Nasal Septum Changes in Adolescents Treated with Tooth-Borne and Bone-Borne Rapid Maxillary Expansion: A CBCT Retrospective Study Using Skeletal Tortuosity Ratio and Deviation Analysis
Background: Using three-dimensional (3D) images, this study evaluated the impact of Rapid Maxillary Expansion (RME) on changes in Nasal Septal Deviation (NSD). Methods: Cone-beam computed tomography (CBCT) scan of 40 children with transverse maxillary deficiency, who received tooth-borne (TB) RME or...
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| Format: | Article |
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MDPI AG
2022-11-01
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| Series: | Children |
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| Online Access: | https://www.mdpi.com/2227-9067/9/12/1853 |
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| author | Vincenzo Ronsivalle Elisabetta Carli Antonino Lo Giudice Manuel Lagravère Rosalia Leonardi Pietro Venezia |
| author_facet | Vincenzo Ronsivalle Elisabetta Carli Antonino Lo Giudice Manuel Lagravère Rosalia Leonardi Pietro Venezia |
| author_sort | Vincenzo Ronsivalle |
| collection | DOAJ |
| description | Background: Using three-dimensional (3D) images, this study evaluated the impact of Rapid Maxillary Expansion (RME) on changes in Nasal Septal Deviation (NSD). Methods: Cone-beam computed tomography (CBCT) scan of 40 children with transverse maxillary deficiency, who received tooth-borne (TB) RME or bone-borne (BB) RME, were included in this investigation. Two CBCT scans were performed: one before to appliance installation (T0) and one after a 6-month retention period (T1). The analysis was performed by dividing the actual length of the septum by the desired length in the mid-sagittal plane to measure NSD based on the tortuosity ratio (TR). Results: Subjects in the TB group showed a statistically significant reduction (<i>p</i> < 0.05) of the TR value from T0 to T1, according to the paired Student t test. Subjects in the BB group showed similar findings, with a statistically significant reduction (<i>p</i> < 0.05) of the TR value from T0. No statistically significant differences were found between the mean changes of TR between TB group and BB group. Conclusions: RME may have some effects in reducing the degree of NSD; however, no differences were found between RME performed with TB and BB anchorage systems. |
| first_indexed | 2024-03-09T17:11:56Z |
| format | Article |
| id | doaj.art-f87089b71e1342c5ae9422a1df1b33d5 |
| institution | Directory Open Access Journal |
| issn | 2227-9067 |
| language | English |
| last_indexed | 2024-03-09T17:11:56Z |
| publishDate | 2022-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Children |
| spelling | doaj.art-f87089b71e1342c5ae9422a1df1b33d52023-11-24T14:00:51ZengMDPI AGChildren2227-90672022-11-01912185310.3390/children9121853Nasal Septum Changes in Adolescents Treated with Tooth-Borne and Bone-Borne Rapid Maxillary Expansion: A CBCT Retrospective Study Using Skeletal Tortuosity Ratio and Deviation AnalysisVincenzo Ronsivalle0Elisabetta Carli1Antonino Lo Giudice2Manuel Lagravère3Rosalia Leonardi4Pietro Venezia5Department of General Surgery and Surgical-Medical Specialties, School of Dentistry, Section of Orthodontics, University of Catania, Via S. Sofia 78, 95124 Catania, ItalyDepartment of Surgical Pathology, Molecular Medicine and Critical Area, University of Pisa, 56126 Pisa, ItalyDepartment of General Surgery and Surgical-Medical Specialties, School of Dentistry, Section of Orthodontics, University of Catania, Via S. Sofia 78, 95124 Catania, ItalyDivision of Orthodontics, Faculty of Dentistry, University of Alberta, Edmonton, AB T6G 1C9, CanadaDepartment of General Surgery and Surgical-Medical Specialties, School of Dentistry, Section of Orthodontics, University of Catania, Via S. Sofia 78, 95124 Catania, ItalyDepartment of General Surgery and Surgical-Medical Specialties, School of Dentistry, Section of Orthodontics, University of Catania, Via S. Sofia 78, 95124 Catania, ItalyBackground: Using three-dimensional (3D) images, this study evaluated the impact of Rapid Maxillary Expansion (RME) on changes in Nasal Septal Deviation (NSD). Methods: Cone-beam computed tomography (CBCT) scan of 40 children with transverse maxillary deficiency, who received tooth-borne (TB) RME or bone-borne (BB) RME, were included in this investigation. Two CBCT scans were performed: one before to appliance installation (T0) and one after a 6-month retention period (T1). The analysis was performed by dividing the actual length of the septum by the desired length in the mid-sagittal plane to measure NSD based on the tortuosity ratio (TR). Results: Subjects in the TB group showed a statistically significant reduction (<i>p</i> < 0.05) of the TR value from T0 to T1, according to the paired Student t test. Subjects in the BB group showed similar findings, with a statistically significant reduction (<i>p</i> < 0.05) of the TR value from T0. No statistically significant differences were found between the mean changes of TR between TB group and BB group. Conclusions: RME may have some effects in reducing the degree of NSD; however, no differences were found between RME performed with TB and BB anchorage systems.https://www.mdpi.com/2227-9067/9/12/1853rapid maxillary expansionnasal septum deviationbone-borne RMEtooth-borne RMEorthodonticsskeletal anchorage |
| spellingShingle | Vincenzo Ronsivalle Elisabetta Carli Antonino Lo Giudice Manuel Lagravère Rosalia Leonardi Pietro Venezia Nasal Septum Changes in Adolescents Treated with Tooth-Borne and Bone-Borne Rapid Maxillary Expansion: A CBCT Retrospective Study Using Skeletal Tortuosity Ratio and Deviation Analysis Children rapid maxillary expansion nasal septum deviation bone-borne RME tooth-borne RME orthodontics skeletal anchorage |
| title | Nasal Septum Changes in Adolescents Treated with Tooth-Borne and Bone-Borne Rapid Maxillary Expansion: A CBCT Retrospective Study Using Skeletal Tortuosity Ratio and Deviation Analysis |
| title_full | Nasal Septum Changes in Adolescents Treated with Tooth-Borne and Bone-Borne Rapid Maxillary Expansion: A CBCT Retrospective Study Using Skeletal Tortuosity Ratio and Deviation Analysis |
| title_fullStr | Nasal Septum Changes in Adolescents Treated with Tooth-Borne and Bone-Borne Rapid Maxillary Expansion: A CBCT Retrospective Study Using Skeletal Tortuosity Ratio and Deviation Analysis |
| title_full_unstemmed | Nasal Septum Changes in Adolescents Treated with Tooth-Borne and Bone-Borne Rapid Maxillary Expansion: A CBCT Retrospective Study Using Skeletal Tortuosity Ratio and Deviation Analysis |
| title_short | Nasal Septum Changes in Adolescents Treated with Tooth-Borne and Bone-Borne Rapid Maxillary Expansion: A CBCT Retrospective Study Using Skeletal Tortuosity Ratio and Deviation Analysis |
| title_sort | nasal septum changes in adolescents treated with tooth borne and bone borne rapid maxillary expansion a cbct retrospective study using skeletal tortuosity ratio and deviation analysis |
| topic | rapid maxillary expansion nasal septum deviation bone-borne RME tooth-borne RME orthodontics skeletal anchorage |
| url | https://www.mdpi.com/2227-9067/9/12/1853 |
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