Evaluation of the density of the midpalatal suture after maxillary expansion: a comparative observational study.

IF 2.4 2区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Head & Face Medicine Pub Date : 2025-04-24 DOI:10.1186/s13005-025-00508-7

Gorkem Tekin, Yasin Caglar Kosar, Nesrin Saruhan Kose, Omur Dereci, Gizem Caliskan, Mehmet Ugurlu, Ayse Tugce Ozturk Kocak

{"title":"Evaluation of the density of the midpalatal suture after maxillary expansion: a comparative observational study.","authors":"Gorkem Tekin, Yasin Caglar Kosar, Nesrin Saruhan Kose, Omur Dereci, Gizem Caliskan, Mehmet Ugurlu, Ayse Tugce Ozturk Kocak","doi":"10.1186/s13005-025-00508-7","DOIUrl":null,"url":null,"abstract":"Background: This study aimed to evaluate the effects of surgically assisted rapid maxillary expansion (SARME) and rapid maxillary expansion (RME) groups on midpalatal suture (MPS).Methods: CBCT records who underwent RME and SARME between 2013 and 2024 were included in the study. CBCT axial sections taken preoperatively (T0) and after a 3-month retention period (T1) were evaluated using the MPS. Fractal Analysis (FA) method using the ImageJ program and compared between the groups.Results: 9 patients underwent SARME (%37.5) and 15 patients underwent RME (%62.5). FA values of the SARME and RME groups at T0 were found to be 1.02 ± 1.17 and 1.46 ± 0.09, respectively. FA values of the SARME and RME groups at T1 were found to be 0.98 ± 1.08 and 1.32 ± 0.08, respectively. The difference between T1 and T0 in the SARME and RME groups was 0.02 ± 0.09 and 0.34 ± 0.08, respectively. When FA differences were compared between the groups, no statistically significant difference was found. (p > 0.05) CONCLUSION: The potential effect of increasing retention time on the clinical recovery process has been clarified. In patients who underwent RME and SARME, after 3 months of retention, MPS density decreased compared to the initial density. The findings suggest that increasing the retention time in both RME and SARME groups for increased ossification. FA provides a useful method for evaluating skeletal effects of RME and SARME.","PeriodicalId":12994,"journal":{"name":"Head & Face Medicine","volume":"21 1","pages":"30"},"PeriodicalIF":2.4000,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12020314/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Head & Face Medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1186/s13005-025-00508-7","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}

引用次数: 0

Abstract

Background: This study aimed to evaluate the effects of surgically assisted rapid maxillary expansion (SARME) and rapid maxillary expansion (RME) groups on midpalatal suture (MPS).

Methods: CBCT records who underwent RME and SARME between 2013 and 2024 were included in the study. CBCT axial sections taken preoperatively (T0) and after a 3-month retention period (T1) were evaluated using the MPS. Fractal Analysis (FA) method using the ImageJ program and compared between the groups.

Results: 9 patients underwent SARME (%37.5) and 15 patients underwent RME (%62.5). FA values of the SARME and RME groups at T0 were found to be 1.02 ± 1.17 and 1.46 ± 0.09, respectively. FA values of the SARME and RME groups at T1 were found to be 0.98 ± 1.08 and 1.32 ± 0.08, respectively. The difference between T1 and T0 in the SARME and RME groups was 0.02 ± 0.09 and 0.34 ± 0.08, respectively. When FA differences were compared between the groups, no statistically significant difference was found. (p > 0.05) CONCLUSION: The potential effect of increasing retention time on the clinical recovery process has been clarified. In patients who underwent RME and SARME, after 3 months of retention, MPS density decreased compared to the initial density. The findings suggest that increasing the retention time in both RME and SARME groups for increased ossification. FA provides a useful method for evaluating skeletal effects of RME and SARME.

Abstract Image

查看原文本刊更多论文

上颌扩张后中腭缝合密度的评价：一项比较观察研究。

背景：本研究旨在评价手术辅助快速上颌扩张（SARME）组和快速上颌扩张（RME）组对中腭缝合（MPS）的影响。方法：纳入2013年至2024年间接受RME和SARME的CBCT记录。术前（T0）和保留期3个月（T1）后的CBCT轴向切片采用MPS进行评估。采用分形分析（FA）方法进行ImageJ程序组间比较。结果：SARME 9例（% 37.5%），RME 15例（%62.5）。T0时，SARME组FA值为1.02±1.17，RME组FA值为1.46±0.09。T1时，SARME组FA值为0.98±1.08，RME组FA值为1.32±0.08。SARME组和RME组T1与T0的差异分别为0.02±0.09和0.34±0.08。比较两组间FA的差异，差异无统计学意义。（p > 0.05）结论：延长留置时间对临床恢复过程的潜在影响已经明确。在接受RME和SARME的患者中，保留3个月后，MPS密度与初始密度相比下降。研究结果表明，增加RME和SARME组的保留时间可以增加骨化。FA为评价RME和SARME对骨骼的影响提供了有用的方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Head & Face Medicine DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

4.70

自引率

3.30%

发文量

审稿时长

>12 weeks

期刊介绍： Head & Face Medicine is a multidisciplinary open access journal that publishes basic and clinical research concerning all aspects of cranial, facial and oral conditions. The journal covers all aspects of cranial, facial and oral diseases and their management. It has been designed as a multidisciplinary journal for clinicians and researchers involved in the diagnostic and therapeutic aspects of diseases which affect the human head and face. The journal is wide-ranging, covering the development, aetiology, epidemiology and therapy of head and face diseases to the basic science that underlies these diseases. Management of head and face diseases includes all aspects of surgical and non-surgical treatments including psychopharmacological therapies.