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Pain during Rapid Maxillary Expansion: A Systematic Review
Martina Barone1, Alberto De Stefani1,2, Filippo Cavallari3
1Department of Neuroscience, School of Dentistry, University of Padova, 35122 Padova, Italy.
Children (Basel, Switzerland)
|May 16, 2023
Summary
Pain during rapid maxillary expansion (RME) is common but decreases over time. Factors like expander type and protocol influence pain, and some management strategies can help.
Area of Science:
- Orthodontics
- Pain Management
- Craniofacial Development
Background:
- Rapid maxillary expansion (RME) is a common orthodontic procedure.
- Understanding patient-reported pain is crucial for treatment adherence and satisfaction.
Purpose of the Study:
- To systematically review and evaluate pain experienced during RME.
- To identify factors influencing RME-associated pain, including demographics, appliance type, and activation protocols.
Main Methods:
- A systematic literature search was conducted across three electronic databases.
- Studies were screened based on predefined eligibility criteria.
- Data extraction followed the PICOS approach for included studies.
Main Results:
- Ten studies were included in this systematic review.
- Pain is a frequent outcome of RME, typically diminishing as treatment progresses.
- The influence of gender and age on pain perception remains inconclusive.
Conclusions:
- RME commonly causes pain that generally decreases over time.
- Expander design and the specific expansion protocol significantly impact perceived pain.
- Effective pain management strategies can mitigate discomfort associated with RME.

