Immediate changes in condylar position after rapid maxillary expansion. 2014

Camilo Aquino Melgaço, and José Columbano Neto, and Estela Maris Jurach, and Matilde da Cunha Gonçalves Nojima, and Lincoln Issamu Nojima
Postgraduate student, Department of Orthodontics, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil.

BACKGROUND Although the dentoalveolar and skeletal effects of rapid maxillary expansion are well documented, the condylar response to this procedure is not well understood. The purpose of this study was to test the following null hypothesis: rapid maxillary expansion promotes immediate changes of the position of the condyles in patients with Class I malocclusion. METHODS Thirty-four subjects with Class I malocclusion underwent rapid maxillary expansion. Cone-beam computed tomography images were collected before activation of the expander and 3 weeks later, after screw stabilization. Using specific software functions, it was possible to determine and reproduce head positioning and landmarks during the different times of the study. RESULTS The axial, coronal, and sagittal planes were examined, and no asymmetries in condylar positions were found at either time. However, statistically significant anterior and inferior displacements of these structures occurred, with respective average values of 0.52 and 0.49 mm. Lateral inclinations of both condyles were observed and confirmed by the coronal condylar angles. CONCLUSIONS The null hypothesis was rejected. Statistically significant anterior and inferior displacements of the condyles occurred. Lateral inclination of the condyles was observed.

UI MeSH Term Description Entries
D008297 Male Males
D008311 Malocclusion, Angle Class I Malocclusion in which the mandible and maxilla are anteroposteriorly normal as reflected by the relationship of the first permanent molar (i.e., in neutroclusion), but in which individual teeth are abnormally related to each other. Angle Class I,Class I, Angle
D008335 Mandibular Condyle The posterior process on the ramus of the mandible composed of two parts: a superior part, the articular portion, and an inferior part, the condylar neck. Condyle, Mandibular,Condyles, Mandibular,Mandibular Condyles
D010155 Palatal Expansion Technique An orthodontic method used for correcting narrow or collapsed maxillary arches and functional cross-bite. (From Jablonski's Dictionary of Dentistry), Maxillary Expansion,Palatal Expansion Technic,Expansion, Maxillary,Palatal Expansion Technics,Palatal Expansion Techniques,Technic, Palatal Expansion,Technique, Palatal Expansion
D002508 Cephalometry The measurement of the dimensions of the HEAD. Craniometry
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000293 Adolescent A person 13 to 18 years of age. Adolescence,Youth,Adolescents,Adolescents, Female,Adolescents, Male,Teenagers,Teens,Adolescent, Female,Adolescent, Male,Female Adolescent,Female Adolescents,Male Adolescent,Male Adolescents,Teen,Teenager,Youths
D016382 Orthodontic Appliance Design The planning, calculation, and creation of an apparatus for the purpose of correcting the placement or straightening of teeth. Appliance Design, Orthodontic,Appliance Designs, Orthodontic,Design, Orthodontic Appliance,Designs, Orthodontic Appliance,Orthodontic Appliance Designs

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