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71471

Rapid arch expansion in cleft lip and palate children: comparison between fan-shaped expander and hyrax-type expander by using cone beam computed tomography

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Last updated: 04 Jan 2025

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Abstract

Purpose: The aim of the current study was to evaluate the skeletal and dentoalveolar effects of rapid palatal expansion (RPE) in children with cleft lip and palate (CLP) treated with 2 expanders. Methods: Twenty Egyptian children with complete unilateral or bilateral CLP exhibiting maxillary transverse deficiency were divided randomly into 2 groups according to the appliance used for expansion: (A) fan expander group and (B) hyrax expander group. Cone-beam computed tomography (CBCT) images were taken before and immediately after expansion procedure. Results: There was non-significant vertical movement of the maxilla for the 2 groups. On the transverse plane, there was more anterior expansion and posterior restriction for the fan group. However, the hyrax group showed significant posterior as well as anterior expansion. Both groups showed significant tipping between both sides posteriorly and anteriorly. Mandibular expansion was non-significant. Conclusion: Fan expander showed better results for children with cleft palate requiring anterior expansion only. Hyrax expander is better used for cases seeking for posterior and anterior expansion.

DOI

10.21608/ajdsm.2020.71471

Authors

First Name

Ahmed

Last Name

M. Sebaey

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Affiliation

Dentist at Egypt Ministry of Health, Al-Azhar University, Assiut Branch.

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First Name

Samy

Last Name

Y. El-Bayomy

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Affiliation

Professor and Head, Department of Pedodontics and Dental Public Health Faculty of Dental Medicine, Boys, Cairo, Al-Azhar University.

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First Name

Abo Khalefa

Last Name

Y H Y

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Affiliation

Lecturer, Department of Pedodontics and Dental Public Health Faculty of Dental Medicine, Boys, Cairo, Al-Azhar University.

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First Name

Abdel-Rahman

Last Name

I N

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-

Affiliation

Lecturer, Department of Orthodontics, Faculty of Dentistry, Ain shams university.

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Volume

21

Article Issue

1

Related Issue

10888

Issue Date

2018-01-01

Receive Date

2020-02-17

Publish Date

2018-01-01

Page Start

27

Page End

35

Print ISSN

1110-6751

Online ISSN

2682-3314

Article File

AJDSM_Volume 21_Issue 1_Pages 27-35.pdf

PDF . 287.1kB

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https://ajdsm.journals.ekb.eg/article_71471.html

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https://ajdsm.journals.ekb.eg/service?article_code=71471

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Original Article

Type Code

848

Publication Type

Journal

Publication Title

Al-Azhar Journal of Dental Science

Publication Link

https://ajdsm.journals.ekb.eg/

MainTitle

Rapid arch expansion in cleft lip and palate children: comparison between fan-shaped expander and hyrax-type expander by using cone beam computed tomography

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Article

Created At

22 Jan 2023