Cone-Beam computed tomography evaluation of maxillary expansion in twins with cleft lip and palate

OBJECTIVE: The establishment of normal occlusal relationships in patients with cleft lip and palate using rapid maxillary expansion may promote good conditions for future rehabilitation. OBJECTIVE: This study describes the clinical case of monozygotic twins with unilateral cleft lip and palate at th...

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Main Authors: Luciane Macedo de Menezes, Fabiane Azeredo, André Weissheimer, Juliana Lindemann Rizzato, Susana Maria Deon Rizzatto
Format: Article
Language:English
Published: Dental Press Editora 2012-04-01
Series:Dental Press Journal of Orthodontics
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2176-94512012000200009
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author Luciane Macedo de Menezes
Fabiane Azeredo
André Weissheimer
Juliana Lindemann Rizzato
Susana Maria Deon Rizzatto
author_facet Luciane Macedo de Menezes
Fabiane Azeredo
André Weissheimer
Juliana Lindemann Rizzato
Susana Maria Deon Rizzatto
author_sort Luciane Macedo de Menezes
collection DOAJ
description OBJECTIVE: The establishment of normal occlusal relationships in patients with cleft lip and palate using rapid maxillary expansion may promote good conditions for future rehabilitation. OBJECTIVE: This study describes the clinical case of monozygotic twins with unilateral cleft lip and palate at the age of mixed dentition, who were treated using the same rapid maxillary expansion protocol, but with two different screws (conventional and fan-type expansion screw). Results were evaluated using plaster models, intraoral and extraoral photographs, and Cone-Beam computed tomography (CBCT) scans obtained before the beginning of the treatment, (T1). METHODS: The patients were followed up for 6 months after maxillary expansion, when the same tests requested at T1 were obtained again for review (T2). T1 and T2 results were compared using lateral cephalometric tracings and measurements of the intercanine and intermolar distances in the plaster models using a digital caliper. RESULTS: The two types of expansion screws corrected the transverse discrepancy in patients with cleft lip and palate. The shape of the upper arches improved at 10 days after activation. CONCLUSION: CBCT scans provide detailed information about craniofacial, maxillary and mandibular changes resulting from rapid maxillary expansion. The most adequate screw for each type of malocclusion should be chosen after detailed examination of the dental arches.
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spelling doaj.art-36581a1bab1b4ddcad654e7d728896e12022-12-22T01:52:17ZengDental Press EditoraDental Press Journal of Orthodontics2176-94512177-67092012-04-0117242.e142.e1110.1590/S2176-94512012000200009Cone-Beam computed tomography evaluation of maxillary expansion in twins with cleft lip and palateLuciane Macedo de MenezesFabiane AzeredoAndré WeissheimerJuliana Lindemann RizzatoSusana Maria Deon RizzattoOBJECTIVE: The establishment of normal occlusal relationships in patients with cleft lip and palate using rapid maxillary expansion may promote good conditions for future rehabilitation. OBJECTIVE: This study describes the clinical case of monozygotic twins with unilateral cleft lip and palate at the age of mixed dentition, who were treated using the same rapid maxillary expansion protocol, but with two different screws (conventional and fan-type expansion screw). Results were evaluated using plaster models, intraoral and extraoral photographs, and Cone-Beam computed tomography (CBCT) scans obtained before the beginning of the treatment, (T1). METHODS: The patients were followed up for 6 months after maxillary expansion, when the same tests requested at T1 were obtained again for review (T2). T1 and T2 results were compared using lateral cephalometric tracings and measurements of the intercanine and intermolar distances in the plaster models using a digital caliper. RESULTS: The two types of expansion screws corrected the transverse discrepancy in patients with cleft lip and palate. The shape of the upper arches improved at 10 days after activation. CONCLUSION: CBCT scans provide detailed information about craniofacial, maxillary and mandibular changes resulting from rapid maxillary expansion. The most adequate screw for each type of malocclusion should be chosen after detailed examination of the dental arches.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2176-94512012000200009Palatal expansionMidpalatal fissureCone-Beam computed tomographyOrthodontics
spellingShingle Luciane Macedo de Menezes
Fabiane Azeredo
André Weissheimer
Juliana Lindemann Rizzato
Susana Maria Deon Rizzatto
Cone-Beam computed tomography evaluation of maxillary expansion in twins with cleft lip and palate
Dental Press Journal of Orthodontics
Palatal expansion
Midpalatal fissure
Cone-Beam computed tomography
Orthodontics
title Cone-Beam computed tomography evaluation of maxillary expansion in twins with cleft lip and palate
title_full Cone-Beam computed tomography evaluation of maxillary expansion in twins with cleft lip and palate
title_fullStr Cone-Beam computed tomography evaluation of maxillary expansion in twins with cleft lip and palate
title_full_unstemmed Cone-Beam computed tomography evaluation of maxillary expansion in twins with cleft lip and palate
title_short Cone-Beam computed tomography evaluation of maxillary expansion in twins with cleft lip and palate
title_sort cone beam computed tomography evaluation of maxillary expansion in twins with cleft lip and palate
topic Palatal expansion
Midpalatal fissure
Cone-Beam computed tomography
Orthodontics
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2176-94512012000200009
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