Three-dimensional evaluation of maxillary sinus volume following the use of different designs of rapid maxillary expander: A comparative study

Mohamed A Shendy; Ahmed Shehata; Ahmed A EL-Awady; Marwa H Abd El Meneim; Usama T Ahmed; Wael Badawy Abdelhameed; Mohamed Y Abdelfattah; Raafat Elghetany Mohamed

doi:10.53730/ijhs.v6nS9.13667

Authors

Mohamed A Shendy Lecturer, Department of Orthodontics, Faculty of Dental Medicine (Boys), Al-Azhar University, Cairo, Egypt
Ahmed Shehata Lecturer, Department of Orthodontics, Faculty of Dental Medicine (Boys), Al-Azhar University, Cairo, Egypt
Ahmed A EL-Awady Lecturer, Department of Orthodontics, Faculty of Dental Medicine (Boys), Al-Azhar University, Cairo, Egypt
Marwa H Abd El Meneim Lecturer, Department of Orthodontics, Faculty of Dental Medicine, Al- Azhar University, Egypt, Cairo –Girls
Usama T Ahmed Lecturer, Department of Orthodontics, Faculty of Dental Medicine, Al- Azhar University, Asuit–Boys, Egypt
Wael Badawy Abdelhameed Lecturer, Department of Oral Biology, Faculty of Dental Medicine, Al- Azhar University, Asuit–Boys, Egypt
Mohamed Y Abdelfattah Lecturer, Department of Oral Biology, Beni-Suef & new giza Universites, Newgiza University, Egypt
Raafat Elghetany Mohamed Ass professor, Department of Orthodontics, Faculty of Dental Medicine (Boys), Al-Azhar University, Cairo, Egypt

Keywords:

Rapid Maxillary Expansion, Maxillary Sinus Volume, Hyrax, Maxillary Skeletal Expander, Palatal Expansion, CBCT

Abstract

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).

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