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Volume 137, Issue 2, Pages 164.e1-164.e6 (February 2010)


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Influence of rapid palatal expansion on maxillary incisor alignment stability

Luiz Filiphe Gonçalves CanutoaCorresponding Author Informationemail address, Marcos Roberto de Freitasb, Guilherme Jansonc, Karina Maria Salvatore de Freitasd, Patrícia Paschoal Martinse

Received April 2009; received in revised form June 2009; accepted June 2009.

Refers to article:
Editor's Summary and Q&A: Influence of rapid palatal expansion on maxillary incisor alignment stability
Luiz Filiphe Gonçalves Canuto, Marcos Roberto de Freitas, Guilherme Janson, Karina Maria Salvatore de Freitas, Patrícia Paschoal Martins
American Journal of Orthodontics & Dentofacial Orthopedics
February 2010 (Vol. 137, Issue 2, Pages 164-165)
Abstract | Full Text | Full-Text PDF (43 KB)
Introduction

The purpose of this retrospective study was to compare the long-term stability of maxillary incisor alignment in patients treated with and without rapid maxillary expansion (RME).

Methods

The sample comprised 48 subjects with Class I and Class II malocclusions, treated without extractions with fixed edgewise appliances, divided into 2 groups according to the treatment protocol: group 1 comprised 25 patients (15 girls, 10 boys) at a mean initial age of 13.53 years (SD, 1.63), who had RME during orthodontic treatment. Group 2 comprised 23 patients (13 girls, 10 boys) at a mean initial age of 13.36 years (SD, 1.81 years), treated with fixed appliances without RME. Maxillary dental cast measurements were obtained at the pretreatment, posttreatment, and long-term posttreatment stages. Variables assessed were the irregularity index and maxillary arch dimensions. Intergroup comparisons were made with independent t tests.

Results

Greater transverse increases were found during treatment in the group treated with RME. However, during the long-term posttreatment period, no significant difference was observed in the amount of incisor crowding relapse between the groups.

Conclusions

RME did not influence long-term maxillary anterior alignment stability.

a Graduate student, Department of Orthodontics, Bauru Dental School, University of São Paulo, Bauru, São Paulo, Brazil

b Professor, Department of Orthodontics, Bauru Dental School, University of São Paulo, Bauru, São Paulo, Brazil

c Professor and head, Department of Orthodontics, Bauru Dental School, University of São Paulo, Bauru, São Paulo, Brazil

d Private practice, Bauru, São Paulo, Brazil

e Private practice, Piracicaba, São Paulo, Brazil

Corresponding Author InformationReprint requests to: Luiz Filiphe Gonçalves Canuto, Department of Orthodontics, Bauru Dental School, University of São Paulo, Alameda Octávio Pinheiro Brisolla 9-75, Bauru, São Paulo, 17012-901, Brazil.

 The authors report no commercial, proprietary, or financial interest in the products or companies described in this article.

PII: S0889-5406(09)01064-6

doi:10.1016/j.ajodo.2009.06.017


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