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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MDPI AG
2024-03-01
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Series: | Dentistry Journal |
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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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format | Article |
id | doaj.art-c9d83c4fa4e249f8b401c549b2946292 |
institution | Directory Open Access Journal |
issn | 2304-6767 |
language | English |
last_indexed | 2024-04-24T18:24:57Z |
publishDate | 2024-03-01 |
publisher | MDPI AG |
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series | Dentistry Journal |
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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