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
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