The Journal of Contemporary Dental Practice

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Related articles

VOLUME 21 , ISSUE 9 ( September, 2020 ) > List of Articles

REVIEW ARTICLE

Longitudinal Stability of Rapid and Slow Maxillary Expansion: A Systematic Review

Shrish C Srivastava, Khyati Mahida, Chintan Agarwal, Ravindra M Chavda, Harshit A Patel

Keywords : Constricted maxilla, Crossbite, Palatal expansion, Rapid maxillary expansion

Citation Information : Srivastava SC, Mahida K, Agarwal C, Chavda RM, Patel HA. Longitudinal Stability of Rapid and Slow Maxillary Expansion: A Systematic Review. J Contemp Dent Pract 2020; 21 (9):1068-1072.

DOI: 10.5005/jp-journals-10024-2932

License: CC BY-NC 4.0

Published Online: 22-01-2021

Copyright Statement:  Copyright © 2020; The Author(s).


Abstract

Aim and objective: To review the long-term stability of slow maxillary expansion (SME) and rapid maxillary expansion (RME). Materials and methods: A systematic review of literature was carried out on the principal medical databases. Cephalometric studies, measurements on the dental casts, retrospective, cohort studies were kept as inclusion criteria. Last 20 years articles were included in the study. The studies where expansion had been performed by any one of the methods of expansion; that is, SME and RME were accepted. Studies where posttreatment follow-up had been performed were included. Selected articles were independently evaluated by three researchers. Discrepancies were resolved by discussion to reach a common consensus. Results: Total of 151 articles were first shown as relevant articles but after sorting the article according to relevancy in a stepwise manner 12 articles fulfilled the inclusion criteria and were incorporated in the study finally. In the study, nine prospective and three retrospective studies which had followed patients after maxillary expansion from 2 to 15 years were included. Conclusion: Correction with slow and rapid palatal expansion appears to be stable in the long-term when followed for extended periods after expansion treatment. Clinical significance: The article clearly describes the effectiveness of the expansion treatment and its longitudinal stability in terms of relapse by providing various evidences from the literature which were sought after systematically searching the different electronic databases.


HTML PDF Share
  1. Krebs A. Midpalatal suture expansion studied by the implant method over a seven-year period. Rep Congr Eur Orthod Soc 1964;40:131–142.
  2. Linder-Aronson S, Lindgren J. The skeletal and dental effects of rapid maxillary expansion. Br J Orthod 1979;6(1):25–29. DOI: 10.1179/bjo.6.1.25.
  3. Cameron CG, Franchi L, Baccetti T, et al. Long-term effects of rapid maxillary expansion: a posteroanterior cephalometric evaluation. Am J Orthod Dentofacial Orthop 2002;121(2):129–135. DOI: 10.1067/mod.2002.120685.
  4. Ferris T, Alexander RG, Boley J, et al. Long-term stability of combined rapid palatal expansion-lip bumper therapy followed by full fixed appliances. Am J Orthod Dentofacial Orthop 2005;128(3):310–325. DOI: 10.1016/j.ajodo.2005.01.001.
  5. Haas AJ. Long-term posttreatment evaluation of rapid palatal expansion. Angle Orthod 1980;50(3):189–217.
  6. McNamara Jr JA, Baccetti T, Franchi L, et al. Rapid maxillary expansion followed by fixed appliances: a long-term evaluation of changes in arch dimensions. Angle Orthod 2003;73(4):344–353.
  7. Moussa R, O'Reilly MT, Close JM. Long-term stability of rapid palatal expander treatment and edgewise mechanotherapy. Am J Orthod Dentofacial Orthop 1995;108(5):478–488. DOI: 10.1016/S0889-5406(95)70048-X.
  8. Pinheiro FH, Garib DG, Janson G, et al. Longitudinal stability of rapid and slow maxillary expansion. Dental Press J Orthod 2014;19(6):70–77. DOI: 10.1590/2176-9451.19.6.070-077.oar.
  9. Gurel HG, Memili B, Erkan M, et al. Long-term effects of rapid maxillary expansion followed by fixed appliances. Angle Orthod 2010;80(1):5–9. DOI: 10.2319/011209-22.1.
  10. Huynh T, Kennedy DB, Joondeph DR, et al. Treatment response and stability of slow maxillary expansion using Haas, hyrax, and quad-helix appliances: a retrospective study. Am J Orthod Dentofacial Orthop 2009;136(3):331–339. DOI: 10.1016/j.ajodo.2007.08.026.
  11. Masucci C, Franchi L, Defraia E, et al. Stability of rapid maxillary expansion and facemask therapy: a long-term controlled study. Am J Orthod Dentofacial Orthop 2011;140(4):493–500. DOI: 10.1016/j.ajodo.2010.09.031.
  12. Lagravere MO, Major PW, Flores-Mir C. Long-term skeletal changes with rapid maxillary expansion: a systematic review. Angle Orthod 2005;75(6):1046–1052.
  13. Lima AL, Lima Filho RM, Bolognese AM. Long-term clinical outcome of rapid maxillary expansion as the only treatment performed in class I malocclusion. Angle Orthod 2005;75(3):416–420.
  14. Mohan CN, Araujo EA, Oliver DR, et al. Long-term stability of rapid palatal expansion in the mixed dentition vs the permanent dentition. Am J Orthod Dentofacial Orthop 2016;149(6):856–862. DOI: 10.1016/j.ajodo.2015.11.027.
  15. Fenderson FA, McNamara Jr JA, Baccetti T, et al. A long-term study on the expansion effects of the cervical-pull facebow with and without rapidmaxillary expansion. Angle Orthod 2004;74(4):439–449.
  16. Lima Filho RM, de Oliveira Ruellas AC. Long-term maxillary changes in patients with skeletal class II malocclusion treated with slow and rapid palatal expansion. Am J Orthod Dentofacial Orthop 2008;134(3):383–388. DOI: 10.1016/j.ajodo.2006.09.071.
  17. Lima Filho RM, Ruellas AC. Long-term anteroposterior and vertical maxillary changes in skeletal class II patients treated with slow and rapid maxillary expansion. Angle Orthod 2007;77(5):870–874. DOI: 10.2319/071406-293.1.
  18. Matsumoto MA, Itikawa CE, Valera FC, et al. Long-term effects of rapid maxillary expansion on nasal area and nasal airway resistance. Am J Rhinol Allergy 2010;24(2):161–165. DOI: 10.2500/ajra.2010.24.3440.
  19. Chang JY, McNamara Jr JA, Herberger TA. A longitudinal study of skeletal side effects induced by rapid maxillary expansion. Am J Orthod Dentofacial Orthop 1997;112(3):330–337. DOI: 10.1016/S0889-5406(97)70264-6.
  20. Krebs A. Expansion of the midpalatal suture studied by means of metallic implants. Acta Odont Scand 1959;17(4):491–501. DOI: 10.3109/00016355908993936.
  21. Bjerklin K. Follow-up control of patients with unilateral posterior cross-bite treated with expansion plates or the quad-helix appliance. J Orofac Orthop 2000;61(2):112–124. DOI: 10.1007/BF01300353.
  22. de Boer M, Steenks MH. Functional unilateral posterior crossbite.orthodontic and functional aspects. J Oral Rehabil 1997;24(8):614–623. DOI: 10.1046/j.1365-2842.1997.00633.x.
  23. Göz GR, Bacher M, Ney T, et al. Transverse expansion with plate appliances: their intermolar stability and significance for gingival recession. Fortschr Kieferorthop 1992;53(6):344–348. DOI: 10.1007/BF02311851.
  24. Lebret LML. Expansion with labiolingual and removable appliances. Am J Orthod 1964;50(10):786–787. DOI: 10.1016/0002-9416(64)90096-X.
  25. Mew J. Relapse following maxillary expansion. A study of twenty-five consecutive cases. Am J Orthod 1983;83(1):56–61. DOI: 10.1016/0002-9416(83)90272-5.
  26. Sadowsky C, Sakols EI. Long-term assessment of orthodontic relapse. Am J Orthod 1982;82(6):456–463. DOI: 10.1016/0002-9416(82)90312-8.
  27. Uribe P, Martínez León R, Rincón de Galvis A, et al. Relapse of posterior crossbites and behavior of collapsed and overexpanded arches by orthodontic treatment. Univ Odontol 1995;14(27):55–62.
  28. Azizi M, Shrout MK, Haas AJ, et al. A retrospective study of angle class I malocclusions treated orthodontically without extractions using two palatal expansion methods. Am J Orthod Dentofacial Orthop 1999;116(1):101–107. DOI: 10.1016/S0889-5406(99)70309-4.
  29. Herold JS. Maxillary expansion: a retrospective study of three methods of expansion and their long-term sequelae. Br J Orthod 1989;16(3):195–200. DOI: 10.1179/bjo.16.3.195.
  30. Adkins MD, Nanda RS, Currier GF. Arch perimeter changes on rapid palatal expansion. Am J Orthod Dentofacial Orthop 1990;97:194–199. DOI: 10.1016/S0889-5406(05)80051-4.
  31. Haas AJ. Palatal expansion: just the beginning of dentofacial orthopedics. Am J Orthod 1970;57:219–255. DOI: 10.1016/0002-9416(70)90241-1.
  32. McNamara Jr JA, Brudon WL. Orthodontics and dentofacial orthopedics. Ann Arbor, Mich: Needham Press; 2001. p. 555.
  33. Stockfish H. Rapid expansion of the maxilla-success and relapse. Trans Eur Orthod Soc 1969;45:469–481.
  34. Spillane LM, McNamara Jr JA. Maxillary adaptations following expansion in the mixed dentition. Semin Orthod 1995;1(13):176–187. DOI: 10.1016/S1073-8746(95)80021-2.
  35. Timms DJ. Long-term follow-up of cases treated by rapid maxillary expansion. Trans Eur Orthod Soc 1976;52:211–215.
  36. Falk WV. An Examination of the Influence of Rapid Palatal Expansion on Mandibular Arch Stability [unpublished Master's thesis]. Columbus, Ohio: Ohio State University; 1985.
  37. McNamara Jr JA. Maxillary transverse deficiency. Am J Orthod Dentofacial Orthop 2000;117(5):567–570. DOI: 10.1016/S0889-5406(00)70202-2.
  38. McNamara Jr 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.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.