Does Miniscrew-Assisted Rapid Palatal Expansion Influence Upper Airway in Adult Patients? A Scoping Review

(1) Objective: This scoping review evaluates the effects of miniscrew-assisted rapid palatal expansion (MARPE) on different regions of the upper airway in adult patients and investigates various methods of measurement. (2) Methods: The search encompassed Pubmed, Cochrane Library, Scopus and Web of S...

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Main Authors: Mariachiara Benetti, Luca Montresor, Daniele Cantarella, Nicoletta Zerman, Enrico Spinas
Format: Article
Language:English
Published: MDPI AG 2024-03-01
Series:Dentistry Journal
Subjects:
Online Access:https://www.mdpi.com/2304-6767/12/3/60
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author Mariachiara Benetti
Luca Montresor
Daniele Cantarella
Nicoletta Zerman
Enrico Spinas
author_facet Mariachiara Benetti
Luca Montresor
Daniele Cantarella
Nicoletta Zerman
Enrico Spinas
author_sort Mariachiara Benetti
collection DOAJ
description (1) Objective: This scoping review evaluates the effects of miniscrew-assisted rapid palatal expansion (MARPE) on different regions of the upper airway in adult patients and investigates various methods of measurement. (2) Methods: The search encompassed Pubmed, Cochrane Library, Scopus and Web of Science. This review was conducted following the PRISMA_ScR guidelines, and the inclusion criteria for examined studies were chosen in accordance with the PICOS framework. (3) Results: Seven studies were included in this review, comprising four retrospective studies, one prospective and two case reports. All studies involved the use of Cone Beam Computed Tomography (CBCT) for measurements of the areas of interest. The percentage of increase in the volume of the nasal cavity varied between 31% and 9.9%, depending on the study. Volumetric variations in the nasopharynx were reported as increases between T0 (before expansion) and T1 (immediately after expansion) of 6.4%, 20.7% and 14.1%. All studies considered T0 before expansion and T1 immediately after expansion. Only one study evaluated remote follow-up to assess if the results were maintained after one year. (4) Conclusions: MARPE appears to lead to a statistically significant increase in the upper airway, especially in the nasal cavity and nasopharynx immediately after expansion. However, further prospective and retrospective trails with long-term controls are required to verify the effects of MARPE on the upper airway.
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spelling doaj.art-c9d83c4fa4e249f8b401c549b29462922024-03-27T13:33:01ZengMDPI AGDentistry Journal2304-67672024-03-011236010.3390/dj12030060Does Miniscrew-Assisted Rapid Palatal Expansion Influence Upper Airway in Adult Patients? A Scoping ReviewMariachiara Benetti0Luca Montresor1Daniele Cantarella2Nicoletta Zerman3Enrico Spinas4Department of Surgical Science, Post Graduate School of Orthodontics, University of Cagliari, Via Ospedale, 01924 Cagliari, ItalyDepartment of Surgical Science, Post Graduate School of Orthodontics, University of Cagliari, Via Ospedale, 01924 Cagliari, ItalyDepartment of Biomedical, Surgical and Dental Sciences, University of Milan, Via Commenda 10, 20122 Milan, ItalyDepartment of Pediatric Dentistry and Dental Hygiene, University of Verona, Via San Marco 121, 37138 Verona, ItalyDepartment of Surgical Science, Post Graduate School of Orthodontics, University of Cagliari, Via Ospedale, 01924 Cagliari, Italy(1) Objective: This scoping review evaluates the effects of miniscrew-assisted rapid palatal expansion (MARPE) on different regions of the upper airway in adult patients and investigates various methods of measurement. (2) Methods: The search encompassed Pubmed, Cochrane Library, Scopus and Web of Science. This review was conducted following the PRISMA_ScR guidelines, and the inclusion criteria for examined studies were chosen in accordance with the PICOS framework. (3) Results: Seven studies were included in this review, comprising four retrospective studies, one prospective and two case reports. All studies involved the use of Cone Beam Computed Tomography (CBCT) for measurements of the areas of interest. The percentage of increase in the volume of the nasal cavity varied between 31% and 9.9%, depending on the study. Volumetric variations in the nasopharynx were reported as increases between T0 (before expansion) and T1 (immediately after expansion) of 6.4%, 20.7% and 14.1%. All studies considered T0 before expansion and T1 immediately after expansion. Only one study evaluated remote follow-up to assess if the results were maintained after one year. (4) Conclusions: MARPE appears to lead to a statistically significant increase in the upper airway, especially in the nasal cavity and nasopharynx immediately after expansion. However, further prospective and retrospective trails with long-term controls are required to verify the effects of MARPE on the upper airway.https://www.mdpi.com/2304-6767/12/3/60airwayadultmaxillary expansionminiscrewMSECBCT
spellingShingle Mariachiara Benetti
Luca Montresor
Daniele Cantarella
Nicoletta Zerman
Enrico Spinas
Does Miniscrew-Assisted Rapid Palatal Expansion Influence Upper Airway in Adult Patients? A Scoping Review
Dentistry Journal
airway
adult
maxillary expansion
miniscrew
MSE
CBCT
title Does Miniscrew-Assisted Rapid Palatal Expansion Influence Upper Airway in Adult Patients? A Scoping Review
title_full Does Miniscrew-Assisted Rapid Palatal Expansion Influence Upper Airway in Adult Patients? A Scoping Review
title_fullStr Does Miniscrew-Assisted Rapid Palatal Expansion Influence Upper Airway in Adult Patients? A Scoping Review
title_full_unstemmed Does Miniscrew-Assisted Rapid Palatal Expansion Influence Upper Airway in Adult Patients? A Scoping Review
title_short Does Miniscrew-Assisted Rapid Palatal Expansion Influence Upper Airway in Adult Patients? A Scoping Review
title_sort does miniscrew assisted rapid palatal expansion influence upper airway in adult patients a scoping review
topic airway
adult
maxillary expansion
miniscrew
MSE
CBCT
url https://www.mdpi.com/2304-6767/12/3/60
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