391618

Three dimensional assessment of the changes of the upper airway volume after mini-screw assisted rapid palatal expansion: prospective clinical study

Article

Last updated: 04 Jan 2025

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Abstract

Objectives: To assess the tomographic changes in the upper airway dimensions of treated patients had constricted maxilla with age range from 18 to 21 years old, using the bicortically anchored mini-screw assisted rapid palatal expansion (MARPE). Materials and methods: The current study was conducted on 24 orthodontic patients with constricted maxilla. The expander appliance consisted of two molar bands attached to maxillary first molars and 2 bi-cortically inserted mini-screws. Expansion protocol was 2 turns/day for the first week, then 1 turn/day until completion of the expansion. CBCT was performed before and 3 months after completion of the expansion. The airway volume, and linear alterations were measured to assess the changes three months after completion of the expansion. Results: There was significant increase in nasal cavity volume, nasopharynx volume, nasal cavity transverse linear dimensions, vertical linear dimensions, and maxillary width (p ˂ .05). Expanded nasal cavity and nasopharyngeal volumes correlated positively with nasal width and negatively with nasal height at ANS, and PNS planes. There were positive correlations between expanded volumes and maxillary width. Increased maxillary width correlated negatively with hard palate thickness (p ˂ .05). Conclusions: MARPE caused a significant increase in the nasal cavity and nasopharynx airway volumes. The increase in the nasal cavity and the nasopharynx volumes was correlated positively with the increase in nasal width at the ANS and PNS planes and with the increase in maxillary width. The oropharynx was not found to be changed significantly in this study.

DOI

10.21608/eos.2024.302167.1115

Keywords

Airway volume, cone beam computerized tomography, mini-screw assisted rapid palatal expansion

Authors

First Name

Mahmoud

Last Name

Abdellah

MiddleName

Abdel-tawab

Affiliation

Department of Orthodontics, Faculty of Dentistry, Minia university, Minia, Egypt

Email

mahmodabdeltawab@gmail.com

City

-

Orcid

-

First Name

Wael

Last Name

Refai

MiddleName

Mohamed

Affiliation

orthodonntic department , faculty of dentistry, minia university

Email

w_refai_67@hotmail.com

City

cairo

Orcid

-

First Name

Ahmed

Last Name

Hashem

MiddleName

Shawky

Affiliation

associate professor of orthodontics faculty of dentistry minia university

Email

ahmedshawkydent@yahoo.com

City

minia

Orcid

-

Volume

66

Article Issue

1

Related Issue

51560

Issue Date

2024-12-01

Receive Date

2024-07-06

Publish Date

2024-12-01

Page Start

100

Page End

119

Print ISSN

1110-435X

Online ISSN

2812-5258

Link

https://eos.journals.ekb.eg/article_391618.html

Detail API

https://eos.journals.ekb.eg/service?article_code=391618

Order

391,618

Type

Original Article

Type Code

1,120

Publication Type

Journal

Publication Title

Egyptian Orthodontic Journal

Publication Link

https://eos.journals.ekb.eg/

MainTitle

Three dimensional assessment of the changes of the upper airway volume after mini-screw assisted rapid palatal expansion: prospective clinical study

Details

Type

Article

Created At

25 Dec 2024