Effects of Rapid Maxillary Expansion on the Temporomandibular Joint: A Bone Scintigraphy Study
Objectives: The purpose of this study is to assess the effects of rapid maxillary expansion (RME) on metabolic activity in the temporomandibular joints (TMJs) of young adult patients using scintigraphy.Methods: The images of the TMJs were obtained from the retrospective scintigraphic images taken fr...
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| Format: | Article |
| Language: | English |
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Galenos Yayinevi
2021-09-01
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| Series: | Turkish Journal of Orthodontics |
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http://www.turkjorthod.org/archives/archive-detail/article-preview/effects-of-rapid-maxillary-expansion-on-the-tempor/53309
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| author | Gulay Dumanli Gok Nuri Mert Topbasi Bulent Baydas Hatice Uslu Ismail Ceylan Ibrahim Yavuz Ilhan Metin Dagsuyu Mustafa Filik |
| author_facet | Gulay Dumanli Gok Nuri Mert Topbasi Bulent Baydas Hatice Uslu Ismail Ceylan Ibrahim Yavuz Ilhan Metin Dagsuyu Mustafa Filik |
| author_sort | Gulay Dumanli Gok |
| collection | DOAJ |
| description | Objectives: The purpose of this study is to assess the effects of rapid maxillary expansion (RME) on metabolic activity in the temporomandibular joints (TMJs) of young adult patients using scintigraphy.Methods: The images of the TMJs were obtained from the retrospective scintigraphic images taken from 17 adult females (between 16.1 and 18.8 years of age, mean age of 17.3 ± 0.86 years) who had non-functional bilateral posterior crossbite, deep palatal vault, and dental crowding, and had been treated with RME. Bone scintigraphs were collected at 3 time intervals: at the beginning of treatment (T1), during the opening of the mid-palatal suture (T2), and at the end of screw activation (T3). Alteration in bone activity in the TMJ regions were evaluated in sagittal and transaxial slices. To determine the differences between the intervals, repeated analysis of variance and Bonferroni multiple comparison tests were applied.Results: In the right and left TMJ regions, significantly increased metabolic activity was exhibited between T1 and T2 (P < .001). At the time of opening the maxillary mid-palatal suture, the metabolic activity increased by approximately 60% compared to the initial status. At the end of the active expansion period (T3), the change in metabolic activity was approximately 20% lower compared to T2.Conclusions: Metabolic activity intensified in the regions of interest in the TMJ during RME. After mid-palatal suture opening, the activity noticeably decreased (T2-T3). This decrease in bone activity suggests that the TMJ complex adapts to RME forces. |
| first_indexed | 2024-03-12T20:40:10Z |
| format | Article |
| id | doaj.art-612471d94f3745dfb9d585c62db7953a |
| institution | Directory Open Access Journal |
| issn | 2528-9659 2148-9505 |
| language | English |
| last_indexed | 2024-03-12T20:40:10Z |
| publishDate | 2021-09-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | Turkish Journal of Orthodontics |
| spelling | doaj.art-612471d94f3745dfb9d585c62db7953a2023-08-01T11:02:47ZengGalenos YayineviTurkish Journal of Orthodontics2528-96592148-95052021-09-0134317618110.5152/TurkJOrthod.2021.2016213049054Effects of Rapid Maxillary Expansion on the Temporomandibular Joint: A Bone Scintigraphy StudyGulay Dumanli Gok0Nuri Mert Topbasi1Bulent Baydas2Hatice Uslu3Ismail Ceylan4Ibrahim Yavuz5Ilhan Metin Dagsuyu6Mustafa Filik7 Department of Orthodontics, Biruni University, Istanbul, Faculty of Dentistry, Turkey Private Practice, Istanbul, Turkey Department of Orthodontics, Uludağ University, Faculty of Dentistry, Bursa, Turkey Department of Nuclear Medicine, İstanbul Medeniyet University, Faculty of Medicine, Istanbul, Turkey Department of Orthodontics, Ataturk University, Faculty of Dentistry, Erzurum, Turkey Department of Orthodontics, Erciyes University, Faculty of Dentistry, Kayseri, Turkey Private Practice, Istanbul, Turkey Department of Nuclear Medicine, Ataturk University, Faculty of Medicine, Erzurum, Turkey Objectives: The purpose of this study is to assess the effects of rapid maxillary expansion (RME) on metabolic activity in the temporomandibular joints (TMJs) of young adult patients using scintigraphy.Methods: The images of the TMJs were obtained from the retrospective scintigraphic images taken from 17 adult females (between 16.1 and 18.8 years of age, mean age of 17.3 ± 0.86 years) who had non-functional bilateral posterior crossbite, deep palatal vault, and dental crowding, and had been treated with RME. Bone scintigraphs were collected at 3 time intervals: at the beginning of treatment (T1), during the opening of the mid-palatal suture (T2), and at the end of screw activation (T3). Alteration in bone activity in the TMJ regions were evaluated in sagittal and transaxial slices. To determine the differences between the intervals, repeated analysis of variance and Bonferroni multiple comparison tests were applied.Results: In the right and left TMJ regions, significantly increased metabolic activity was exhibited between T1 and T2 (P < .001). At the time of opening the maxillary mid-palatal suture, the metabolic activity increased by approximately 60% compared to the initial status. At the end of the active expansion period (T3), the change in metabolic activity was approximately 20% lower compared to T2.Conclusions: Metabolic activity intensified in the regions of interest in the TMJ during RME. After mid-palatal suture opening, the activity noticeably decreased (T2-T3). This decrease in bone activity suggests that the TMJ complex adapts to RME forces. http://www.turkjorthod.org/archives/archive-detail/article-preview/effects-of-rapid-maxillary-expansion-on-the-tempor/53309 scintigraphymaxillary expansiontemporomandibular jointadaptive remodeling |
| spellingShingle | Gulay Dumanli Gok Nuri Mert Topbasi Bulent Baydas Hatice Uslu Ismail Ceylan Ibrahim Yavuz Ilhan Metin Dagsuyu Mustafa Filik Effects of Rapid Maxillary Expansion on the Temporomandibular Joint: A Bone Scintigraphy Study Turkish Journal of Orthodontics scintigraphy maxillary expansion temporomandibular joint adaptive remodeling |
| title | Effects of Rapid Maxillary Expansion on the Temporomandibular Joint: A Bone Scintigraphy Study |
| title_full | Effects of Rapid Maxillary Expansion on the Temporomandibular Joint: A Bone Scintigraphy Study |
| title_fullStr | Effects of Rapid Maxillary Expansion on the Temporomandibular Joint: A Bone Scintigraphy Study |
| title_full_unstemmed | Effects of Rapid Maxillary Expansion on the Temporomandibular Joint: A Bone Scintigraphy Study |
| title_short | Effects of Rapid Maxillary Expansion on the Temporomandibular Joint: A Bone Scintigraphy Study |
| title_sort | effects of rapid maxillary expansion on the temporomandibular joint a bone scintigraphy study |
| topic | scintigraphy maxillary expansion temporomandibular joint adaptive remodeling |
| url |
http://www.turkjorthod.org/archives/archive-detail/article-preview/effects-of-rapid-maxillary-expansion-on-the-tempor/53309
|
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