Adjunctive buccal and palatal corticotomy for adult maxillary expansion in an animal model

Objective: This study aimed to explore the usefulness of adjunctive buccal and palatal corticotomy for adult maxillary expansion in an animal model using cone-beam computed tomography (CBCT). Methods: Twelve adult sheep were randomly divided into two groups (each n = 6): a control group, where no tr...

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Main Authors: Le, M.H.T., Lau, S.F., Ibrahim, N., Abu Kasim, N.H., Radzi, Z.
Format: Article
Language:English
Published: Korean Association of Orthodontists 2018
Subjects:
Online Access:http://eprints.um.edu.my/18901/1/kjod-48-98.pdf
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author Le, M.H.T.
Lau, S.F.
Ibrahim, N.
Abu Kasim, N.H.
Radzi, Z.
author_facet Le, M.H.T.
Lau, S.F.
Ibrahim, N.
Abu Kasim, N.H.
Radzi, Z.
author_sort Le, M.H.T.
collection UM
description Objective: This study aimed to explore the usefulness of adjunctive buccal and palatal corticotomy for adult maxillary expansion in an animal model using cone-beam computed tomography (CBCT). Methods: Twelve adult sheep were randomly divided into two groups (each n = 6): a control group, where no treatment was administered, and a treatment group, where buccal and palatal corticotomy-assisted maxillary expansion was performed. CBCT scans were taken before (T1) and after (T2) treatment. Differences in all transverse dental and alveolar dimensions, alveolar width at crest level, hard palate level, horizontal bone loss, interdental cusp width and inter-root apex were assessed using Wilcoxon signed-rank and Mann-Whitney U-tests. Kruskal-Wallis tests and pairwise comparisons were used to detect the significance of differences among the inter-premolar and inter-molar widths. Results: CBCT data revealed significant changes in all transverse dental and alveolar dimensions. The mean interpremolar alveolar width showed an increase of 2.29 to 3.62 mm at the hard palate level, 3.89 to 4.38 mm at the alveolar crest level, and 9.17 to 10.42 mm at the buccal cusp level. Dental changes in the vertical dimension were not significant. Conclusions: Our findings based on an adult animal model suggest that adjunctive buccal and palatal corticotomy can allow for both skeletal and dental expansion, with the amount of dental expansion exceeding that of skeletal expansion at alveolar crest and hard palate levels by two and three folds, respectively. Therefore, this treatment modality is potential to enhance the outcomes of maxillary expansion in adults.
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spelling um.eprints-189012019-06-20T01:37:42Z http://eprints.um.edu.my/18901/ Adjunctive buccal and palatal corticotomy for adult maxillary expansion in an animal model Le, M.H.T. Lau, S.F. Ibrahim, N. Abu Kasim, N.H. Radzi, Z. RK Dentistry Practice of dentistry. Dental economics Objective: This study aimed to explore the usefulness of adjunctive buccal and palatal corticotomy for adult maxillary expansion in an animal model using cone-beam computed tomography (CBCT). Methods: Twelve adult sheep were randomly divided into two groups (each n = 6): a control group, where no treatment was administered, and a treatment group, where buccal and palatal corticotomy-assisted maxillary expansion was performed. CBCT scans were taken before (T1) and after (T2) treatment. Differences in all transverse dental and alveolar dimensions, alveolar width at crest level, hard palate level, horizontal bone loss, interdental cusp width and inter-root apex were assessed using Wilcoxon signed-rank and Mann-Whitney U-tests. Kruskal-Wallis tests and pairwise comparisons were used to detect the significance of differences among the inter-premolar and inter-molar widths. Results: CBCT data revealed significant changes in all transverse dental and alveolar dimensions. The mean interpremolar alveolar width showed an increase of 2.29 to 3.62 mm at the hard palate level, 3.89 to 4.38 mm at the alveolar crest level, and 9.17 to 10.42 mm at the buccal cusp level. Dental changes in the vertical dimension were not significant. Conclusions: Our findings based on an adult animal model suggest that adjunctive buccal and palatal corticotomy can allow for both skeletal and dental expansion, with the amount of dental expansion exceeding that of skeletal expansion at alveolar crest and hard palate levels by two and three folds, respectively. Therefore, this treatment modality is potential to enhance the outcomes of maxillary expansion in adults. Korean Association of Orthodontists 2018 Article PeerReviewed application/pdf en http://eprints.um.edu.my/18901/1/kjod-48-98.pdf Le, M.H.T. and Lau, S.F. and Ibrahim, N. and Abu Kasim, N.H. and Radzi, Z. (2018) Adjunctive buccal and palatal corticotomy for adult maxillary expansion in an animal model. Korean Journal of Orthodontics, 48 (2). pp. 98-106. ISSN 2234-7518, DOI https://doi.org/10.4041/kjod.2018.48.2.98 <https://doi.org/10.4041/kjod.2018.48.2.98>. https://doi.org/10.4041/kjod.2018.48.2.98 doi:10.4041/kjod.2018.48.2.98
spellingShingle RK Dentistry
Practice of dentistry. Dental economics
Le, M.H.T.
Lau, S.F.
Ibrahim, N.
Abu Kasim, N.H.
Radzi, Z.
Adjunctive buccal and palatal corticotomy for adult maxillary expansion in an animal model
title Adjunctive buccal and palatal corticotomy for adult maxillary expansion in an animal model
title_full Adjunctive buccal and palatal corticotomy for adult maxillary expansion in an animal model
title_fullStr Adjunctive buccal and palatal corticotomy for adult maxillary expansion in an animal model
title_full_unstemmed Adjunctive buccal and palatal corticotomy for adult maxillary expansion in an animal model
title_short Adjunctive buccal and palatal corticotomy for adult maxillary expansion in an animal model
title_sort adjunctive buccal and palatal corticotomy for adult maxillary expansion in an animal model
topic RK Dentistry
Practice of dentistry. Dental economics
url http://eprints.um.edu.my/18901/1/kjod-48-98.pdf
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