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Orthod Craniofac Res ; 27(3): 421-428, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38124269

RESUMO

OBJECTIVE(S): This study compared buccal bone thickness, dental inclinations and maxillary transverse width dimensions changes between auxiliary beta-titanium expansion arch (AEA) and miniscrew-assisted rapid palatal expansion (MARPE). MATERIALS AND METHODS: The sample consisted of 29 patients, aged between 18 and 40 years, with transverse maxillary deficiency and treated without extractions, divided into two groups: group AEA: comprised 13 individuals (initial mean age: 29.23 ± 9.13 years) treated using auxiliary beta-titanium expansion arch; group MARPE: comprised 16 patients (initial mean age: 24.92 ± 7.60 years) treated with miniscrew-assisted rapid palatal expansion. Buccal bone thickness, dental inclinations and transverse width dimensions (dental, nasal base and jugular) were measured in cone-bean computed tomographies at pre- and post-treatment stages. The variables were compared using the independent t-test. RESULTS: The buccal bone thickness was similar for both groups at the post-treatment stage. The second premolars were significantly more buccal inclined in the AEA group and the right maxillary first molars in the MARPE group. The intercanine and intermolar distances were statistically significantly greater in the MARPE group. Changes in dental arch transverse dimensions were significantly greater for the MARPE group. CONCLUSION: Both treatment protocols corrected the maxillary transverse discrepancy; however, MARPE provided greater correction.


Assuntos
Parafusos Ósseos , Tomografia Computadorizada de Feixe Cônico , Maxila , Procedimentos de Ancoragem Ortodôntica , Técnica de Expansão Palatina , Titânio , Humanos , Técnica de Expansão Palatina/instrumentação , Maxila/diagnóstico por imagem , Titânio/química , Adulto , Adolescente , Feminino , Masculino , Adulto Jovem , Procedimentos de Ancoragem Ortodôntica/instrumentação , Desenho de Aparelho Ortodôntico , Arco Dental/diagnóstico por imagem , Arco Dental/patologia , Dente Molar/diagnóstico por imagem , Cefalometria
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