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Alveolar restoration following rapid maxillary expansion with and without corticotomy: A microcomputed tomography study in sheep

Korean Journal of Orthodontics 2019³â 49±Ç 4È£ p.235 ~ 245
Le My Huy Thuc, Hayaty Abu Kasim Noor, Zaini Zuraiza Mohamad, Dom Sulaiman Md, Ibrahim Norliza, Radzi Zamri Bin,
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 ( Le My Huy Thuc ) - University of Malaya Faculty of Dentistry Department of Paediatric Dentistry and Orthodontics
 ( Hayaty Abu Kasim Noor ) - University of Malaya Faculty of Dentistry Department of Restorative Dentistry
 ( Zaini Zuraiza Mohamad ) - University of Malaya Faculty of Dentistry Department of Oro-maxillofacial Surgical and Medical Sciences
 ( Dom Sulaiman Md ) - Universiti Teknologi MARA Faculty of Health Sciences Department of Medical Imaging
 ( Ibrahim Norliza ) - University of Malaya Faculty of Dentistry Department of Oro-maxillofacial Surgical and Medical Sciences
 ( Radzi Zamri Bin ) - University of Malaya Faculty of Dentistry Department of Paediatric Dentistry and Orthodontics

Abstract


Objective: This study examined bone microstructure restoration after rapid maxillary expansion (RME) with and without corticotomy over multiple retention periods.

Methods: Eighteen male Dorper sheep were randomly distributed into three groups (n = 6 each group): group 1, RME with corticotomy on the buccal and palatal sides; group 2, conventional RME treatment; and group 3, no treatment. Post-RME, trabecular bone microstructure and new bone formation were evaluated by using microcomputed tomography (microCT) and histomorphometry after a 4- or 12-week retention period. Intergroup differences in bone quality and bone remodeling were analyzed by using two-way analysis of variance with Bonferroni post-hoc test.

Results: The bone volume fraction (bone volume [BV]/total volume [TV]) values relative to the control in groups 1 and 2 were 54.40% to 69.88% after the 4-week retention period and returned to approximately 80% after the 12-week retention period. The pooled BV/TV values of the banded teeth in groups 1 and 2 were significantly lower than those of the control after the 4-week retention period (p < 0.05). However, after the 12-week retention period, the pooled BV/TV values in group 2 were significantly lower than those in groups 1 and 3 (p < 0.05). Histomorphological analysis showed that the new bone formation area in group 1 was approximately two to three times of those in group 2 and control.

Conclusions: Corticotomy significantly enhanced the restoration of bone quality after the retention periods for banded teeth. This benefit might result from the increased new bone formation after corticotomy.

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Corticotomy; Rapid maxillary expansion; Bone microstructure; Microcomputed tomography

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SCI(E)
KCI
KoreaMed