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Finite Element Analysis Model for Assessing Expansion Patterns from Surgically Assisted Rapid Palatal Expansion
Published on: October 20, 2023
Arch width changes with a rapid maxillary expansion appliance anchored to the primary teeth
Mauro Cozzani1, Antonio Guiducci, Stefano Mirenghi
1Department of Orthodontics, University of Ferrara, Italy. maurocozzani@libero.it
The Angle Orthodontist
|February 27, 2007
Summary
Rapid maxillary expansion (RME) using primary teeth anchorage effectively corrects posterior crossbites in the transitional dentition. This transverse correction is stable long-term, with no undesirable effects on permanent molars.
Area of Science:
- Orthodontics
- Pediatric Dentistry
- Craniofacial Development
Background:
- Posterior crossbites are common in the transitional dentition.
- Traditional rapid maxillary expansion (RME) anchorage can lead to undesirable effects.
- Primary teeth offer a potential alternative anchorage for RME.
Purpose of the Study:
- To evaluate dimensional changes following RME anchored to primary teeth.
- To assess the stability of transverse correction achieved with this method.
Main Methods:
- A Haas-type RME appliance was used in 31 transitional dentition patients, anchored to primary molars and canines.
- Study models were analyzed before RME, at appliance removal, and at least 1 year post-treatment.
- A control group of 60 untreated individuals was used for comparison.
Main Results:
- Permanent molar crossbites were corrected and maintained at follow-up.
- Maxillary intermolar width significantly increased post-RME and remained stable.
- Premolar and canine widths showed slight increases compared to controls.
Conclusions:
- RME anchored to primary teeth provides stable transverse correction.
- This technique avoids undesirable treatment-induced effects on maxillary permanent molars.
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