Assessment of mandibular symmetry in patients with unilateral crossbite before and after rapid palatal expansion
Authors:
L. Šimůnková Vítová; T. Dostálová; L. Kratochvílová
Authors‘ workplace:
Stomatologická klinika dětí a dospělých, Univerzita Karlova, 2. lékařská fakulta, a Fakultní nemocnice v Motole, Praha
Published in:
Česká stomatologie / Praktické zubní lékařství, ročník 124, 2024, 1, s. 15-29
Category:
Review Article
doi:
https://doi.org/10.51479/cspzl.2023.010
Overview
Introduction, aim: Rapid Maxillary Expansion (RME) is a treatment method used to expand the maxillary arch and maxillary palatal suture. A less discussed effect of this therapeutic procedure are changes in the mandible and temporomandibular joint (TMJ) region. The aim of this review is to summarize the current published findings of changes in the mandible and TMJ region in patients with unilateral posterior crossbite (UPCB) after treatment with RME.
Methods: PubMed/Medline, Scopus, and Embase databases were used for literature search and screening employing the keywords "RME", "unilateral crossbite", "mandible", "TMJ", "dental, dentoalveolar and skeletal changes" and "growing patient". The selected articles were cross-sectional studies, prospective and retrospective clinical trials, randomized controlled trials, and systematic reviews published in English between 1999 and 2023.
Results: Forty nine publications met the inclusion criteria, of which 10 were systematic reviews. The largest statistically demonstrable changes in the mandibles of patients with UPCB on the crossbite side were in mandibular length, total height of the ramus mandibulae, condyle height, and condyle position in the fossa glenoidalis using different examination methods. In the analysis of the plaster casts, the majority of the studies agreed with the results of the general tendency of the mandibular expansion in the intermolar distance.
Conclusion: Most of the available studies deal with asymmetric skeletal growth. The relationship between unilateral crossbite and skeletal asymmetry is not yet sufficiently described. There is a small number of good quality studies in the literature on the topic of mandibular skeletal changes after RME with statistically and clinically significant results. Further studies with larger sample sizes, well-defined diagnostic criteria, rigorous scientific methodologies and long-term follow-up are needed.
Keywords:
RME, unilateral posterior crossbite, mandible, TMJ, dentoalveolar and skeletal changes, growing patient
Sources
1. Lopatienė K, Trumpytė K.
Relationship between unilateral posterior crossbite and mandibular asymmetry during late adolescence. Stomatol Balt Dent Maxillofac J. 2018; 20: 90–95.
2. Thilander B, Bjerklin K.
Posterior crossbite and temporomandibular disorders (TMDs): need for orthodontic treatment? Eur J Orthod. 2012;
34(6): 667–673. doi: 10.1093/ejo/cjr095
3. Cardinal L, Martins I, Gribel BF, Dominguez GC.
Is there an asymmetry of the condylar and coronoid processes of the mandible in individuals with unilateral crossbite? Angle Orthod. 2019; 89(3): 464–469.
doi: 10.2319/052518-398.1
4. Kilic N, Kiki A, Oktay Erzurum H. Condylar asymmetry in unilateral posterior crossbite patients. Am J Orthod Dentofacial Orthop. 2008; 133(3): 382–387.
doi: 10.1016/J.AJODO.2006.04.041
5. Bucci R, D’antò V, Rongo R, Valletta R, Martina R, Michelotti A.
Dental and skeletal effects of palatal expansion techniques: a systematic review of the current evidence from systematic reviews and meta-analyses. J Oral Rehabil. 2016; 43(7): 543–564. doi: 10.1111/JOOR.12393
6. Iodice G, Danzi G, Cimino R, Paduano S, Michelotti A.
Association between posterior crossbite, skeletal, and muscle asymmetry: A systematic review. Eur J Orthod. 2016; 38(6): 638–651. doi: 10.1093/ejo/cjw003
7. Nerder PH, Bakke M, Solow B.
The functional shift of the mandible in unilateral posterior crossbite and the adaptation of the temporomandibular joints: A pilot study. Eur J Orthod. 1999; 21(2): 155–166. doi: 10.1093/EJO/21.2.155
8. Leonardi RM, Aboulazm K, Lo Giudice A, Ronsivalle V, D’antò V, Lagravère M, Isola A.
Evaluation of mandibular changes after rapid maxillary expansion: a CBCT study in youngsters with unilateral posterior crossbite using a surface-to-surface matching technique. Clinical oral investigations.
2021; 25(4): 1775–1785.
doi: 10.1007/S00784-020-03480-5
9. Kennedy DB, Osepchook M.
Unilateral posterior crossbite with mandibular shift: A review. J Can Dent Assoc. 2005; 71(8): 569–573.
10. Evangelista K, Ferrari-Piloni C, Almeida Nascimento Barros L, Ameloti Gomes Avelino M, Helena Soares Cevidanes L, Carlos de Oliveira Ruellas A, et al.
Three-dimensional assessment of craniofacial asymmetry in children with transverse maxillary deficiency after rapid maxillary expansion: A prospective study HHS Public Access. Orthod Craniofac Res. 2020; 23(3): 300–312. doi: 10.1111/ocr.12370
11. Tortarolo A, Rotolo R, Nucci L, Tepedino M, Crincoli V, Piancino MG. Condylar asymmetry in children with unilateral posterior crossbite malocclusion: a comparative cross-sectional study. Child. 2022; 9(11): 1772.
doi: 10.3390/children9111772
12. Wang Z, Spoon ME, Khan J, Barmak AB, Rossouw PE, Michelogiannakis D.
Cone beam computed tomographic evaluation of the changes in condylar position in growing patients with unilateral posterior crossbite undergoing rapid maxillary expansion followed by fixed orthodontic therapy. Eur Arch Paediatr Dent. 2021; 22(5): 959–967. doi: 10.1007/S40368-021-00628-Z
13. Patil GV, Lakhe P, Niranjane P.
Maxillary expansion and its effects on circummaxillary structures: a review. Cureus. 2023; 15(1): 6. doi: 10.7759/CUREUS.33755
14. Pianciano MG, Kyrkanides S. Understanding masticatory function in unilateral crossbites. John Wiley & Sons: Hoboken, NJ, USA, 2016.
15. Ghoussoub MS, Rifai K, Gardia R, Sleilaty G.
Effect of rapid maxillary expansion on glenoid fossa and condyle-fossa relationship in growing patients (MEGP): Study protocol for a controlled clinical trial. J Int Soc Preventive Commun Dent. 2018; 8(2): 130.
doi: 10.4103/JISPCD.JISPCD_458_17
16. Caroccia F, Moscagiuri F, Falconio L, Festa F, D’attilio M.
Early orthodontic treatments of unilateral posterior crossbite: A systematic review. J Clin Med. 2021; 10(1): 1–13.
doi: 10.3390/jcm10010033
17. Halicioğlu K, Yavuz I.
Comparison of the effects of rapid maxillary expansion caused by treatment with either a memory screw or a Hyrax screw on the dentofacial structures-transversal effects.
Eur J Orthod. 2014; 36(2): 140–149.
doi: 10.1093/ejo/cjr102
18. Orr JC, Li Ch, Shah S, Backstrand MR, Chung CH, Boucher NS.
Mandibular transverse dentoalveolar and skeletal changes associated with lip bumper and rapid maxillary expander: A cone-beam computed tomography study. Am J Orthod Dentofacial Orthop. 2023; 163(3): 407–425. doi: 10.1016/J.AJODO.2021.12.026
19. Tsanidis N., Antonarakis GS, Kiliaridis S.
Functional changes after early treatment of unilateral posterior cross-bite associated with mandibular shift: a systematic review. J Oral Rehabil. 2016; 43(1): 59–68.
doi: 10.1111/JOOR.12335
20. Veli I, Uysal T, Ozer T, Ucar FI, Eruz M.
Mandibular asymmetry in unilateral and bilateral posterior crossbite patients using cone-beam computed tomography. Angle Orthod. 2011; 81(6): 966–974. doi: 10.2319/022011-122.1
21. Primozic J, Perinetti G, Richmond S, Ovsenik M.
Three-dimensional evaluation of facial asymmetry in association with unilateral functional crossbite in the primary, early, and late mixed dentition phases. Angle Orthod. 2013; 83(2): 253–258.
doi: 10.2319/041012-299.1
22. Türker G, Öztürk M.
Evaluation of associations between condylar morphology, ramus height, and mandibular plane angle in various vertical skeletal patterns: a digital radiographic study. BMC Oral Health. 2022; 22(1): 10.
doi: 10.1186/S12903-022-02365-1
23. Velásquez RL, Coro JC, Londoño A, McGorray SP, Wheeler TT, Sato S.
Three-dimensional morphological characterization of malocclusions with mandibular lateral displacement using cone-beam computed tomography.
J Craniomandibular Sleep Pract. 2017; 36(3): 143–155.
doi: 10.1080/08869634.2017.1300994
24. Kapila SD, Nervina JM.
CBCT in orthodontics: Assessment of treatment outcomes and indications for its use. Dentomaxillofac Radiol. 2015; 44(1).
doi: 10.1259/dmfr.20140282
25. Arieta-Miranda JM, Silva-Valencia M, Flores-Mir C, Paredes-Sampen NA.
Arriola-Guillen LE.
Spatial analysis of condyle position according to sagittal skeletal relationship, assessed by cone beam computed tomography. Prog Orthod. 201, 14(1): 1–9. doi: 10.1186/2196-1042-14-36
26. Leonardi R, Caltabiano M, Cavallini C, Sicurezza E, Barbato E, Spampinato C, Giordano D.
Condyle fossa relationship associated with functional posterior crossbite, before and after rapid maxillary expansion.
Angle Orthod. 2012; 82(6): 1040–1046.
doi: 10.2319/112211-725.1
27. Inchingolo AD, Ferrara I, Viapiano F, Netti A, Campanelli M, Buongiorno S, Latini G, Carpentiere V, Ciocia AM, Ceci S, Patano A, Piras F, Cardarelli F, Nemore D, Malcangi G, Di Noia A, Mancini A, Inchingolo AM, Marinelli G, Rapone B, Bordea IR, Scarano A, Lorusso F, Di Venere D, Inchingolo F, Di Palma G. Rapid maxillary expansion on the adolescent patient: systematic review and case report. Children (Basel, Switzerland). 2022; 9(7): 22. doi: 10.3390/CHILDREN9071046
28. Alves AC, Maranhão OB, Janson G, Garib DG.
Mandibular dental arch short and long-term spontaneous dentoalveolar changes after slow or rapid maxillary expansion: a systematic review. Dent Press J Orthod. 2017; 22(3): 55–63. doi: 10.1590/2177-6709.22.3.055-063.OAR
29. Ugolini A, Cerruto C, Di Vece L, Ghislanzoni LH, Sforza Ch, Doldo T, Silvestrini-Biavati A, Caprioglio A. Dental arch response to Haas-type rapid maxillary expansion anchored to deciduous vs permanent molars: A multicentric randomized controlled trial. Angle Orthod. 2015; 85(4): 576. doi: 10.2319/041114-269.1
30. Ugolini A, Doldo T, Huanca Ghislanzoni LT, Mapelli A, Giorgetti R, Sforza C.
Rapid palatal expansion effects on mandibular transverse dimensions in unilateral posterior crossbite patients: a three-dimensional digital imaging study. Prog Orthod. 2016; 17(1): 7.
doi: 10.1186/S40510-015-0114-9
31. Lima AC, Lima AL, Filho R, Oyen OJ. Spontaneous mandibular arch response after rapid palatal expansion: A long-term study on Class I malocclusion. Am J Orthod Dentofacial Orthop. 2004; 126(5): 576–582.
doi: 10.1016/j.ajodo.2004.06.011
32. Gokturk M, Yavan MA.
Comparison of the short-term effects of tooth–bone-borne and tooth-borne rapid maxillary expansion in older adolescents. J Orofac Orthop. 2022; 13.
doi: 10.1007/s00056-022-00401-x
33. Ramoglu SI, Sari Z.
Maxillary expansion in the mixed dentition: Rapid or semi-rapid? Eur J Orthodont. 2010; 32(1): 11–18. doi: 10.1093/ejo/cjp057
34. Miller CL, Araújo EA, Behrents RG, Oliver DR, Tanaka OM.
Mandibular arch dimensions following bonded and banded rapid maxillary expansion. J World Federation Orthodontists. 2014; 3(3): 119–123.
doi: 10.1016/J.EJWF.2014.05.003
35. Canan S, Şenişik NE.
Comparison of the treatment effects of different rapid maxillary expansion devices on the maxilla and the mandible.
Part 1: Evaluation of dentoalveolar changes. Am J Orthod Dentofacial Orthop. 2017; 151(6): 1125–1138.
doi: 10.1016/J.AJODO.2016.11.022
36. Habets L, Bezuur JN, Naeiji M, Hansson TL.
The orthopantomogram, an aid in diagnosis of temporomandibular joint problems. II.
The vertical symmetry. J Oral. 1988;
15(5): 465–471.
doi: 10.1111/J.1365-2842.1988.TB00182
37. Uysal T, Sisman Y, Kurt G, Ramoglu SI. Condylar and ramal vertical asymmetry in unilateral and bilateral posterior crossbite patients and a normal occlusion sample. Am J Orthod Dentofacial Orthop. 2009; 136(1): 37–43. doi: 10.1016/j.ajodo.2007.06.019
38. Kasimoglu Y, Tuna EB, RahimI B, Marsan G, Gencay K.
Condylar asymmetry in different occlusion types. Cranio. 2015; 33(1): 10–14.
doi: 10.1179/0886963414Z.00000000039
39. Lam PH, Sadowsky C, Omerza F. Mandibular asymmetry and condylar position in children with unilateral posterior crossbite. Am J Orthod Dentofacial Orthop. 1999; 115(5): 569–575.
doi: 10.1016/S0889-5406(99)70282-9
40. Pinto AS, Buschang PH, Throckmorton GS, Chen P.
Morphological and positional asymmetries of young children with functional unilateral posterior crossbite. Am J Orthod Dentofacial Orthop. 2001; 120(5): 513–520.
doi: 10.1067/mod.2001.118627a
41. Lione R, Brunelli V, Franchi L, Pavoni C, Quiroga Souki B, Cozza P. Mandibular response after rapid maxillary expansion in class II growing patients: a pilot randomized controlled trial. Prog Orthod. 2017; 18(1): 7.
doi: 10.1186/S40510-017-0189-6
42. De Rossi M, De Rossi A, Abrão J.
Skeletal alterations associated with the use of bonded rapid maxillary expansion appliance. Brazil Dent J. 2011; 22(4): 334–339.
doi: 10.1590/S0103-64402011000400013
43. Ileri Z, Basciftci FA.
Asymmetric rapidmaxillary expansion in true unilateral crossbitemalocclusion: A prospective controlled clinical study.
Angle Orthod. 2015; 85(2): 245–252.
doi: 10.2319/011214-40
44. Perillo L, De Rosa A, Iaselli F, D’apuzzo F, Grassia V, Cappabianca S. Comparison between rapid and mixed maxillary expansion through an assessment of dento-skeletal effects on posteroanterior cephalometry. Prog Orthod. 2014; 15(1): 1–8. doi: 10.1186/S40510-014-0046-9
45. Fastuca R, Turiaco H, Assandri F, Zecca PA, Levrini L, Caprioglio A.
Condylar changes in children with posterior crossbite after maxillary expansion: tridimensional evaluation. Children (Basel, Switzerland). 2021; 8(1): 7.
doi: 10.3390/CHILDREN8010038
46. McLeod L, Hernández A, Heo G, Lagravére MO.
Condylar positional changes in rapid maxillary expansion assessed with cone-beam computer tomography.
Int Orthod. 2016; 14(3): 342–356.
doi: 10.1016/j.ortho.2016.07.006
47. Kotarska M, Kucukkeles N, Lis J, Kawala B, Rumin K, Sarul M.
Changes in the mandible following rapid maxillary expansion in children with class II malocclusion: A systematic review. Diagnostics. 2022; 12(7): 1–10.
doi: 10.3390/diagnostics12071688
48. Farronato G, Giannini L, Galbiati G, Maspero C.
Sagittal and vertical effects of rapid maxillary expansion in Class I, II, and III occlusions. Angle Orthodt. 2011; 81(2): 303.
doi: 10.2319/050410-241.1
49. Bishara SE, Bayati P, Jakobsen JR. Longitudinal comparisons of dental arch changes in normal and untreated Class II, division 1 subjects and their clinical implications. Am J Orthod Dentofacial Orthop. 1996; 110(5): 483–489.
doi: 10.1016/s0889-5406(96)70054-9
50. McNamara JA.
Early intervention in the transverse dimension: Is it worth the effort? Am J Orthod Dentofacial Orthop. 2002; 121(6): 572–574. doi: 10.1067/mod.2002.124167
51. Torres D, Lopes J, Magno MB, Maia LC, Normando D, Leão PB. Effects of rapid maxillary expansion on temporomandibular joints: A systematic review. Angle Orthod. 2020; 90(3): 442–456. doi: 10.2319/080619-517.1
52. Nocar A, Horáček M, Dostálová T, Trojanová J.
Dentální a skeletální změny maxilly po rychlé maxilární expanzi – přehledový článek.
Čes stomatol Prakt zubní lék. 2022; 122(3): 79–86. doi: 10.51479/cspzl.2022.006
53. Evangelista K, Valladares-Neto J, Garcia Silva MA, Soares Cevidanes LH, De Oliveira Ruellas AC.
Three-dimensional assessment of mandibular asymmetry in skeletal Class I and unilateral crossbite malocclusion in 3 different age groups. Am J Orthod Dentofacial Orthop. 2020; 158(2): 209–220.
doi: 10.1016/j.ajodo.2019.08.010
Labels
Maxillofacial surgery Orthodontics Dental medicineArticle was published in
Czech Dental Journal
2024 Issue 1
Most read in this issue
- Evaluation of the clinical success of 56 autotransplanted teeth – a retrospective study
- Assessment of mandibular symmetry in patients with unilateral crossbite before and after rapid palatal expansion
- The website cspzl.dent.cz, the online editorial system and new Conditions for publication