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A cone-beam computed tomography evaluation of buccal bone thickness following maxillary expansion

Imaging Science in Dentistry 2013³â 43±Ç 2È£ p.85 ~ 90
Akyalcin Sercan, Schaefer Jeffrey S., English Jeryl D., Stephens Claude R., Winkelmann Sam,
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 ( Akyalcin Sercan ) - USA University of Texas Health Science Center at Houston School of Dentistry Department of Orthodontics
 ( Schaefer Jeffrey S. ) - USA Todd Hughes Orthodontics
 ( English Jeryl D. ) - USA University of Texas Health Science Center at Houston School of Dentistry Department of Orthodontics
 ( Stephens Claude R. ) - USA University of Texas Health Science Center at Houston School of Dentistry Department of Orthodontics
 ( Winkelmann Sam ) - USA University of Texas Health Science Center at Houston School of Dentistry Department of Orthodontics

Abstract


Purpose: This study was performed to determine the buccal alveolar bone thickness following rapid maxillary expansion (RME) using cone-beam computed tomography (CBCT). Materials and Methods: Twenty-four individuals (15 females, 9 males; 13.9 years) that underwent RME therapy were included. Each patient had CBCT images available before (T1), after (T2), and 2 to 3 years after (T3) maxillary expansion therapy. Coronal multiplanar reconstruction images were used to measure the linear transverse dimensions, inclinations of teeth, and thickness of the buccal alveolar bone. One-way ANOVA analysis was used to compare the changes between the three times of imaging. Pairwise comparisons were made with the Bonferroni method. The level of significance was established at p<0.05. Results: The mean changes between the points in time yielded significant differences for both molar and premolar transverse measurements between T1 and T2 (p<0.05) and between T1 and T3 (p<0.05). When evaluating the effect of maxillary expansion on the amount of buccal alveolar bone, a decrease between T1 and T2 and an increase between T2 and T3 were found in the buccal bone thickness of both the maxillary first premolars and maxillary first molars. However, these changes were not significant. Similar changes were observed for the angular measurements. Conclusion: RME resulted in non-significant reduction of buccal bone between T1 and T2. These changes were reversible in the long-term with no evident deleterious effects on the alveolar buccal bone.

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Palatal Expansion Technique; Cone-Beam Computed Tomography; Alveolar Process

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