본문 바로가기
KERD
논문KCI 등재

Effect and stability of miniscrew-assisted rapid palatal expansion: A systematic review and meta-analysis

1

조회

0

다운로드

0

인용

0

참고문헌

키워드

주제분류치의학

초록

Objective: This study aimed to systematically analyze the effect and stability of miniscrew-assisted rapid palatal expansion (MARPE) to provide a reference for the clinical treatment of patients with maxillary transverse deficiency (MTD). Methods: We searched PubMed, Science Direct, Web of Science, Embase, Cochrane Library, CNKI, and Wanfang Database for relevant studies published before February 18, 2021 and selected them according to the eligibility criteria. The Cochrane Handbook for Systematic Reviews (version 5.1.0) criteria were used for the quality assessment of randomized controlled trials, while the scoring protocol of the methodological index for non-randomized studies was used for non-randomized controlled trials. Statistical analysis was performed using the RevMan5.3 software. Results: All the included studies showed a relatively high success rate of expansion. The changes in both the intermolar and alveolar widths after MARPE were statistically significant. MARPE exhibited greater skeletal expansion effects than did conventional RPE. The midpalatal suture was opened in parallel after MARPE. A small amount of relapse was observed 1 year after expansion. MARPE caused tooth inclination and a decrease in alveolar height, but it was less significant than in conventional RPE. Conclusions: MARPE may be an effective treatment modality for patients with MTD. It causes great transverse skeletal expansion in late adolescence. In comparison to conventional RPE, MARPE has lower detrimental periodontal effects and has certain clinical advantages.

Abstract

Objective: This study aimed to systematically analyze the effect and stability of miniscrew-assisted rapid palatal expansion (MARPE) to provide a reference for the clinical treatment of patients with maxillary transverse deficiency (MTD). Methods: We searched PubMed, Science Direct, Web of Science, Embase, Cochrane Library, CNKI, and Wanfang Database for relevant studies published before February 18, 2021 and selected them according to the eligibility criteria. The Cochrane Handbook for Systematic Reviews (version 5.1.0) criteria were used for the quality assessment of randomized controlled trials, while the scoring protocol of the methodological index for non-randomized studies was used for non-randomized controlled trials. Statistical analysis was performed using the RevMan5.3 software. Results: All the included studies showed a relatively high success rate of expansion. The changes in both the intermolar and alveolar widths after MARPE were statistically significant. MARPE exhibited greater skeletal expansion effects than did conventional RPE. The midpalatal suture was opened in parallel after MARPE. A small amount of relapse was observed 1 year after expansion. MARPE caused tooth inclination and a decrease in alveolar height, but it was less significant than in conventional RPE. Conclusions: MARPE may be an effective treatment modality for patients with MTD. It causes great transverse skeletal expansion in late adolescence. In comparison to conventional RPE, MARPE has lower detrimental periodontal effects and has certain clinical advantages.

참고문헌 (40)

  1. Proffit WR, "Prevalence of malocclusion and orthodontic treatment need in the United States : estimates from the NHANES III survey", Int J Adult Orthodon Orthognath Surg, 13, pp.97~106 (1998)
  2. Angell EH, "Treatment of irregularity of the permanent or adult teeth", Dental Cosmos, 1, pp.540~544 (1860)
  3. Melsen B, "The postnatal development of the palatomaxillary region studied on human autopsy material", Am J Orthod, 82, pp.329~342 (1982)
  4. Persson M, "Palatal suture closure in man from 15 to 35 years of age", Am J Orthod, 72, pp.42~52 (1977)
  5. Cao Y, "Cephalometric study of slow maxillary expansion in adults", Am J Orthod Dentofacial Orthop, 136, pp.348~354 (2009)
  6. Betts NJ, "Diagnosis and treatment of transverse maxillary deficiency", Int J Adult Orthodon Orthognath Surg, 10, pp.75~96 (1995)
  7. Cureton SL, "Surgically assisted rapid palatal expansion : orthodontic preparation for clinical success", Am J Orthod Dentofacial Orthop, 116, pp.46~59 (1999)
  8. Choi SH, "Nonsurgical miniscrew-assisted rapid maxillary expansion results in acceptable stability in young adults", Angle Orthod, 86, pp.713~720 (2016)
  9. Seung-Ryeol Lee, "Short-term impact of microimplant-assisted rapid palatal expansion on the nasal soft tissues in adults: A three-dimensional stereophotogrammetry study", 대한치과교정학회지, 50(2), pp.75~85 (2020), 대한치과교정학회[DOI]
  10. 임현묵, "Stability of dental, alveolar, and skeletal changes after miniscrew-assisted rapid palatal expansion", 대한치과교정학회지, 47(5), pp.313~322 (2017), 대한치과교정학회
  11. Oliveira CB, "Evaluation of factors related to the success of miniscrew-assisted rapid palatal expansion", Angle Orthod, 91, pp.187~194 (2021)
  12. 박정진, "Skeletal and dentoalveolar changes after miniscrew-assisted rapid palatal expansion in young adults: A cone-beam computed tomography study", 대한치과교정학회지, 47(2), pp.77~86 (2017), 대한치과교정학회
  13. Jia H, "Comparison of skeletal maxillary transverse deficiency treated by microimplant-assisted rapid palatal expansion and tooth-borne expansion during the post-pubertal growth spurt stage", Angle Orthod, 91, pp.36~45 (2021)
  14. Ngan P, "Skeletal, dentoalveolar, and periodontal changes of skeletally matured patients with maxillary deficiency treated with microimplant-assisted rapid palatal expansion appliances: a pilot study", APOS Trends Orthod, 8, pp.71~85 (2018)
  15. Yılmaz A, "Comparison of short-term effects of mini-implantsupported maxillary expansion appliance with two conventional expansion protocols", Eur J Orthod, 37, pp.556~564 (2015)
  16. Cantarella D, "Changes in the midpalatal and pterygopalatine sutures induced by micro-implant-supported skeletal expander, analyzed with a novel 3D method based on CBCT imaging", Prog Orthod, 18, pp.34~ (2017)
  17. Lin L, "Tooth-borne vs bone-borne rapid maxillary expanders in late adolescence", Angle Orthod, 85, pp.253~262 (2015)
  18. Lagravère MO, "Transverse, vertical, and anteroposterior changes from bone-anchored maxillary expansion vs traditional rapid maxillary expansion: a randomized clinical trial", Am J Orthod Dentofacial Orthop, 137, pp.304~ (2010)
  19. Akin M, "Three-dimensional evaluation of hybrid expander appliances : a pilot study", Angle Orthod, 86, pp.81~86 (2016)
  20. Celenk-Koca T, "Evaluation of miniscrew-supported rapid maxillary expansion in adolescents : a prospective randomized clinical trial", Angle Orthod, 88, pp.702~709 (2018)
  21. Stuart DA, "Rapid palatal expansion in the young adult : time for a paradigm shift?", J Can Dent Assoc, 69, pp.374~377 (2003)
  22. Bishara SE, "Maxillary expansion : clinical implications", Am J Orthod Dentofacial Orthop, 91, pp.3~14 (1987)
  23. Cohen MM Jr, "Sutural biology and the correlates of craniosynostosis", Am J Med Genet, 47, pp.581~616 (1993)
  24. Handelman CS, "Nonsurgical rapid maxillary expansion in adults : report on 47 cases using the Haas expander", Angle Orthod, 70, pp.129~144 (2000)
  25. Braun S, "The biomechanics of rapid maxillary sutural expansion", Am J Orthod Dentofacial Orthop, 118, pp.257~261 (2000)
  26. Gauthier C, "Periodontal effects of surgically assisted rapid palatal expansion evaluated clinically and with cone-beam computerized tomography: 6-month preliminary results", Am J Orthod Dentofacial Orthop, 139(4 Suppl), pp.S117~S128 (2011)
  27. Kanzaki R, "Remodeling of alveolar bone crest after molar intrusion with skeletal anchorage system in dogs", Am J Orthod Dentofacial Orthop, 131, pp.343~351 (2007)
  28. Storey E, "Tissue response to the movement of bones", Am J Orthod, 64, pp.229~247 (1973)
  29. Hou B, "Mechanical force-induced midpalatal suture remodeling in mice", Bone, 40, pp.1483~1493 (2007)
  30. Ma J, "Up-regulation of multiple proteins and biological processes during maxillary expansion in rats", BMC Musculoskelet Disord, 9, pp.37~ (2008)
  31. Garib DG, "Rapid maxillary expansion--tooth tissueborne versus tooth-borne expanders : a computed tomography evaluation of dentoskeletal effects", Angle Orthod, 75, pp.548~557 (2005)
  32. Garrett BJ, "Skeletal effects to the maxilla after rapid maxillary expansion assessed with conebeam computed tomography", Am J Orthod Dentofacial Orthop, 134, pp.8~9 (2008)
  33. Lione R, "Treatment and posttreatment skeletal effects of rapid maxillary expansion studied with low-dose computed tomography in growing subjects", Am J Orthod Dentofacial Orthop, 134, pp.389~392 (2008)
  34. Weissheimer A, "Immediate effects of rapid maxillary expansion with Haas-type and hyrax-type expanders : a randomized clinical trial", Am J Orthod Dentofacial Orthop, 140, pp.366~376 (2011)
  35. 성의향, "Evaluation of the effects of miniscrew incorporation in palatal expanders for young adults using finite element analysis", 대한치과교정학회지, 48(2), pp.81~89 (2018), 대한치과교정학회
  36. 구윤진, "Maxillomandibular arch width differences at estimated centers of resistance: Comparison between normal occlusion and skeletal Class III malocclusion", 대한치과교정학회지, 47(3), pp.167~175 (2017), 대한치과교정학회
  37. Thilander B, "Bone regeneration in alveolar bone dehiscences related to orthodontic tooth movements", Eur J Orthod, 5, pp.105~114 (1983)
  38. Yu-lou Tian, "Alveolar bone thickness around maxillary central incisors of different inclination assessed with cone-beam computed tomography", 대한치과교정학회지, 45(5), pp.245~252 (2015), 대한치과교정학회
  39. Garib DG, "Periodontal effects of rapid maxillary expansion with tooth-tissue-borne and tooth-borne expanders : a computed tomography evaluation", Am J Orthod Dentofacial Orthop, 129, pp.749~758 (2006)
  40. Rungcharassaeng K, "Factors affecting buccal bone changes of maxillary posterior teeth after rapid maxillary expansion", Am J Orthod Dentofacial Orthop, 132, pp.428~ (2007)

관련 논문AI추천

Effectiveness of miniscrew assisted rapid palatal expansion using cone beam computed tomography: A systematic review and meta-analysisAnuwongnukroh Niwat, Khlongwanitchakul Kornkanok, Manopatanakul Somchai, Siddhisaributr Patchaya, Viwattanatipa Nita대한치과교정학회 · 대한치과교정학회지2022 · 제52권 제3호Stability of dental, alveolar, and skeletal changes after miniscrew-assisted rapid palatal expansion김경호, 박영철, 이기준, 임현묵, 최윤정대한치과교정학회 · 대한치과교정학회지2017 · 제47권 제5호Skeletal and dentoalveolar effects of different types of microimplant-assisted rapid palatal expansion이상민, 이진우, 정동화, Hyeong-Yoon Choi, Mo-Hyeon Lee대한치과교정학회 · 대한치과교정학회지2023 · 제53권 제4호Skeletal and dentoalveolar changes after miniscrew-assisted rapid palatal expansion in young adults: A cone-beam computed tomography study박영철, 박정진, 이기준, 차정열, 최윤정, 탁지현대한치과교정학회 · 대한치과교정학회지2017 · 제47권 제2호Short-term treatment effects produced by rapid maxillary expansion evaluated with computed tomography: A systematic review with meta-analysisGiudice Antonino Lo, Messina Gabriele, Nucera Riccardo, Rustico Lorenzo, Spinuzza Paola대한치과교정학회 · 대한치과교정학회지2020 · 제50권 제5호Predictors of midpalatal suture expansion by miniscrew-assisted rapid palatal expansion in young adults: A preliminary studyChung-Ju Hwang, Hyerin Shin, Hyung Seog Yu, Kee-Joon Lee, Sang-Sun Han, Yoon Jeong Choi대한치과교정학회 · 대한치과교정학회지2019 · 제49권 제6호

이 간행물의 다른 논문 (7건)