Three-dimensional evaluation of maxillary sinus volume following the use of different designs of rapid maxillary expander
A comparative study
Keywords:
Rapid Maxillary Expansion, Maxillary Sinus Volume, Hyrax, Maxillary Skeletal Expander, Palatal Expansion, CBCTAbstract
Aim of the study: to assess maxillary sinus volume changes (MSV) in adolescent patients with class III malocclusion after application of three types of rapid maxillary expanders (RME). Material and Methods: This was a prospective cohort study that recruited adolescent (13-17 years old) class III malocclusion patients with maxillary deficiency. Patients were randomly assigned to three study groups according to the type of RME: Conventional hyrax (CH), hybrid hyrax (HH), and maxillary skeletal expanders (MSE). Cone-beam computed tomography (CBCT) was used to measure MSV prior to and 6 months after application of RME. Measurements were compared between right and left sides and within study groups. P-values of less than 0.05 were considered significant. Results: A total of 51 patients (30 girls and 21 boys) were included. Mean ages were 14.89±1.6, 15.31±1.73, and 15.59±1.9 Y in the CH, HH and MSE groups respectively. Measurements in all groups were significantly increased. In CH and MSE groups, there was no significant difference between the right and left side before treatment (P =0.386). But in HH, both before and after treatment, the right side values were considerably greater than the left side value (P≤0.05).
Downloads
References
Elsayed, E.H.; Abdelreheem, B.; Ghoneim, M.M.; Elsayed, S.A. A Modified Double Z-Plasty for Bilateral Cleft Lip Repair. J. Coll. Physicians Surg. Pakistan 2022, 32, 682–684, doi:10.29271/jcpsp.2022.05.682.
Altaweel, A.A.; Lababidy, A.S.; Abd-Ellatif El-Patal, M.; Elsayed, S.A.; Eldin, M.S.; Dabbas, J.; Meneim, M.H.A. El; Kharma, M.Y. Outcomes of Bifocal Transport Distraction Osteogenesis for Repairing Complicated Unilateral Alveolar Cleft. J. Craniofac. Surg. 2022, 33, E187–E191, doi:10.1097/SCS.0000000000008260.
Mossaad, A.M.; Abdelrahman, M.A.; Hassan, S.A.; Al Ahmady, H.H.; Adly, N.M.; Ghanem, W.A.; Elsayed, S.A. Comparing Surgical Advancement Outcomes of Retruded Maxilla in a Group of Egyptian Cleft Lip and Palate Subjects. Open Access Maced. J. Med. Sci. 2022, 10, 64–69, doi:10.3889/oamjms.2022.7433.
Agacayak, K.S.; Gulsun, B.; Koparal, M.; Atalay, Y.; Aksoy, O.; Adiguzel, O. Alterations in maxillary sinus volume among oral and nasal breathers. Med. Sci. Monit. Int. Med. J. Exp. Clin. Res. 2015, 21, 18–26, doi:10.12659/MSM.891371.
Abu Arqub, S.; Mehta, S.; Iverson, M.G.; Yadav, S.; Upadhyay, M.; Almuzian, M. Does Mini Screw Assisted Rapid Palatal Expansion (MARPE) have an influence on airway and breathing in middle-aged children and adolescents? A systematic review. Int. Orthod. 2021, 19, 37—50, doi:10.1016/j.ortho.2021.01.004.
Haas, A.J. Rapid Expansion Of The Maxillary Dental Arch And Nasal Cavity By Opening The Midpalatal Suture. Angle Orthod. 2009, 31, 73–90.
Bazargani, F.; Feldmann, I.; Bondemark, L. Three-dimensional analysis of effects of rapid maxillary expansion on facial sutures and bones: A systematic review. Angle Orthod. 2013, 83, 1074–1082, doi:10.2319/020413-103.1.
Mehta, S.; Wang, D.; Kuo, C.-L.; Mu, J.; Vich, M.L.; Allareddy, V.; Tadinada, A.; Yadav, S. Long-term effects of mini-screw–assisted rapid palatal expansion on airway:A three-dimensional cone-beam computed tomography study. Angle Orthod. 2020, 91, 195–205, doi:10.2319/062520-586.1.
Elsayed, S.A.; Alolayan, A.B.; Alahmadi, A.; Kassim, S. Revisited maxillary sinus pneumatization narrative of observation in Al-Madinah Al-Munawwarah, Saudi Arabia: A retrospective cross-sectional study. Saudi Dent. J. 2019, 31, 212–218, doi:10.1016/j.sdentj.2018.11.002.
Oz, A.Z.; Oz, A.A.; El, H.; Palomo, J.M. Maxillary sinus volume in patients with impacted canines. Angle Orthod. 2017, 87, 25–32, doi:10.2319/122915-895.1.
Endo, T.; Abe, R.; Kuroki, H.; Kojima, K.; Oka, K.; Shimooka, S. Cephalometric evaluation of maxillary sinus sizes in different malocclusion classes. Odontology 2010, 98, 65–72, doi:10.1007/s10266-009-0108-5.
Fry, R.R.; Patidar, D.C.; Goyal, S.; Malhotra, A. Proximity of maxillary posterior teeth roots to maxillary sinus and adjacent structures using Denta scan(®). Indian J. Dent. 2016, 7, 126–130, doi:10.4103/0975-962X.189339.
Lupoi, D.; Dragomir, M.; Coada, G.; Sanda, A.; Budu, V. CT scan evaluation of the distance between maxillary sinus floor and maxillary teeth apices. Rom. J. Rhinol. 2021, 11, 18–23, doi:doi:10.2478/rjr-2021-0004.
Akkurt, A.; Doğru, M. Three dimensional evaluation of the effect of rapid maxillary expansion on maxillary sinus volume. J. Stomatol. Oral Maxillofac. Surg. 2022, doi:https://doi.org/10.1016/j.jormas.2022.07.006.
Niu, X.; Di Carlo, G.; Cornelis, M.; Cattaneo, P. Three-dimensional analyses of short- and long-term effects of rapid maxillary expansion on nasal cavity and upper airway: A systematic review and meta-analysis. Orthod. Craniofac. Res. 2020, 23, doi:10.1111/ocr.12378.
Buck, L.M.; Dalci, O.; Darendeliler, M.A.; Papageorgiou, S.N.; Papadopoulou, A.K. Volumetric upper airway changes after rapid maxillary expansion: a systematic review and meta-analysis. Eur. J. Orthod. 2016, 39, 463–473, doi:10.1093/ejo/cjw048.
Alswairki, H.J.; Alam, M.K.; Rahman, S.A.; Alsuwailem, R.; Alanazi, S.H. Upper Airway Changes in Diverse Orthodontic Looms: A Systematic Review and Meta-Analysis. Appl. Sci. 2022, 12, doi:10.3390/app12020916.
Alyessary, A.S.; Othman, S.A.; Yap, A.U.J.; Radzi, Z.; Rahman, M.T. Effects of non-surgical rapid maxillary expansion on nasal structures and breathing: A systematic review. Int. Orthod. 2019, 17, 12–19, doi:10.1016/j.ortho.2019.01.001.
Ribeiro, A.N.C.; De Paiva, J.B.; Rino-Neto, J.; Illipronti-Filho, E.; Trivino, T.; Fantini, S.M. Upper airway expansion after rapid maxillary expansion evaluated with cone beam computed tomography. Angle Orthod. 2012, 82, 458–463, doi:10.2319/030411-157.1.
Chang, Y.; Koenig, L.; Pruszynski, J.; Bradley, T.; Bosio, J.; Liu, D. Dimensional changes of upper airway after rapid maxillary expansion: A prospective cone-beam computed tomography study. Am. J. Orthod. Dentofacial Orthop. 2013, 143, 462–470, doi:10.1016/j.ajodo.2012.11.019.
Kapetanović, A.; Odrosslij, B.M.M.J.; Baan, F.; Bergé, S.J.; Noverraz, R.R.M.; Schols, J.G.J.H.; Xi, T. Efficacy of Miniscrew-Assisted Rapid Palatal Expansion (MARPE) in late adolescents and adults with the Dutch Maxillary Expansion Device: a prospective clinical cohort study. Clin. Oral Investig. 2022, 6253–6263, doi:10.1007/s00784-022-04577-9.
Smith, T.; Ghoneima, A.; Stewart, K.; Liu, S.; Eckert, G.; Halum, S.; Kula, K. Three-dimensional computed tomography analysis of airway volume changes after rapid maxillary expansion. Am. J. Orthod. Dentofacial Orthop. 2012, 141, 618–626, doi:10.1016/j.ajodo.2011.12.017.
Darsey, D.M.; English, J.D.; Kau, C.H.; Ellis, R.K.; Akyalcin, S. Does hyrax expansion therapy affect maxillary sinus volume? A cone-beam computed tomography report. Imaging Sci. Dent. 2012, 42, 83–88, doi:10.5624/isd.2012.42.2.83.
Garrett, B.J.; Caruso, J.M.; Rungcharassaeng, K.; Farrage, J.R.; Kim, J.S.; Taylor, G.D. Skeletal effects to the maxilla after rapid maxillary expansion assessed with cone-beam computed tomography. Am. J. Orthod. Dentofac. Orthop. 2008, 134, 8–9.
Pangrazio-Kulbersh, V.; Wine, P.; Haughey, M.; Pajtas, B.; Kaczynski, R. Cone beam computed tomography evaluation of changes in the naso-maxillary complex associated with two types of maxillary expanders. Angle Orthod. 2011, 82, 448–457, doi:10.2319/072211-464.1.
Erdur, E.A.; Yıldırım, M.; Karatas, R.M.C.; Akin, M. Effects of symmetric and asymmetric rapid maxillary expansion treatments on pharyngeal airway and sinus volume:A cone-beam computed tomography study. Angle Orthod. 2020, 90, 425–431, doi:10.2319/050819-320.1.
Truong, C.T.; Jeon, H.H.; Sripinun, P.; Tierney, A.; Boucher, N.S. Short-term and long-term effects of rapid maxillary expansion on the nasal soft and hard tissue. Angle Orthod. 2021, 91, 46–53, doi:10.2319/022320-120.1.
Kapusuz Gencer, Z.; Ozkiriş, M.; Okur, A.; Karaçavuş, S.; Saydam, L. The effect of nasal septal deviation on maxillary sinus volumes and development of maxillary sinusitis. Eur. Arch. Otorhinolaryngol. 2013, 270, 3069–3073, doi:10.1007/s00405-013-2435-y.
Pamporakis, P.; Nevzatoğlu, Ş.; Küçükkeles, N. Three-dimensional alterations in pharyngeal airway and maxillary sinus volumes in Class III maxillary deficiency subjects undergoing orthopedic facemask treatment. Angle Orthod. 2014, 84 4, 701–707.
Onem Ozbilen, E.; Yilmaz, H.N.; Kucukkeles, N. Comparison of the effects of rapid maxillary expansion and alternate rapid maxillary expansion and constriction protocols followed by facemask therapy. Korean J. Orthod. 2019, 49, 49–58, doi:10.4041/kjod.2019.49.1.49.
Adkins, M.D.; Nanda, R.S.; Currier, G.F. Arch perimeter changes on rapid palatal expansion. Am. J. Orthod. Dentofac. Orthop. 1990, 97, 194–199, doi:10.1016/S0889-5406(05)80051-4.
Lanteri, V.; Farronato, M.; Ugolini, A.; Cossellu, G.; Gaffuri, F.; Parisi, F.M.R.; Cavagnetto, D.; Abate, A.; Maspero, C. Volumetric changes in the upper airways after rapid and slow maxillary expansion in growing patients: A case-control study. Materials (Basel). 2020, 13, doi:10.3390/ma13102239.
Najem, S.; Safwat, W.; ELAziz, R.; Gaweesh, Y. Maxillary Sinus Assessment for Gender and Age Determination Using Cone Beam Computed Tomography in an Egyptian Sample. Alexandria Dent. J. 2020, 0, 0–0, doi:10.21608/adjalexu.2020.88457.
Tassoker, M.; Magat, G.; Lale, B.; Gulec, M.; Ozcan, S.; Orhan, K. Is the maxillary sinus volume affected by concha bullosa, nasal septal deviation, and impacted teeth? A CBCT study. Eur. Arch. Oto-Rhino-Laryngology 2020, 277, 227–233, doi:10.1007/s00405-019-05651-x.
Okşayan, R.; Sökücü, O.; Yeşildal, S. Evaluation of maxillary sinus volume and dimensions in different vertical face growth patterns: a study of cone-beam computed tomography. Acta Odontol. Scand. 2017, 75, 345–349, doi:10.1080/00016357.2017.1310294.
Published
How to Cite
Issue
Section
Copyright (c) 2022 International journal of health sciences
![Creative Commons License](http://i.creativecommons.org/l/by-nc-nd/4.0/88x31.png)
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Articles published in the International Journal of Health Sciences (IJHS) are available under Creative Commons Attribution Non-Commercial No Derivatives Licence (CC BY-NC-ND 4.0). Authors retain copyright in their work and grant IJHS right of first publication under CC BY-NC-ND 4.0. Users have the right to read, download, copy, distribute, print, search, or link to the full texts of articles in this journal, and to use them for any other lawful purpose.
Articles published in IJHS can be copied, communicated and shared in their published form for non-commercial purposes provided full attribution is given to the author and the journal. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
This copyright notice applies to articles published in IJHS volumes 4 onwards. Please read about the copyright notices for previous volumes under Journal History.