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Pattern of microimplant displacement during maxillary skeletal expander treatment: A cone-beam computed tomography study

Korean Journal of Orthodontics 2023³â 53±Ç 5È£ p.289 ~ 297
Ney Paredes, Ausama Gargoum, Pietro G. di Summa, Ozge Colak, Joseph Bui, Tam Duong, Maya Giannetti, À±ÀçÈ«, Kendra Brooks, Oscar J. Manrique,
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 ( Ney Paredes ) - 
 ( Ausama Gargoum ) - 
 ( Pietro G. di Summa ) - 
 ( Ozge Colak ) - 
 ( Joseph Bui ) - 
 ( Tam Duong ) - 
 ( Maya Giannetti ) - 
À±ÀçÈ« ( Yoon Jae-Hong ) - 
 ( Kendra Brooks ) - 
 ( Oscar J. Manrique ) - 

Abstract


Objective: To analyze the microimplant (MI) displacement pattern on treatment with a maxillary skeletal expander (MSE) using cone-beam computed tomography (CBCT).

Methods: Thirty-nine participants (12 males and 27 females; mean age, 18.2 ¡¾ 4.2 years) were treated successfully with the MSE II appliance. Their pre- and post-expansion CBCT data were superimposed. The pre- and post-expansion anterior and posterior inter-MI angles, neck and apical inter-MI distance, plate angle, palatal bone thickness at the MI positions, and suture opening at the MI positions were measured and compared.

Results: The jackscrew plate was slightly bent in both anterior and posterior areas. There was no significant difference in the extent of suture opening between the anterior and posterior MIs (P > 0.05). The posterior MI to hemiplate line was greater than that anteriorly (P < 0.05). The apical distance between the posterior MIs was greater than that anteriorly (P < 0.05). The palatal thickness at the anterior MIs was significantly greater than that posteriorly (P > 0.01).

Conclusions: In the coronal plane, the angulation between the anterior MIs in relation to the jackscrew plate was greater than that between the posterior MIs owing to the differential palatal bone thickness.

Å°¿öµå

Expansion; Microimplant-assisted rapid palatal expansion; Maxillary skeletal expander; Bone-anchored maxillary expander

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