Dentoalveolar Changes in the Premolar Region After Two Maxillary Expansion Protocols

IF 2.7 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE
Orthodontics & Craniofacial Research Pub Date : 2026-08-18 Epub Date: 2026-04-10 DOI:10.1111/ocr.70122
Jaqueline Peter, Fabiane Azeredo, Susana Maria Deon Rizzatto, Cátia Cardoso Abdo Quintão, Tarek Elshebiny, Juan Martin Palomo, Luciane Macedo de Menezes
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引用次数: 0

Abstract

Objectives

To evaluate the dentoalveolar effects on the upper first premolars after two maxillary expansion protocols—rapid maxillary expansion (RME) and alternate rapid maxillary expansion and constriction (Alt-RAMEC)—before and 6 months after treatment.

Materials and Methods

Cone-Beam Computed Tomography (CBCT) images of 20 patients who underwent maxillary expansion with the Hyrax appliance under two activation protocols were evaluated. Dental and alveolar measurements at the premolar region (tooth length, alveolar bone level and thickness) were measured before (T1) and after expansion (T2). Intra- and inter-examiner reliability was determined using Intraclass Correlation Coefficients. Statistical analyses included the Shapiro–Wilk test and Student's t-tests for paired and independent samples. Statistical significance was set at 5%.

Results

A significant increase in interpremolar distances was observed, both in the radicular and coronal levels (4.29 mm and 4.97 mm), with greater coronal than root distance. This was more evident in the Alt-RAMEC group. Alveolar thickness showed an average reduction of 0.54 mm after expansion.

Conclusions

The expansion effects of the two protocols were similar in the premolar region, resulting in a reduction in alveolar thickness. A tendency for greater tooth inclination and root reduction was observed after the Alt-RAMEC protocol.

Trial Registration

IRB: 42856915.1.0000.5336

两次上颌扩张后前磨牙区牙槽的变化。
目的:评价快速上颌扩张(RME)和交替快速上颌扩张缩窄(Alt-RAMEC)两种上颌扩张方案在治疗前和治疗后6个月对上颌第一前磨牙牙槽的影响。材料和方法:对20例使用Hyrax矫治器进行上颌扩张的患者的锥形束ct (CBCT)图像进行评估。在扩展前(T1)和扩展后(T2)测量前磨牙区域的牙齿和牙槽测量(牙齿长度、牙槽骨水平和厚度)。使用类内相关系数确定了审查员内部和内部的信度。统计分析包括配对和独立样本的夏皮罗-威尔克检验和学生t检验。统计学意义设为5%。结果:根状和冠状水平的释磨牙距离均显著增加(4.29 mm和4.97 mm),冠状距离大于根状距离。这在Alt-RAMEC组中更为明显。扩张后肺泡厚度平均减少0.54 mm。结论:两种方案在前磨牙区域的扩张效果相似,导致牙槽厚度减少。在Alt-RAMEC方案后观察到更大的牙齿倾斜和根缩小的趋势。试验注册:IRB: 42856915.1.0000.5336。
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来源期刊
Orthodontics & Craniofacial Research
Orthodontics & Craniofacial Research 医学-牙科与口腔外科
CiteScore
5.30
自引率
3.20%
发文量
65
审稿时长
>12 weeks
期刊介绍: Orthodontics & Craniofacial Research - Genes, Growth and Development is published to serve its readers as an international forum for the presentation and critical discussion of issues pertinent to the advancement of the specialty of orthodontics and the evidence-based knowledge of craniofacial growth and development. This forum is based on scientifically supported information, but also includes minority and conflicting opinions. The objective of the journal is to facilitate effective communication between the research community and practicing clinicians. Original papers of high scientific quality that report the findings of clinical trials, clinical epidemiology, and novel therapeutic or diagnostic approaches are appropriate submissions. Similarly, we welcome papers in genetics, developmental biology, syndromology, surgery, speech and hearing, and other biomedical disciplines related to clinical orthodontics and normal and abnormal craniofacial growth and development. In addition to original and basic research, the journal publishes concise reviews, case reports of substantial value, invited essays, letters, and announcements. The journal is published quarterly. The review of submitted papers will be coordinated by the editor and members of the editorial board. It is policy to review manuscripts within 3 to 4 weeks of receipt and to publish within 3 to 6 months of acceptance.
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