Treatment of maxillary transverse deficiency with rapid expansion of the palate with mini-implant: a review

Cristhal Duque-Urióstegui; Yocelin Ramírez Reyes; Magali González Rodríguez; Fernando López Portillo; Gabriela Castañeda Palacios; Carlos Briseño Flores; Rosa Flores Estrada; María del Rocío Flores Estrada; Ana Lilia Abundez Pliego; Baltazar Barrera-Mera

doi:10.18203/2320-6012.ijrms20231375

Authors

Cristhal Duque-Urióstegui Center for Studies and Research in Orthodontics, Mexico City, Mexico
Yocelin Monserrat Ramírez Reyes UNAM, Mexico City, Mexico
Magali González Rodríguez Department Master of Dental Sciences, UAM, City of Mexico, Mexico
Fernando Rosas López Portillo Department of Stomatology, UAS, Sinaloa, Mexico
Gabriela Castañeda Palacios ULA, Mexico City, Mexico
Carlos Briseño Flores Department of Stomatology, UAM, Mexico City, Mexico
Rosa Martha Flores Estrada Department of Stomatology, UAEM, State of Mexico, Mexico
María del Rocío Flores Estrada Department of Stomatology, UAEM, State of Mexico, Mexico
Ana Lilia Abundez Pliego Department of Surgery, PEMEX General Hospital, Ciudad del Carmen, Mexico
Baltazar Barrera-Mera Department of Physiology, UNAM, CDMX, Mexico

DOI:

https://doi.org/10.18203/2320-6012.ijrms20231375

Keywords:

Maxillary expansion, Cross bite, Transverse maxillary deficiency, Maxillary hypoplasia, Miniscrew-assisted rapid palatal expansion, Rapid maxillary expansion, Maxillary expansion, Cross bite, Transverse maxillary deficiency, Maxillary hypoplasia, Miniscrew-assisted rapid palatal expansion, Rapid maxillary expansion

Abstract

One of the most prevalent malocclusions is maxillary constriction, which is a narrowing of the upper arch; its etiology is multifactorial, including mainly genetic factors and parafunctional habits. It is characterized by a posterior crossbite that can be unilateral or bilateral, total or partial, and may even not occur in cases with simultaneous constriction of the mandibular arch. Transverse deficiency or maxillary hypoplasia affects facial growth and the integrity of the dentoalveolar structures. Therefore, it must be corrected as soon as it is diagnosed. As the maxilla widens, the midpalatal suture and the intermaxillary suture expand. When they are not fused, it is connective tissue and behaves viscoelastically in response to externally applied forces. In order to effectively treat any dentofacial deformation, an early diagnostic and therapeutic approach is required.

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References

Magnusson A, Bjerklin K, Nilsson P, Jönsson F, Marcusson A. Nasal cavity size, airway resistance, and subjective sensation after surgically assisted rapid maxillary expansion: a prospective longitudinal study. Am J Orthod Dentofacial Orthop. 2011;140(5):641-51.

El H, Palomo JM. Airway volume for different dentofacial skeletal patterns. Am J Orthod Dentofacial Orthop. 2011;139(6):e511-21.

Cappellette M, Nagai LHY, Gonçalves RM, Yuki AK, Pignatari SSN, Fujita RR. Skeletal effects of RME in the transverse and vertical dimensions of the nasal cavity in mouth-breathing growing children. Dental Press J Orthod. 2017;22(4):61-9.

Betts NJ. Surgically Assisted Maxillary Expansion. Atlas Oral Maxillofac Surg Clin North Am. 2016;24(1):67-77.

Ruan WH, Han WQ, Huang ML, Huang KL, Jin LL. Premaxillary-maxillary suture development in the first trimester : An ultrasound study. J Orofac Orthop. 2019;80(1):25-31.

Ruan WH, Winger JN, Yu JC, Borke JL. Effects of induced premaxillary suture fusion on the craniofacial morphology in growing rats. Arch Oral Biol. 2008;53(1):79-86.

Goldberg M. Embryology and Development: Mandible, Maxillary, Deciduous and Permanent Teeth. JSM Dent. 2019;7(1):1116.

Zohrabian VM, Poon CS, Abrahams JJ. Embryology and Anatomy of the Jaw and Dentition. Semin Ultrasound CT MR. 2015;36(5):397-406.

Baciu ER, Budală DG, Vasluianu RI, Lupu CI, Murariu A, Gelețu GL, et al. A Comparative Analysis of Dental Measurements in Physical and Digital Orthodontic Case Study Models. Medicina (Kaunas). 2022;58(9):1230.

Petrén S, Bondemark L, Söderfeldt B. A systematic review concerning early orthodontic treatment of unilateral posterior crossbite. Angle Orthod. 2003;73(5):588-96.

Eldin NF, Elkordy SA, Fayed MS, Elbeialy AR, Eid FH. Transverse Skeletal Effects of Rapid Maxillary Expansion in Pre and Post Pubertal Subjects: A Systematic Review. Open Access Maced J Med Sci. 2019;7(3):467-77.

Andrucioli MCD, Matsumoto MAN. Transverse maxillary deficiency: treatment alternatives in face of early skeletal maturation. Dental Press J Orthod. 2020;25(1):70-9.

Dakhil N, Bin Salamah F. The Diagnosis Methods and Management Modalities of Maxillary Transverse Discrepancy. Cureus. 2021;13(12):e20482.

Zhao H, Wang X, Jin A, Wang M, Wang Z, Huang X, et al. Reducing relapse and accelerating osteogenesis in rapid maxillary expansion using an injectable mesoporous bioactive glass/fibrin glue composite hydrogel. Bioact Mater. 2022;18:507-25.

Teja PH, Teja SS, Nayak RS, Bagade A, Sharma MR. Correction of transverse maxillary deficiency and anterior open bite in an adult Class III skeletal patient. APOS Trends Orthod. 2016;6:166-70.

Lee KJ, Park YC, Park JY, Hwang WS. Miniscrew-assisted nonsurgical palatal expansion before orthognathic surgery for a patient with severe mandibular prognathism. Am J Orthod Dentofacial Orthop. 2010;137(6):830-9.

Carlson C, Sung J, McComb RW, Machado AW, Moon W. Microimplant-assisted rapid palatal expansion appliance to orthopedically correct transverse maxillary deficiency in an adult. Am J Orthod Dentofacial Orthop. 2016;149(5):716-28.

Brunetto DP, Sant'Anna EF, Machado AW, Moon W. Non-surgical treatment of transverse deficiency in adults using Microimplant-assisted Rapid Palatal Expansion (MARPE). Dental Press J Orthod. 2017;22(1):110-25.

Oliveira LT, Abreu LG, Silveira GS, de Araújo VE, Oliveira DD. Does surgically assisted maxillary expansion improve obstructive sleep apnoea in adults? A systematic review and meta-analysis. Evid Based Dent. 2022.

Sangsari A, Chinipardaz Z, Carrasco L. Following Surgically Assisted Rapid Palatal Expansion, Do Tooth-Borne or Bone-Borne Appliances Provide More Skeletal Expansion and Dental Expansion? J Oral Maxillofac Surg. 2017;75(10):2211-22.

Fuhrer RS, Romanyk DL, Carey JP. A comparative finite element analysis of maxillary expansion with and without midpalatal suture viscoelasticity using a representative skeletal geometry. Sci Rep. 2019;9(1):8476.

ElNaghy R, Al-Qawasmi R, Hasanin M. Do patient-reported outcomes of miniscrew-supported maxillary expansion in adolescent patients differ between slow and rapid activation protocol? Evid Based Dent. 2023;24(1):28-9.

Lanteri V, Cossellu G, Farronato M, Ugolini A, Leonardi R, Rusconi F, et al. Assessment of the Stability of the Palatal Rugae in a 3D-3D Superimposition Technique Following Slow Maxillary Expansion (SME). Sci Rep. 2020;10(1):2676.