Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2022 Jul 14;9(7):1046.
doi: 10.3390/children9071046.

Rapid Maxillary Expansion on the Adolescent Patient: Systematic Review and Case Report

Alessio Danilo Inchingolo  1 , Irene Ferrara  1 , Fabio Viapiano  1 , Anna Netti  1 , Merigrazia Campanelli  1 , Silvio Buongiorno  1 , Giulia Latini  1 , Vincenzo Carpentiere  1 , Anna Maria Ciocia  1 , Sabino Ceci  1 , Assunta Patano  1 , Fabio Piras  1 , Filippo Cardarelli  1 , Damiano Nemore  1 , Giuseppina Malcangi  1 , Angela Di Noia  1 , Antonio Mancini  1 , Angelo Michele Inchingolo  1 , Grazia Marinelli  1 , Biagio Rapone  1 , Ioana Roxana Bordea  2 , Antonio Scarano  3 , Felice Lorusso  3 , Daniela Di Venere  1 , Francesco Inchingolo  1 , Gianna Dipalma  1
Affiliations
Review

Rapid Maxillary Expansion on the Adolescent Patient: Systematic Review and Case Report

Alessio Danilo Inchingolo et al. Children (Basel). .

Abstract

Aim: In the literature, many studies and articles are investigating new devices and approaches to achieve rapid palate expansion through the opening of the palatal suture, and evaluating the skeletal, dental, and soft tissue effects. The purpose of this review was to assess how palatal expansion is performed in adolescent patients with permanent dentition. Furthermore, it was reported as an example of successful orthodontic treatment of an 11-year-old female patient affected by maxillary skeletal transverse deficiency, in permanent dentition. Methods: A search of the literature was conducted on PubMed, Cochrane, Scopus, Embase, and Web of Science databases. Inclusion criteria were the year of publication between 2017 and 2022, patients aged 10 to 16 years in permanent dentition, with transversal discrepancy, treated with tooth-borne, bone-borne, hybrid palatal expanders. Results: A total of 619 articles were identified by the electronic search, and finally, a total of 16 papers were included in the qualitative analysis. Conclusions: From this study, it was assessed that MARPE is more predictable, and it determines a more significant expansion of the suture than the Hyrax expander, with fewer side effects.

Keywords: adolescent; adolescent patient; maxillary expansion; palatal expansion; permanent dentition.

PubMed Disclaimer

Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Conventional appliance RME: TTB RME and TB RME.
Figure 2
Figure 2
MARPE appliance: BB MARPE and TBB MARPE.
Figure 3
Figure 3
Literature search Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) flow diagram.
Figure 4
Figure 4
Pre-treatment photographs.
Figure 5
Figure 5
Pre-treatment digital models registered the centric dental position.
Figure 6
Figure 6
Pre-treatment lateral cephalogram and panoramic radiograph.
Figure 7
Figure 7
Through CBCT the morphology of the midpalatal suture, can be evaluated. In this case, identified as stage C.
Figure 8
Figure 8
Bonding of the lower arch using the In-Ovation system.
Figure 9
Figure 9
Digital planning with Easy Driver® protocol.
Figure 10
Figure 10
Digital plan of the TADs insertion guide.
Figure 11
Figure 11
Treatment flow:(A) Miniscrew guide fitting; (B) Occlusal view of miniscrew; (C) Appliance positioning; (D) Occlusal view after active expansion; (E) The finishing stage of treatment.
Figure 12
Figure 12
Post-treatment facial and intraoral photographs.
Figure 13
Figure 13
Post-treatment digital model.
Figure 14
Figure 14
(A) Comparison and (B) superimposition of digital maxillary models before and after treatment.
Figure 15
Figure 15
Post-treatment lateral cephalogram and panoramic radiograph.
Figure 16
Figure 16
Cephalometric superimpositions (blue, pre treatment; red, post treatment).
See this image and copyright information in PMC

References

    1. Proffit W.R. Multicenter, Internet-Based Orthodontic Education: A Research Proposal. Am. J. Orthod. Dentofac. Orthop. 2005;127:164–167. doi: 10.1016/j.ajodo.2004.09.010. - DOI - PubMed
    1. Adina S., Dipalma G., Bordea I.R., Lucaciu O., Feurdean C., Inchingolo A.D., Septimiu R., Malcangi G., Cantore S., Martin D., et al. Orthopedic Joint Stability Influences Growth and Maxillary Development: Clinical Aspects. J. Biol. Regul. Homeost. Agents. 2020;34:747–756. doi: 10.23812/20-204-E-52. - DOI - PubMed
    1. Coloccia G., Inchingolo A.D., Inchingolo A.M., Malcangi G., Montenegro V., Patano A., Marinelli G., Laudadio C., Limongelli L., Di Venere D., et al. Effectiveness of Dental and Maxillary Transverse Changes in Tooth-Borne, Bone-Borne, and Hybrid Palatal Expansion through Cone-Beam Tomography: A Systematic Review of the Literature. Medicina. 2021;57:288. doi: 10.3390/medicina57030288. - DOI - PMC - PubMed
    1. Liu S., Xu T., Zou W. Effects of Rapid Maxillary Expansion on the Midpalatal Suture: A Systematic Review. EORTHO. 2015;37:651–655. doi: 10.1093/ejo/cju100. - DOI - PubMed
    1. Farronato P.P., Pasciuti G.E. Espansione Rapida del Palato: Terapia del Deficit. [(accessed on 21 March 2022)]. Available online: https://it.dental-tribune.com/news/espansione-rapida-del-palato-terapia-...

LinkOut - more resources