Does rapid maxillary expansion enlarge the nasal cavity and pharyngeal airway? A three-dimensional assessment based on validated analyses.
3D evaluation
nasal cavity
orthodontics
pharyngeal airway
rapid maxillary expansion
Journal
Orthodontics & craniofacial research
ISSN: 1601-6343
Titre abrégé: Orthod Craniofac Res
Pays: England
ID NLM: 101144387
Informations de publication
Date de publication:
Dec 2021
Dec 2021
Historique:
received:
31
03
2021
accepted:
14
07
2021
pubmed:
6
8
2021
medline:
29
12
2021
entrez:
5
8
2021
Statut:
ppublish
Résumé
To evaluate the three-dimensional changes following rapid maxillary expansion (RME) of the nasal cavity (NC) and pharyngeal airway (PA) in growing patients, using innovative and validated evaluation methods and to investigate whether a correlation between skeletal expansion and increase in airway volume exists. Records of patients who had cone beam computed tomography taken before and after orthodontic treatment with or without RME were retrospectively collected and divided into two groups: (a) RME, 39 patients (mean age 10.40 ± 1.74 years); and (b) control, 29 patients, matched for age (mean age 11.07 ± 1.45 years) and follow-up period. Total and partial volumes of the NC and the PA were calculated. The PA centerline was determined to assess the minimal cross-sectional area and hydraulic diameter. Paired and unpaired t test were applied to compare the difference between time points and between groups. One-way ANOVA and post hoc Tukey's tests were used to compare subgroups with respect to changes in palatal width and lacrimal ducts distance. All of the NC, PA and skeletal parameters were significantly enlarged after RME. The NC volume and inter-molar distance in the RME were significantly larger compared to the control group. The initially lower mean values of minimal cross-sectional area and hydraulic diameter in the RME group when compared to the control group normalized after RME treatment. Based on validated analyses, the NC volume increase was evident after RME in the long term after controlling for growth.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
124-133Informations de copyright
© 2021 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Références
Chang Y, Koenig LJ, Pruszynski JE, Bradley TG, Bosio JA, Liu D. Dimensional changes of upper airway after rapid maxillary expansion: a prospective cone-beam computed tomography study. Am J Orthod Dentofac Orthop. 2013;143(4):462-470. https://doi.org/10.1016/j.ajodo.2012.11.019
Steffy DD, Tang CS. Radiographic evaluation of sleep-disordered breathing. Radiol Clin North Am. 2018;56(1):177-185. https://doi.org/10.1016/j.rcl.2017.08.012
Löfstrand-Tideström B, Thilander B, Ahlqvist-Rastad J, Jakobsson O, Hultcrantz E. Breathing obstruction in relation to craniofacial and dental arch morphology in 4-year-old children. Eur J Orthod. 1999;21(4):323-332. https://doi.org/10.1093/ejo/21.4.323
Huynh NT, Morton PD, Rompre PH, Papadakis A, Remise C. Associations between sleep-disordered breathing symptoms and facial and dental morphometry, assessed with screening examinations. Am J Orthod Dentofac Orthop. 2011;140(6):762-770.
Kaditis AG, Alonso Alvarez ML, Boudewyns AN, et al. Obstructive sleep disordered breathing in 2-to 18-year-old children: diagnosis and management. Eur Respir J. 2016;47(1):69-94.
Algharbi M, Bazargani F, Dimberg L. Do different maxillary expansion appliances influence the outcomes of the treatment? Eur J Orthod. 2017;40(1):97-106. https://doi.org/10.1093/ejo/cjx035
Jafari A, Shetty KS, Kumar M. Study of stress distribution and displacement of various craniofacial structures following application of transverse orthopedic forces-a three-dimensional FEM study. Angle Orthod. 2003;73(1):12-20.
Motro M, Schauseil M, Ludwig B, et al. Rapid-maxillary-expansion induced rhinological effects: a retrospective multicenter study. Oto-Rhino-Laryngol. 2016;273(3):679-687.
Camacho M, Chang ET, Song SA, et al. Rapid maxillary expansion for pediatric obstructive sleep apnea: a systematic review and meta-analysis. Laryngoscope. 2017;127(7):1712-1719. https://doi.org/10.1002/lary.26352
Niu X, Di Carlo G, Cornelis MA, Cattaneo PM. Three-dimensional analyses of short- and long-term effects of rapid maxillary expansion on nasal cavity and upper airway: a systematic review and meta-analysis. Orthod Craniofac Res. 2020;23(3):250-276. https://doi.org/10.1111/ocr.12378
Cheung GC, Dalci O, Mustac S, et al. The upper airway volume effects produced by Hyrax, Hybrid-Hyrax, and Keles keyless expanders: a single-centre randomized controlled trial. Eur J Orthodont. 2021;43:254-264. https://doi.org/10.1093/ejo/cjaa031
Bazargani F, Magnuson A, Ludwig B. Effects on nasal airflow and resistance using two different RME appliances: a randomized controlled trial. Eur J Orthod. 2018;40(3):281-284. https://doi.org/10.1093/ejo/cjx081
White DP. Sleep-related breathing disorder.2. Pathophysiology of obstructive sleep apnoea. Thorax. 1995;50(7):797-804. https://doi.org/10.1136/thx.50.7.797
Lenza MG, Lenza MM, Dalstra M, Melsen B, Cattaneo PM. An analysis of different approaches to the assessment of upper airway morphology: a CBCT study. Orthod Craniofac Res. 2010;13(2):96-105. https://doi.org/10.1111/j.1601-6343.2010.01482.x
Ogawa T, Enciso R, Shintaku WH, Clark GT. Evaluation of cross-section airway configuration of obstructive sleep apnea. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. 2007;103(1):102-108.
Baccetti T, Franchi L, Cameron CG, McNamara JA Jr. Treatment timing for rapid maxillary expansion. Angle Orthod. 2001;71(5):343-350. https://doi.org/10.1043/0003-3219(2001)071<0343:Ttfrme>2.0.Co;2
Gurani SF, Cattaneo PM, Rafaelsen SR, Pedersen MR, Thorn JJ, Pinholt EM. The effect of altered head and tongue posture on upper airway volume based on a validated upper airway analysis-an MRI pilot study. Orthod Craniofac Res. 2020;23(1):102-109. https://doi.org/10.1111/ocr.12348
El H, Palomo JM. Three-dimensional evaluation of upper airway following rapid maxillary expansion: a CBCT study. Angle Orthod. 2014;84(2):265-273. https://doi.org/10.2319/012313-71.1
Pauwels R, Jacobs R, Singer SR, Mupparapu M. CBCT-based bone quality assessment: are Hounsfield units applicable? Dentomaxillofacial Radiol. 2015;44(1):20140238. https://doi.org/10.1259/dmfr.20140238
Di Carlo G, Polimeni A, Melsen B, Cattaneo PM. The relationship between upper airways and craniofacial morphology studied in 3D. A CBCT study. Orthodont Craniofac Res. 2015;18(1):1-11. https://doi.org/10.1111/ocr.12053
Niu X, Madhan S, Cornelis MA, Cattaneo PM. Novel three-dimensional methods to analyze the morphology of the nasal cavity and pharyngeal airway. Angle Orthod. 2021;91:320-328. https://doi.org/10.2319/070620-610.1
Dahlberg G. Standard error and medicine. Acta Genet Stat Med. 1949;1:313-321.
Zeng J, Gao X. A prospective CBCT study of upper airway changes after rapid maxillary expansion. Int J Pediatr Otorhinolaryngol. 2013;77(11):1805-1810. https://doi.org/10.1016/j.ijporl.2013.07.028
Li L, Qi S, Wang H, Ren S, Ban J. Cone-beam CT evaluation of nasomaxillary complex and upper airway following rapid maxillary expansion. Chin J Stomatol. 2015;50(7):403-407.
Behrents RG, Shelgikar AV, Conley RS, et al. Obstructive sleep apnea and orthodontics: an American Association of Orthodontists White Paper. Am J Orthod Dentofac Orthop. 2019;156(1):13-28.e1. https://doi.org/10.1016/j.ajodo.2019.04.009
Angell EC. Treatment of irregularities of the permanent or adult teeth. Dental Cosmos. 1860;1:540-544.
Ballanti F, Lione R, Baccetti T, Franchi L, Cozza P. Treatment and posttreatment skeletal effects of rapid maxillary expansion investigated with low-dose computed tomography in growing subjects. Am J Orthod Dentofac Orthop. 2010;138(3):311-317. https://doi.org/10.1016/j.ajodo.2008.10.022
Christie KF, Boucher N, Chung C-H. Effects of bonded rapid palatal expansion on the transverse dimensions of the maxilla: a cone-beam computed tomography study. Am J Orthodont Dentofac Orthoped. 2010;137(4):S79-S85.
Lim HM, Park YC, Lee KJ, Kim KH, Choi YJ. Stability of dental, alveolar, and skeletal changes after miniscrew-assisted rapid palatal expansion. Korean J Orthodont. 2017;47(5):313-322. https://doi.org/10.4041/kjod.2017.47.5.313
Pangrazio-Kulbersh V, Wine P, Haughey M, Pajtas B, Kaczynski R. Cone beam computed tomography evaluation of changes in the naso-maxillary complex associated with two types of maxillary expanders. Angle Orthodont. 2012;82(3):448-457. https://doi.org/10.2319/072211-464.1
Wertz R, Dreskin M. Midpalatal suture opening: a normative study. Am J Orthodont. 1977;71(4):367-381. https://doi.org/10.1016/0002-9416(77)90241-x
Paredes N, Colak O, Sfogliano L, et al. Differential assessment of skeletal, alveolar, and dental components induced by microimplant-supported midfacial skeletal expander (MSE), utilizing novel angular measurements from the fulcrum. Progress in Orthodontics. 2020;21(1):18. https://doi.org/10.1186/s40510-020-00320-w
Doruk C, Sokucu O, Bicakci AA, Yilmaz U, Tas F. Comparison of nasal volume changes during rapid maxillary expansion using acoustic rhinometry and computed tomography. Eur J Orthod. 2007;29(3):251-255. https://doi.org/10.1093/ejo/cjl069
Park JW, Kim NK, Kim JW, Kim MJ, Chang YI. Volumetric, planar, and linear analyses of pharyngeal airway change on computed tomography and cephalometry after mandibular setback surgery. Am J Orthod Dentofac Orthop. 2010;138(3):292-299. https://doi.org/10.1016/j.ajodo.2009.10.036
Souki BQ, Pimenta GB, Souki MQ, Franco LP, Becker HM, Pinto JA. Prevalence of malocclusion among mouth breathing children: do expectations meet reality? Int J Pediatr Otorhinolaryngol. 2009;73(5):767-773. https://doi.org/10.1016/j.ijporl.2009.02.006
Iwasaki T, Saitoh I, Takemoto Y, et al. Tongue posture improvement and pharyngeal airway enlargement as secondary effects of rapid maxillary expansion: a cone-beam computed tomography study. Am J Orthod Dentofac Orthop. 2013;143(2):235-245.