniscrew-assisted rapid palatal expansion(MARPE)in adults. Methods A total of 16 adult patients with transverse maxillary deficiency were selected and divided into 2 groups according to the expansion design: SARPE group(n=9)and MARPE group(n=7). CBCT scans were performed before treatment and 3 months after retention. The data obtained were analyzed with Dolphin 11.8. Skeletal expansion, tipping of the anchored teeth, and buccal alveolar thickness and height were measured before and after treatment. Results The skeletal expansion increased significantly after treatment in both groups. There were significant increases in the width of midpalatal suture, nasal cavity, nasal floor, and zygomaticomaxillary suture(P<0.05). Change of nasal cavity width in maxillary first molar area in MARPE group was more significant than that in SARPE group(P<0.05), but there were no significant differences in other changes between the two groups(P>0.05). Both SARPE and MARPE resulted in tipping of the anchored teeth(P<0.05). The differences of the buccal alveolar height and thickness were not statistically significant between the two 山 东 大 学 学 报 (医 学 版)56卷12期 -王晓雅,等.成人手术辅助快速扩弓与种植钉辅助快速扩弓效率的对比 \=-groups(P>0.05). Conclusion Both SARPE and MARPE are effective treatment modalities for the correction of maxillary transverse deficiency in adults through separation of the midpalatal suture while MARPE shows certain superiority.

Key words: Surgically assisted rapid palatal expansion, Midpalatal osteotomy, Miniscrew-assisted rapid palatal expansion, Expansion effectiveness, Adult expansion

CLC Number: 

  • R574
[1] da Silva Filho OG, Montes LA, Torelly LF, et al. Rapid maxillary expansion in the deciduous and mixed dentition evaluated through posteroanterior cephalometric analysis [J]. Am J Orthod Dentofacial Orthop, 1995, 107(3): 268-275.
[2] Björk A, Skieller V. Growth in width of the maxilla studied by the implant method [J]. Scand J Plast Reconstr Surg, 1974, 8(1-2): 26-33.
[3] Bishara SE, Staley RN. Maxillary expansion: Clinical implications[J]. Am J Orthod Dentofacial Orthop, 1987, 91(1): 3-14.
[4] 寇波, 王春玲, 刘东旭, 等. 年轻成人上颌快速扩弓(YA-RME)对牙颌结构的影响[J]. 现代口腔医学杂志, 2006, 20(5): 464-467. KOU Bo, WANG Chunling, LIU Dongxu, et al. Dental and skeletal changes of young adults with posterior crossbite after rapid maxillary expansion[J]. J Modern Stomatol, 2016, 20(5): 464-467.
[5] Handelman CS, Wang L, BeGole EA, et al. Nonsurgical rapid maxillary expansion in adults: report on 47 cases using the Haas expander[J]. Angle Orthod, 2000, 70(2): 129-144.
[6] Koudstaal MJ, Poort LJ, van der Wal KG, et al. Surgically assisted rapid maxillary expansion(SARME): a review of the literature[J]. Int J Oral Maxillofac Surg, 2005, 34(7): 709-714.
[7] Lee KJ, Park YC, Park JY, et al. Miniscrew-assisted nonsurgical palatal expansion before orthognathic surgery for a patient with severe mandibular prognathism [J]. Am J Orthod Dentofacial Orthop, 2010, 137(6): 830-839.
[8] Persson M, Thilander B. Palatal suture closure in man from 15 to 35 years of age [J]. Am J Orthod, 1977, 72(1): 42-52.
[9] Lehman JA Jr, Haas AJ. Surgical-orthodontic correction of transverse maxillary deficiency [J]. Clin Plast Surg, 1989, 16(4): 749-755.
[10] Melsen B. Palatal growth studied on human autopsy material. A histologic microradiographic study [J]. Am J Orthod, 1975, 68(1): 42-54.
[11] Woods M, Wiesenfeld D, Probert T. Surgically-assisted maxillary expansion [J]. Aust Dent J, 1997, 42(1): 38-42.
[12] Seeberger R, Kater W, Davids R. Long term effects of surgically assisted rapid maxillary expansion without performing osteotomy of the pterygoid plates [J]. J Craniomaxillofac Surg, 2010, 38(3): 175-178.
[13] Gallagher V, Gallagher C, Sleeman D. Surgically assisted rapid palatal expansion for management of transverse maxillary deficiency[J]. J Ir Dent Assoc, 2002, 48(1): 18-21.
[14] Northway WM, Meade JB Jr. Surgically assisted rapid maxillary expansion: a comparison of technique, response, and stability[J]. Angle Orthod, 1997, 67(4): 309-320.
[15] Suzuki H, Moon W, Previdente LH, et al. Miniscrew-assisted rapid palatal expander(MARPE): the quest for pure orthopedic movement [J]. Dental Press J Orthod, 2016, 21(4): 17-23.
[16] Pogrel MA, Kaban LB, Vargervik K, et al. Surgically assisted rapid maxillary expansion in adults [J]. Int J Adult Orthodon Orthognath Surg, 1992, 7(1): 37-41.
[17] 翁露茜, 宋晓佳, 李娟, 等. 腭中缝骨皮质切开辅助快速扩弓矫治15~25岁上颌横向宽度不足患者临床研究[J]. 浙江大学学报(医学版), 2017, 46(2): 198-205. WENG Luxi, SONG Xiaojia, LI Juan, et al. Midpalatal cortex osteotomy assisted rapid maxillary expansion for correction of maxillary transverse deficiency in young adults[J]. Journal of Zhejiang University(Medical Sciences), 2017, 46(2): 198-205.
[18] 贾海潮, 厉松, 刘松林, 等. 种植钉辅助上颌快速扩弓治疗年轻成人上颌牙弓狭窄的CBCT分析[J]. 中华口腔正畸学杂志, 2016, 23(3): 126-131. JIA Haichao, LI Song, LIU Songlin, et al. Effects of microimplant-assisted rapid palatal expansion on maxillary transverse discrepancy in young adult patients: a CBCT analysis [J]. Chin J Orthod, 2016, 23(3): 126-131.
[19] Byloff FK, Mossaz CF. Skeletal and dental changes following surgically assisted rapid palatal expansion [J]. Eur J Orthod, 2004, 26(4): 403-489.
[20] Angelieri F, Cevidanes LH, Franchi L, et al. Midpalatal suture maturation: classification method for individual assessment before rapid maxillary expansion[J]. Am J Orthod Dentofacial Orthop, 2013, 144(5): 759-769.
[21] Betts NJ. Surgically assisted maxillary expansion [J]. Atlas Oral Maxillofac Surg Clin North Am, 2016, 24(1): 67-77.
[22] Pogrel MA, Kaban LB, Vargervik K, et al. Surgically assisted rapid maxillary expansion in adults[J]. Int J Adult Orthodon Orthognath Surg, 1992, 7(1): 37-41.
[23] Moura LB, Spin-Neto R, Sverzut CE, et al. Evaluation of the palatal split pattern in surgically rapid maxillary expansion-comparison of two techniques[J]. Oral Maxillofac Surg, 2016, 20(3): 255-258.
[24] Carlson C, Sung J, Mccomb RW, et al. Microimplant-assisted rapid palatal expansion appliance to orthopedically correct transverse maxillary deficiency in an adult[J]. Am J Orthod Dentofacial Orthop, 2016, 149(5): 716-728.
[25] Cantarella D, Dominguez-Mompell R, Mallya SM, et al. Changes in the midpalatal and pterygopalatine sutures induced by micro-implant-supported skeletal expander, analyzed with a novel 3D method based on CBCT imaging [J]. Prog Orthod, 2017, 18(1): 34.
[26] Thilander B, Nyman S, Karring T, et al. Bone regeneration in alveolar bone dehiscences related to orthodontic tooth movements[J]. Eur J Orthod, 1983, 5(2): 105-114.
[27] Park JJ, Park YC, Lee KJ, et al. Skeletal and dentoalveolar changes after miniscrew-assisted rapid palatal expansion in young adults: A cone-beam computed tomography study[J]. Korean J Orthod, 2017, 47(2): 77-86.
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