Condylar morphology and position changes after miniscrew-assisted rapid palatal expansion in skeletal Class III malocclusion adult patients with mandibular deviation and unilateral posterior crossbite

Abstract Background To evaluate the morphological and positional changes of mandibular condyle after miniscrew-assisted rapid palatal expansion (MARPE) in skeletal Class III malocclusion adult patients with horizontal mandibular deviation (MD). Methods The sample consisted of 15 patients with MD (6...

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Main Authors: Shuai Chen, Chunxi Zhang, Kaili Zhang, Xiaoming Tan, Xun Xi, Yi Zhao, Dongxu Liu
Format: Article
Language:English
Published: SpringerOpen 2022-09-01
Series:Progress in Orthodontics
Subjects:
Online Access:https://doi.org/10.1186/s40510-022-00425-4
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author Shuai Chen
Chunxi Zhang
Kaili Zhang
Xiaoming Tan
Xun Xi
Yi Zhao
Dongxu Liu
author_facet Shuai Chen
Chunxi Zhang
Kaili Zhang
Xiaoming Tan
Xun Xi
Yi Zhao
Dongxu Liu
author_sort Shuai Chen
collection DOAJ
description Abstract Background To evaluate the morphological and positional changes of mandibular condyle after miniscrew-assisted rapid palatal expansion (MARPE) in skeletal Class III malocclusion adult patients with horizontal mandibular deviation (MD). Methods The sample consisted of 15 patients with MD (6 males and 9 females, mean age 21.58 ± 3.12 years). The CBCT scans were taken before and after MARPE immediately. The pre- and post-registered images of the cranial base and mandible were measured, respectively, by Mimics. Results After expansion, the distance between superior condylar point and the Frankfort horizontal plane on the deviated side and the non-deviated side increased by 0.96 ± 0.60 mm (P = 0.011) and 0.70 ± 0.65 mm (P = 0.046); coronal condylar angle of the deviated side increased by 0.39° ± 0.34 (P = 0.028) and 0.06° ± 0.49 (P = 0.917) on the non-deviated side. No statistically significant differences were found when comparing the condylar position on both sides before and after treatment. The degree of mandibular deviation decreased 0.43 mm (P = 0.270). Conclusions This study suggested that for skeletal Class III malocclusion adult patients with horizontal MD, the condyle on the deviated side rotated toward the non-deviated side in the coronal direction; the condylar remodeling occurred mainly on the deviated side after MARPE in the vertical direction.
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spelling doaj.art-529b8545871b4d38b7e9dcfc812ab3272022-12-22T03:12:21ZengSpringerOpenProgress in Orthodontics2196-10422022-09-0123111010.1186/s40510-022-00425-4Condylar morphology and position changes after miniscrew-assisted rapid palatal expansion in skeletal Class III malocclusion adult patients with mandibular deviation and unilateral posterior crossbiteShuai Chen0Chunxi Zhang1Kaili Zhang2Xiaoming Tan3Xun Xi4Yi Zhao5Dongxu Liu6Department of Orthodontics, School and Hospital of Stomatology, Cheeloo College of Medicine, Shandong University & Shandong Key Laboratory of Oral Tissue Regeneration & Shandong Engineering Laboratory for Dental Materials and Oral Tissue RegenerationThe Center of Stomatology, Qingdao Municipal Hospital Affiliated to Qingdao UniversityDepartment of Orthodontics, School and Hospital of Stomatology, Cheeloo College of Medicine, Shandong University & Shandong Key Laboratory of Oral Tissue Regeneration & Shandong Engineering Laboratory for Dental Materials and Oral Tissue RegenerationDepartment of Stomatology, Linyi Third People’s HospitalDepartment of Orthodontics, School and Hospital of Stomatology, Cheeloo College of Medicine, Shandong University & Shandong Key Laboratory of Oral Tissue Regeneration & Shandong Engineering Laboratory for Dental Materials and Oral Tissue RegenerationDepartment of Orthodontics, School and Hospital of Stomatology, Cheeloo College of Medicine, Shandong University & Shandong Key Laboratory of Oral Tissue Regeneration & Shandong Engineering Laboratory for Dental Materials and Oral Tissue RegenerationDepartment of Orthodontics, School and Hospital of Stomatology, Cheeloo College of Medicine, Shandong University & Shandong Key Laboratory of Oral Tissue Regeneration & Shandong Engineering Laboratory for Dental Materials and Oral Tissue RegenerationAbstract Background To evaluate the morphological and positional changes of mandibular condyle after miniscrew-assisted rapid palatal expansion (MARPE) in skeletal Class III malocclusion adult patients with horizontal mandibular deviation (MD). Methods The sample consisted of 15 patients with MD (6 males and 9 females, mean age 21.58 ± 3.12 years). The CBCT scans were taken before and after MARPE immediately. The pre- and post-registered images of the cranial base and mandible were measured, respectively, by Mimics. Results After expansion, the distance between superior condylar point and the Frankfort horizontal plane on the deviated side and the non-deviated side increased by 0.96 ± 0.60 mm (P = 0.011) and 0.70 ± 0.65 mm (P = 0.046); coronal condylar angle of the deviated side increased by 0.39° ± 0.34 (P = 0.028) and 0.06° ± 0.49 (P = 0.917) on the non-deviated side. No statistically significant differences were found when comparing the condylar position on both sides before and after treatment. The degree of mandibular deviation decreased 0.43 mm (P = 0.270). Conclusions This study suggested that for skeletal Class III malocclusion adult patients with horizontal MD, the condyle on the deviated side rotated toward the non-deviated side in the coronal direction; the condylar remodeling occurred mainly on the deviated side after MARPE in the vertical direction.https://doi.org/10.1186/s40510-022-00425-4CondyleMiniscrew-assisted rapid palatal expansionAdultCone-beam computed tomographyMandibular deviation
spellingShingle Shuai Chen
Chunxi Zhang
Kaili Zhang
Xiaoming Tan
Xun Xi
Yi Zhao
Dongxu Liu
Condylar morphology and position changes after miniscrew-assisted rapid palatal expansion in skeletal Class III malocclusion adult patients with mandibular deviation and unilateral posterior crossbite
Progress in Orthodontics
Condyle
Miniscrew-assisted rapid palatal expansion
Adult
Cone-beam computed tomography
Mandibular deviation
title Condylar morphology and position changes after miniscrew-assisted rapid palatal expansion in skeletal Class III malocclusion adult patients with mandibular deviation and unilateral posterior crossbite
title_full Condylar morphology and position changes after miniscrew-assisted rapid palatal expansion in skeletal Class III malocclusion adult patients with mandibular deviation and unilateral posterior crossbite
title_fullStr Condylar morphology and position changes after miniscrew-assisted rapid palatal expansion in skeletal Class III malocclusion adult patients with mandibular deviation and unilateral posterior crossbite
title_full_unstemmed Condylar morphology and position changes after miniscrew-assisted rapid palatal expansion in skeletal Class III malocclusion adult patients with mandibular deviation and unilateral posterior crossbite
title_short Condylar morphology and position changes after miniscrew-assisted rapid palatal expansion in skeletal Class III malocclusion adult patients with mandibular deviation and unilateral posterior crossbite
title_sort condylar morphology and position changes after miniscrew assisted rapid palatal expansion in skeletal class iii malocclusion adult patients with mandibular deviation and unilateral posterior crossbite
topic Condyle
Miniscrew-assisted rapid palatal expansion
Adult
Cone-beam computed tomography
Mandibular deviation
url https://doi.org/10.1186/s40510-022-00425-4
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