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Effect of vomer position following surgically assisted rapid palatal expansion

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Abstract

Purpose

To evaluate the effect of vomer position and prevalence of periodontal dehiscence in patients who underwent surgically assisted rapid palatal expansion (SARPE). The null hypotheses were the following: (1) vomer position in the coronal plane does not influence the degree of skeletal and dental expansion; and (2) there is no association between expansion, periodontal dehiscence and vomer position.

Methods

Twenty-one patients were evaluated before treatment (T0) and immediately after SARPE expansion (T1). After SARPE, the vomer was in the right side in 11 patients and in the left in 10 patients. Skeletal and dental effects were evaluated using CBCT, landmarks and measurements.

Results

The maxilla and the nasal cavity expanded asymmetrically. The side containing the vomer had less skeletal expansion but more dental tipping. Dehiscence increased significantly from T0 to T1 and was associated with the amount of skeletal displacement, especially when greater than 3.20 mm. In the first premolars region, there was more than 2 mm of asymmetric expansion observed in 38.5% of the patients.

Conclusion

The null hypotheses were rejected. The side containing the vomer had less skeletal expansion of the maxilla and nasal cavity but more dental tipping. Dehiscence increased after expansion, but there were no differences between sides.

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Authors and Affiliations

  1. Department of Paediatric Dentistry, Orthodontics, School of Dentistry of Ribeirão Preto, University of São Paulo, Av. do Café, s/n Monte Alegre, Ribeirão Preto, SP, 14040-904, Brazil

    Fábio Lourenço Romano

  2. Department of Orthodontics, School of Dentistry, University of North Carolina, Chapel Hill, NC, USA

    Fábio Lourenço Romano

  3. Department of Oral and Maxillofacial Surgery and Periodontics, School of Dentistry of Ribeirão Preto, University of São Paulo, Av. do Café, s/n Monte Alegre, Ribeirão Preto, SP, 14040-904, Brazil

    Cássio Edvard Sverzut & Alexandre Elias Trivellato

  4. Department of Paediatric Dentistry, Epidemiology, School of Dentistry of Ribeirão Preto, University of São Paulo, Av. do Café, s/n Monte Alegre, Ribeirão Preto, SP, 14040-904, Brazil

    Maria Conceição Pereira Saraiva

  5. Department of Orthodontics, School of Dentistry, University of North Carolina, Campus Box #7450, Chapel Hill, NC, 27599-7450, USA

    Tung Tahan Nguyen

Authors
  1. Fábio Lourenço Romano
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  2. Cássio Edvard Sverzut
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  3. Alexandre Elias Trivellato
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  4. Maria Conceição Pereira Saraiva
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  5. Tung Tahan Nguyen
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Contributions

1) Fábio Lourenço Romano: conception or design of the study; acquisition, analysis or interpretation of data and statistics; drafting and writing the manuscript; critical revision of the manuscript; final approval of the manuscript; overall responsibility.

2) Cássio Edward Sverzut: acquisition, analysis or interpretation of data and statistics; final approval of the manuscript; obtaining funding.

4) Alexandre Elias Trivellato: acquisition, analysis or interpretation of data and statistics; final approval of the manuscript; obtaining funding.

5) Maria Conceição Pereira Saraiva: acquisition, analysis or interpretation of data and statistics; final approval of the manuscript.

6) Tung Tahan Nguyen: conception or design of the study; acquisition, analysis or interpretation of data and statistics; drafting and writing the manuscript; critical revision of the manuscript; final approval of the manuscript; overall responsibility.

Corresponding author

Correspondence to Fábio Lourenço Romano.

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Romano, F.L., Sverzut, C.E., Trivellato, A.E. et al. Effect of vomer position following surgically assisted rapid palatal expansion. Oral Maxillofac Surg 26, 113–121 (2022). https://doi.org/10.1007/s10006-021-00968-6

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  • DOI: https://doi.org/10.1007/s10006-021-00968-6

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