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Clinical Oral Investigations

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24.08.2023 | Research

Comparison of nasal cavity changes between the expander with differential opening and the fan-type expander: a secondary data analysis from an RCT

verfasst von: Rodrigo Teixeira, Camila Massaro, Daniela Garib

Erschienen in: Clinical Oral Investigations | Ausgabe 10/2023

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Abstract

Introduction

The aim of this study was to compare the nasal cavity skeletal changes between the expander with differential opening (EDO) and the fan-type expander (FE).

Methods

This study was a secondary analysis of a previous randomized clinical trial. Forty-eight patients with posterior crossbite were randomly allocated into two study groups. Twenty-four patients (11 male, 13 female) with a mean initial age of 7.6 ± 0.9 years were treated with rapid maxillary expansion (RME) using the EDO. Twenty-four patients (10 male, 14 female) with a mean initial age of 7.8 ± 0.9 years were treated with the FE. Cone-beam computed tomography (CBCT) was performed before treatment and 1 to 6 months after the active phase of RME. Using frontal CBCT slices passing at the level of maxillary permanent first molars and maxillary deciduous canines, the width of the nasal cavity was measured in the lower, middle and upper thirds. Nasal cavity height was also evaluated in both slices. Intergroup comparisons of interphase changes were performed using t or Mann-Whitney tests (P < 0.05).

Results

The two groups were similar regarding baseline data. EDO showed a greater transverse increase in the lower third of the nasal cavity in both canine (P = 0.007) and molar regions (P < 0.001). No intergroup difference was observed for changes in middle and upper widths and height of the nasal cavity.

Conclusions

Both expanders are effective in promoting an increase of the nasal cavity skeletal dimensions. The expander with differential opening produced a greater transverse increase in the lower third of the nasal cavity compared to the fan-type expander, both at the anterior and posterior regions of the maxilla.

Clinical relevance

EDO might be more beneficial to pediatric patients with oral breathing and obstructive sleep apnea compared to FE.

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Titel: Comparison of nasal cavity changes between the expander with differential opening and the fan-type expander: a secondary data analysis from an RCT
verfasst von: Rodrigo Teixeira
Camila Massaro
Daniela Garib
Publikationsdatum: 24.08.2023
Verlag: Springer Berlin Heidelberg
Erschienen in: Clinical Oral Investigations / Ausgabe 10/2023
Print ISSN: 1432-6981
Elektronische ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-023-05213-w

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Comparison of nasal cavity changes between the expander with differential opening and the fan-type expander: a secondary data analysis from an RCT

Abstract

Introduction

Methods

Results

Conclusions

Clinical relevance

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Abstract

Introduction

Methods

Results

Conclusions

Clinical relevance

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