Changes in skeletal and dental relationship in Class II Division I malocclusion after rapid maxillary expansion: a prospective study

OBJECTIVE: To assess skeletal and dental changes immediately after rapid maxillary expansion (RME) in Class II Division 1 malocclusion patients and after a retention period, using cone beam computed tomography (CBCT) imaging. METHODS: Seventeen children with Class II, Division 1 malocclusion and max...

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Main Authors: Carolina Baratieri, Matheus Alves Jr, Ana Maria Bolognese, Matilde C. G. Nojima, Lincoln I. Nojima
Format: Article
Language:English
Published: Dental Press Editora 2014-06-01
Series:Dental Press Journal of Orthodontics
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2176-94512014000300075&lng=en&tlng=en
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author Carolina Baratieri
Matheus Alves Jr
Ana Maria Bolognese
Matilde C. G. Nojima
Lincoln I. Nojima
author_facet Carolina Baratieri
Matheus Alves Jr
Ana Maria Bolognese
Matilde C. G. Nojima
Lincoln I. Nojima
author_sort Carolina Baratieri
collection DOAJ
description OBJECTIVE: To assess skeletal and dental changes immediately after rapid maxillary expansion (RME) in Class II Division 1 malocclusion patients and after a retention period, using cone beam computed tomography (CBCT) imaging. METHODS: Seventeen children with Class II, Division 1 malocclusion and maxillary skeletal transverse deficiency underwent RME following the Haas protocol. CBCT were taken before treatment (T1), at the end of the active expansion phase (T2) and after a retention period of 6 months (T3). The scanned images were measured anteroposteriorly (SNA, SNB, ANB, overjet and MR) and vertically (N-ANS, ANS-Me, N-Me and overbite). RESULTS: Significant differences were identified immediately after RME as the maxilla moved forward, the mandible moved downward, overjet increased and overbite decreased. During the retention period, the maxilla relapsed backwards and the mandible was displaced forward, leaving patients with an overall increase in anterior facial height. CONCLUSION: RME treatment allowed more anterior than inferior positioning of the mandible during the retention period, thus significantly improving Class II dental relationship in 75% of the patients evaluated.
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spelling doaj.art-fde34976ba24448286bc40372135cbca2022-12-22T03:26:51ZengDental Press EditoraDental Press Journal of Orthodontics2177-67092014-06-01193758110.1590/2176-9451.19.3.075-081.oarS2176-94512014000300075Changes in skeletal and dental relationship in Class II Division I malocclusion after rapid maxillary expansion: a prospective studyCarolina BaratieriMatheus Alves JrAna Maria BologneseMatilde C. G. NojimaLincoln I. NojimaOBJECTIVE: To assess skeletal and dental changes immediately after rapid maxillary expansion (RME) in Class II Division 1 malocclusion patients and after a retention period, using cone beam computed tomography (CBCT) imaging. METHODS: Seventeen children with Class II, Division 1 malocclusion and maxillary skeletal transverse deficiency underwent RME following the Haas protocol. CBCT were taken before treatment (T1), at the end of the active expansion phase (T2) and after a retention period of 6 months (T3). The scanned images were measured anteroposteriorly (SNA, SNB, ANB, overjet and MR) and vertically (N-ANS, ANS-Me, N-Me and overbite). RESULTS: Significant differences were identified immediately after RME as the maxilla moved forward, the mandible moved downward, overjet increased and overbite decreased. During the retention period, the maxilla relapsed backwards and the mandible was displaced forward, leaving patients with an overall increase in anterior facial height. CONCLUSION: RME treatment allowed more anterior than inferior positioning of the mandible during the retention period, thus significantly improving Class II dental relationship in 75% of the patients evaluated.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2176-94512014000300075&lng=en&tlng=enExpansão palatalMá oclusão Classe II de AngleEstudo clínico
spellingShingle Carolina Baratieri
Matheus Alves Jr
Ana Maria Bolognese
Matilde C. G. Nojima
Lincoln I. Nojima
Changes in skeletal and dental relationship in Class II Division I malocclusion after rapid maxillary expansion: a prospective study
Dental Press Journal of Orthodontics
Expansão palatal
Má oclusão Classe II de Angle
Estudo clínico
title Changes in skeletal and dental relationship in Class II Division I malocclusion after rapid maxillary expansion: a prospective study
title_full Changes in skeletal and dental relationship in Class II Division I malocclusion after rapid maxillary expansion: a prospective study
title_fullStr Changes in skeletal and dental relationship in Class II Division I malocclusion after rapid maxillary expansion: a prospective study
title_full_unstemmed Changes in skeletal and dental relationship in Class II Division I malocclusion after rapid maxillary expansion: a prospective study
title_short Changes in skeletal and dental relationship in Class II Division I malocclusion after rapid maxillary expansion: a prospective study
title_sort changes in skeletal and dental relationship in class ii division i malocclusion after rapid maxillary expansion a prospective study
topic Expansão palatal
Má oclusão Classe II de Angle
Estudo clínico
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2176-94512014000300075&lng=en&tlng=en
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