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Influence of rapid maxillary expansion in the stability of anterior open bite treatment

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Abstract

Objectives

This study aimed to compare the stability of anterior open bite (AOB) in patients treated with and without rapid maxillary expansion (RME) before fixed palatal crib (PC) therapy in the mixed dentition.

Material and methods

Expansion/palatal crib group (EPC) was comprised of 25 patients (10 male, 15 female, mean initial age of 7.8 years) with AOB treated with RME before PC therapy. Palatal crib group (PC) included 25 patients with AOB (10 male, 15 female, mean initial age of 8.0 years) treated only with PC therapy. Lateral cephalograms were analyzed at pre-treatment (T0), after PC therapy (T1), and 3 years after PC removal (T2) in both groups. AOB relapse was considered when a negative overbite was observed at T2. Intergroup comparisons of interphase changes were performed using t and Mann–Whitney tests (p < 0.05).

Results

Treatment and post-treatment alterations showed similar changes in both groups for all cephalometric variables. Overall changes from T0 to T2 were similar between the groups except for the maxillary incisors that tipped lingually in PC group (1.PP =  − 3.37°) and labially in EPC group (1.PP = 1.76°). The frequency of AOB relapse was 8% and 4% in the EPC and PC groups, respectively. Treatment time in the EPC group (9.7 months) was shorter (p = 0.024) when compared to the PC group (11.0 months).

Conclusions

In the mixed dentition, stability of AOB treated with RME before fixed PC therapy was similar to PC therapy alone. However, treatment time with fixed PC was slightly shorter in the group treated with RME.

Clinical relevance

This study aims to understand if RME performed previously to fixed palatal crib contributes to the index of stability of AOB treatment in the mixed dentition.

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Authors and Affiliations

  1. Department of Orthodontics, Bauru Dental School, University of São Paulo, Alameda Octávio Pinheiro Brisolla 9-75, Bauru, São Paulo, 17012-901, Brazil

    Rodrigo Almeida Nunes Teixeira

  2. Interceptive Orthodontics Post-Graduate Program, Profis and Private Practice, R. Silvio Marchione, 3-55, Bauru, São Paulo, 17012-230, Brazil

    Flávio Mauro Ferrari Junior

  3. Department of Orthodontics, Bauru Dental School and Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo, Alameda Octávio Pinheiro Brisolla 9-75, Bauru, São Paulo, 17012-901, Brazil

    Daniela Garib

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  1. Rodrigo Almeida Nunes Teixeira
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  3. Daniela Garib
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Correspondence to Daniela Garib.

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This retrospective study was approved by the Ethics in Research Committee of the Bauru Dental School, University of São Paulo (protocol number: 38323820.1.0000.5417).

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The authors declare no competing interests.

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Teixeira, R.A.N., Ferrari Junior, F.M. & Garib, D. Influence of rapid maxillary expansion in the stability of anterior open bite treatment. Clin Oral Invest 26, 6371–6378 (2022). https://doi.org/10.1007/s00784-022-04592-w

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  • DOI: https://doi.org/10.1007/s00784-022-04592-w

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