Long-term stability of maxillary and mandibular arch dimensions when using rapid palatal expansion and edgewise mechanotherapy in growing patients
10.4041/kjod.2019.49.2.89
- Author:
Ki Beom KIM
1
;
Renee E DOYLE
;
Eustáquio A ARAúJO
;
Rolf G BEHRENTS
;
Donald R OLIVER
;
Guilherme THIESEN
Author Information
1. Department of Orthodontics, Saint Louis University, St. Louis, MO, USA. kkim8@slu.edu
- Publication Type:Original Article
- From:The Korean Journal of Orthodontics
2019;49(2):89-96
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVE:The purpose of this study was to assess the long-term stability of rapid palatal expansion (RPE) followed by full fixed edgewise appliances.
METHODS:This study included 67 patients treated using Haas-type RPE and non-extraction edgewise appliance therapy at a single orthodontic practice. Serial dental casts were obtained at three different time points: pretreatment (T1), after expansion and fixed appliance therapy (T2), and at long-term recall (T3). The mean duration of the T1–T2 and T2–T3 periods was 4.8 ± 3.5 years and 11.0 ± 5.4 years, respectively. The dental casts were digitized, and the computed measurements were compared with untreated reference data.
RESULTS:The majority of treatment-related increases in the maxillary and mandibular arch measurements were statistically significant (p < 0.05) and greater than expected for the untreated controls. Although many measurements decreased postretention (T2–T3), the net gains persisted for all of the measurements evaluated.
CONCLUSIONS:The use of RPE therapy followed by full fixed edgewise appliances is an effective method for increasing maxillary and mandibular arch width dimensions in growing patients.
