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DOI :10.17096/jiufd.85884   IUP :10.17096/jiufd.85884    Full Text (PDF)

THE EFFECTS OF MAXILLARY EXPANSION ON THE SOFT TISSUE FACIAL PROFILE

Işıl Aras, Sultan Ölmez, Mehmet Cemal Akay, Tayfun Günbay, Aynur Aras

Purpose: The aims of this retrospective study were to evaluate the possible changes in soft tissue facial profile induced by orthopedic rapid maxillary expansion (RME) and surgically assisted rapid maxillary expansion (SARME), and to correlate them with the underlying hard tissue alterations. 

Materials and Methods: 16 patients who received bone borne SARME and 25 patients who were subjected to RME using metal cast splint hyrax appliance were analyzed retrospectively. This research was conducted on lateral cephalometric radiographs taken on 2 occasions: before expansion (T1) and at the beginning of any further orthodontic treatment (T2). Investigated lateral cephalometric parameters consisted of Holdaway soft tissue measurements with some supplementary soft tissue, skeletal and dental assessments. 

Results: The acquisition of T2 cephalograms which conforms to the initiation of further orthodontic treatment corresponded to 83.25±3.51 days for SARME and 85.68±4.37 days for RME after the expansion was completed. The only significant change in soft tissue profile of the SARME group was a decrease in upper lip thickness (p<0.05), whereas in the RME group, decrease in soft tissue facial profile angle and increase in H angle were found to be statistically significant (p<0.05 for each). For the RME group, the changes in soft tissue facial profile angle and H angle correlated only with the changes in SNB angle (p<0.05). 

Conclusion: While bone-borne SARME did not seem to possess the potential to alter soft tissue profile, tooth-borne RME caused a more convex soft tissue profile related to a reduction in SNB. 
Keywords: Maxillary expansion, palatal expansion techniques, lateral cephalometry, soft tissue profile, orthognathic surgery
DOI :10.17096/jiufd.85884   IUP :10.17096/jiufd.85884    Full Text (PDF)

Yüz Yumuşak Doku Profili Üzerine Üst Çene Genişletmesinin Etkileri

Işıl Aras, Sultan Ölmez, Mehmet Cemal Akay, Tayfun Günbay, Aynur Aras

Amaç: Bu retrospektif çalışmanın amacı hızlı üst çene genişletmesi (RME) ve cerrahi destekli hızlı üst çene genişletmesi (SARME) ile meydana gelen değişiklikleri değerlendirmek ve altta yatan sert doku değişimleri ile korelasyonlarını araştırmaktır 

Gereç ve Yöntem: Kemik destekli SARME ile tedavi gören 16 hasta ve döküm hyrax apareyi kullanılarak RME ile tedavi gören 25 hasta retrospektif olarak incelendi. Bu çalışma genişletmeden önce (T1) ve genişletmeden sonra sabit ortodontik tedavi başlamadan önce (T2) alınan sefalometrik filmler üzerinde yürütüldü. Araştırılan lateral sefalometrik parametreler, Holdaway yumuşak doku ölçümleri ile birlikte destekleyici bazı yumuşak doku, iskeletsel ve dental değerlendirmelerden oluştu. 

Bulgular: T2 rontgenleri, genişletmeden sonra sabit ortodontik tedavi başlamasından hemen önce olup SARME ve RME gruplarında sırası ile 83.2±3.51 ve 85.68±4.3 günlerde alındı. Yumuşak doku profiliyle ilgili SARME grubundaki tek önemli değişiklik üst dudak kalınlığındaki azalma iken (p<0.05), RME grubunda yüz profili açısındaki azalma ve H açısındaki artış istatistiksel olarak önemli bulundu (p<0.05). RME grubunda, yumuşak doku yüz profili ve H açılarındaki değişiklikler, SNB açısındaki değişimler ile korelasyon gösterdi (p<0.05). 

Sonuç: Kemik destekli SARME yumuşak doku profilini değiştirecek potansiyele sahip gibi görünmese de, diş destekli RME, SNB açısındaki azalma ile ilişkili olarak daha konveks bir profile sebep oldu. 
Keywords: Üst çene genişletmesi, palatal genişletme teknikleri, lateral sefalometri, yumuşak doku profili, ortognatik cerrahi

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References

  • Bishara SE, Staley RN. Maxillary expansion: Clinical implications. Am J Orthod Dentofacial Orthop 1987;91(1):3-14. google scholar
  • Podesser B, Williams S, Crismani AG, Bantleon HP. Evaluation of the effects of rapid maxillary expansion in growing children using computer tomography scanning: A pilot study. Eur J Orthod 2007;29(1):37-44. google scholar
  • Suri L, Taneja P. Surgically assisted rapid palatal expansion: A literature review. Am J Orthod Dentofacial Orthop 2008;133(2):290-302. google scholar
  • Koudstaal MJ, Poort LJ, van der Wal KG, Wolvius EB, Prahl-Andersen B, Schulten AJ. Surgically assisted rapid maxillary expansion (sarme): A review of the literature. Int J Oral Maxillofac Surg 2005;34(7):709-714. google scholar
  • Lagravere MO, Major PW, Flores-Mir C. Dental and skeletal changes following surgically assisted rapid maxillary expansion. Int J Oral Maxillofac Surg 2006;35(6):481-487. google scholar
  • Loddi PP, Pereira MD, Wolosker AB, Hino CT, Kreniski TM, Ferreira LM. Transverse effects after surgically assisted rapid maxillary expansion in the midpalatal suture using computed tomography. J Craniofac Surg 2008;19(2):433-438. google scholar
  • Gerlach KL, Zahl C. Transversal palatal expansion using a palatal distractor. J Orofac Orthop 2003;64(6):443-449. google scholar
  • Gunbay T, Akay MC, Gunbay S, Aras A, Koyuncu BO, Sezer B. Transpalatal distraction using bone-borne distractor: Clinical observations and dental and skeletal changes. J Oral Maxillofac Surg 2008;66(12):2503-2514. google scholar
  • Matteini C, Mommaerts MY. Posterior transpalatal distraction with pterygoid disjunction: A short-term model study. Am J Orthod Dentofacial Orthop 2001;120(5):498-502. google scholar
  • Mommaerts MY. Transpalatal distraction as a method of maxillary expansion. Br J Oral Maxillofac Surg 1999;37(4):268-272. google scholar
  • Nada RM, Fudalej PS, Maal TJ, Berge SJ, Mostafa YA, Kuijpers-Jagtman AM. Three-dimensional prospective evaluation of tooth-borne and bone-borne surgically assisted rapid maxillary expansion. J Craniomaxillofac Surg 2012;40(8):757-762. google scholar
  • Pinto PX, Mommaerts MY, Wreakes G, Jacobs WV. Immediate postexpansion changes following the use of the transpalatal distractor. J Oral Maxillofac Surg 2001;59(9):994-1000; discussion 1001. google scholar
  • Ramieri GA, Spada MC, Austa M, Bianchi SD, Berrone S. Transverse maxillary distraction with a bone-anchored appliance: Dento-periodontal effects and clinical and radiological results. Int J Oral Maxillofac Surg 2005;34(4):357-363. google scholar
  • Seeberger R, Kater W, Schulte-Geers M, Davids R, Freier K, Thiele O. Changes after surgically-assisted maxillary expansion (sarme) to the dentoalveolar, palatal and nasal structures by using tooth-borne distraction devices. Br J Oral Maxillofac Surg 2011;49(5):381-385. google scholar
  • Altorkat Y, Khambay BS, McDonald JP, Cross DL, Brocklebank LM, Ju X. Immediate effects of rapid maxillary expansion on the naso-maxillary facial soft tissue using 3d stereophotogrammetry. Surgeon 2016;14(2):63-68. google scholar
  • Berger JL, Pangrazio-Kulbersh V, Thomas BW, Kaczynski R. Photographic analysis of facial changes associated with maxillary expansion. Am J Orthod Dentofacial Orthop 1999;116(5):563-571. google scholar
  • de Carvalho APMC GF AF, Siqueira DF, Bommarito S, Scanavini MA, Kanashiro LK. . Assessment of changes in smile after rapid maxillary expansion. Dental Press J Orthod 2012;17(5):94-101. google scholar
  • Filho HN, Goncales ES, Berrentin-Felix G, de Souza Cesar U, Achja GL. Evaluation of the facial soft tissues following surgically assisted maxillary expansion associated with the simple v-y suture. Int J Adult Orthodon Orthognath Surg 2002;17(2):89-97. google scholar
  • Johnson BM, McNamara JA, Bandeen RL, Baccetti T. Changes in soft tissue nasal widths associated with rapid maxillary expansion in prepubertal and postpubertal subjects. Angle Orthod 2010;80(6):995-1001. google scholar
  • Kim KB AD AE, Behrents RG. Evaluation of immediate soft tissue changes after rapid maxillary expansion. Dental Press J Orthod 2012;17(5):157-164. google scholar
  • Magnusson A, Bjerklin K, Kim H, Nilsson P, Marcusson A. Three-dimensional computed tomographic analysis of changes to the external features of the nose after surgically assisted rapid maxillary expansion and orthodontic treatment: A prospective longitudinal study. Am J Orthod Dentofacial Orthop 2013;144(3):404-413. google scholar
  • Nada RM, van Loon B, Maal TJ, Berge SJ, Mostafa YA, Kuijpers-Jagtman AM, Schols JG. Three-dimensional evaluation of soft tissue changes in the orofacial region after tooth-borne and bone-borne surgically assisted rapid maxillary expansion. Clin Oral Investig 2013;17(9):2017-2024. google scholar
  • Silva Filho OG, Lara TS, Ayub PV, Ohashi AS, Bertoz FA. Photographic assessment of nasal morphology following rapid maxillary expansion in children. J Appl Oral Sci 2011;19(5):535-543. google scholar
  • Akkaya S, Lorenzon S, Ucem TT. A comparison of sagittal and vertical effects between bonded rapid and slow maxillary expansion procedures. Eur J Orthod 1999;21(2):175-180. google scholar
  • Alpern MC, Yurosko JJ. Rapid palatal expansion in adults with and without surgery. Angle Orthod 1987;57(3):245-263. google scholar
  • Basciftci FA, Karaman AI. Effects of a modified acrylic bonded rapid maxillary expansion appliance and vertical chin cap on dentofacial structures. Angle Orthod 2002;72(1):61-71. google scholar
  • Chung CH, Font B. Skeletal and dental changes in the sagittal, vertical, and transverse dimensions after rapid palatal expansion. Am J Orthod Dentofacial Orthop 2004;126(5):569-575. google scholar
  • Haas AJ. Palatal expansion: Just the beginning of dentofacial orthopedics. Am J Orthod 1970;57(3):219-255. google scholar
  • Majourau A, Nanda R. Biomechanical basis of vertical dimension control during rapid palatal expansion therapy. Am J Orthod Dentofacial Orthop 1994;106(3):322-328. google scholar
  • Wertz R, Dreskin M. Midpalatal suture opening: A normative study. Am J Orthod 1977;71(4):367-381. google scholar
  • dos Santos BM, Stuani AS, Stuani AS, Faria G, Quintao CC, Stuani MB. Soft tissue profile changes after rapid maxillary expansion with a bonded expander. Eur J Orthod 2012;34(3):367-373. google scholar
  • Karaman AI BF Gelgör IE, Demir A. Examination of soft tissue changes after rapid maxillary expansion. World J Orthod 2002;3(3):217-222. google scholar
  • Kilic N, Kiki A, Oktay H, Erdem A. Effects of rapid maxillary expansion on holdaway soft tissue measurements. Eur J Orthod 2008;30(3):239-243. google scholar
  • Holdaway RA. A soft-tissue cephalometric analysis and its use in orthodontic treatment planning. Part I. Am J Orthod 1983;84(1):1-28. google scholar
  • Dahlberg G. Statistical methods for medical and biological students. Sydney, G. Allen & Unwin ltd, 1940, p.78-79. google scholar
  • Zimring JF, Isaacson RJ. Forces produced by rapid maxillary expansion. 3. Forces present during retention. Angle Orthod 1965;35(3):178-186. google scholar
  • Biederman W. Rapid correction of Class III malocclusion by midpalatal expansion. Am J Orthod 1973;63(1):47-55. google scholar
  • Ramieri GA, Nasi A, Dell'acqua A, Verze L. Facial soft tissue changes after transverse palatal distraction in adult patients. Int J Oral Maxillofac Surg 2008;37(9):810-818. google scholar
  • Kasai K. Soft tissue adaptability to hard tissues in facial profiles. Am J Orthod Dentofacial Orthop 1998;113(6):674-684. google scholar
  • Oliver BM. The influence of lip thickness and strain on upper lip response to incisor retraction. Am J Orthod 1982;82(2):141-149. google scholar

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APA

Aras, I., Ölmez, S., Akay, M.C., Günbay, T., & Aras, A. (2017). THE EFFECTS OF MAXILLARY EXPANSION ON THE SOFT TISSUE FACIAL PROFILE. European Oral Research, 51(3), 1-10. https://doi.org/10.17096/jiufd.85884


AMA

Aras I, Ölmez S, Akay M C, Günbay T, Aras A. THE EFFECTS OF MAXILLARY EXPANSION ON THE SOFT TISSUE FACIAL PROFILE. European Oral Research. 2017;51(3):1-10. https://doi.org/10.17096/jiufd.85884


ABNT

Aras, I.; Ölmez, S.; Akay, M.C.; Günbay, T.; Aras, A. THE EFFECTS OF MAXILLARY EXPANSION ON THE SOFT TISSUE FACIAL PROFILE. European Oral Research, [Publisher Location], v. 51, n. 3, p. 1-10, 2017.


Chicago: Author-Date Style

Aras, Işıl, and Sultan Ölmez and Mehmet Cemal Akay and Tayfun Günbay and Aynur Aras. 2017. “THE EFFECTS OF MAXILLARY EXPANSION ON THE SOFT TISSUE FACIAL PROFILE.” European Oral Research 51, no. 3: 1-10. https://doi.org/10.17096/jiufd.85884


Chicago: Humanities Style

Aras, Işıl, and Sultan Ölmez and Mehmet Cemal Akay and Tayfun Günbay and Aynur Aras. “THE EFFECTS OF MAXILLARY EXPANSION ON THE SOFT TISSUE FACIAL PROFILE.” European Oral Research 51, no. 3 (Apr. 2025): 1-10. https://doi.org/10.17096/jiufd.85884


Harvard: Australian Style

Aras, I & Ölmez, S & Akay, MC & Günbay, T & Aras, A 2017, 'THE EFFECTS OF MAXILLARY EXPANSION ON THE SOFT TISSUE FACIAL PROFILE', European Oral Research, vol. 51, no. 3, pp. 1-10, viewed 2 Apr. 2025, https://doi.org/10.17096/jiufd.85884


Harvard: Author-Date Style

Aras, I. and Ölmez, S. and Akay, M.C. and Günbay, T. and Aras, A. (2017) ‘THE EFFECTS OF MAXILLARY EXPANSION ON THE SOFT TISSUE FACIAL PROFILE’, European Oral Research, 51(3), pp. 1-10. https://doi.org/10.17096/jiufd.85884 (2 Apr. 2025).


MLA

Aras, Işıl, and Sultan Ölmez and Mehmet Cemal Akay and Tayfun Günbay and Aynur Aras. “THE EFFECTS OF MAXILLARY EXPANSION ON THE SOFT TISSUE FACIAL PROFILE.” European Oral Research, vol. 51, no. 3, 2017, pp. 1-10. [Database Container], https://doi.org/10.17096/jiufd.85884


Vancouver

Aras I, Ölmez S, Akay MC, Günbay T, Aras A. THE EFFECTS OF MAXILLARY EXPANSION ON THE SOFT TISSUE FACIAL PROFILE. European Oral Research [Internet]. 2 Apr. 2025 [cited 2 Apr. 2025];51(3):1-10. Available from: https://doi.org/10.17096/jiufd.85884 doi: 10.17096/jiufd.85884


ISNAD

Aras, Işıl - Ölmez, Sultan - Akay, MehmetCemal - Günbay, Tayfun - Aras, Aynur. “THE EFFECTS OF MAXILLARY EXPANSION ON THE SOFT TISSUE FACIAL PROFILE”. European Oral Research 51/3 (Apr. 2025): 1-10. https://doi.org/10.17096/jiufd.85884



TIMELINE


Submitted11.06.2016
Accepted20.07.2016

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