Download PDF
CC BY-NC-ND 4.0 · Eur J Dent 2016; 10(01): 103-108
DOI: 10.4103/1305-7456.175695
Original Article
Dental Investigation Society

Evaluation of the effects of modified bonded rapid maxillary expansion on occlusal force distribution: A pilot study

Fatma Deniz Uzuner
1   Department of Orthodontics, Gazi University Faculty of Dentistry, Ankara, Turkiye
,
Hande Odabasi
1   Department of Orthodontics, Gazi University Faculty of Dentistry, Ankara, Turkiye
,
Secil Acar
1   Department of Orthodontics, Gazi University Faculty of Dentistry, Ankara, Turkiye
,
Tuba Tortop
1   Department of Orthodontics, Gazi University Faculty of Dentistry, Ankara, Turkiye
,
Nilufer Darendeliler
1   Department of Orthodontics, Gazi University Faculty of Dentistry, Ankara, Turkiye
› Author Affiliations
Further Information

Publication History

Publication Date:
23 September 2019 (online)

  PDF Download Permissions and Reprints

ABSTRACT

Objective: To evaluate the effects of modified bonded rapid maxillary expansion (RME) on occlusal force distribution. Materials and Methods: The sample included 12 patients (7 girls and 5 boys; mean age: 13.1 years) at the permanent dentition stage with bilateral posterior cross-bite. The patients were treated with a modified bonded RME appliance, activated twice a day. The study was terminated when the palatal cusps of the maxillary posterior teeth were occluding with the buccal cusps of the mandibular posterior teeth. The postretention period was 3 months. The T-Scan III device was used to analyze the percentages of occlusal force distribution, and records were taken at the pretreatment (T1), the postreatment (T2), and the postretention (T3) periods. Wilcoxon signed rank test was used for statistical analyses. Results: Incisors were most frequently without contact, followed by canines. The highest forces were seen in the second and first molar regions. A significant decrease was seen in total occlusal force during treatment (T1–T2); however, during retention, the force returned to its initial value, and no significant differences were found (T1–T3). No differences were found between right and left sides and in occlusal forces of the teeth in all time periods. Conclusion: The use of modified bonded RME decreases the total occlusal forces during the treatment period, but it does returns to its initial value after the postretention period.

Key words:

Modified bonded rapid maxillary expansion - occlusal force - occlusal force distribution - T-Scan device
 

  • REFERENCES

  • 1 da Silva FilhoOG, Boas MC, Capelozza FilhoL. Rapid maxillary expansion in the primary and mixed dentitions: A cephalometric evaluation. Am J Orthod Dentofacial Orthop 1991; 100: 171-9
    CrossrefPubMedGoogle Scholar
  • 2 Chung CH, Font B. Skeletal and dental changes in the sagittal, vertical, and transverse dimensions after rapid palatal expansion. Am J Orthod Dentofacial Orthop 2004; 126: 569-75
    CrossrefPubMedGoogle Scholar
  • 3 Sarver DM, Johnston MW. Skeletal changes in vertical and anterior displacement of the maxilla with bonded rapid palatal expansion appliances. Am J Orthod Dentofacial Orthop 1989; 95: 462-6
    CrossrefPubMedGoogle Scholar
  • 4 Erverdi N, Okar I, Kücükkeles N, Arbak S. A comparison of two different rapid palatal expansion techniques from the point of root resorption. Am J Orthod Dentofacial Orthop 1994; 106: 47-51
    CrossrefPubMedGoogle Scholar
  • 5 Garrett BJ, Caruso JM, Rungcharassaeng K, Farrage JR, Kim JS, Taylor GD. Skeletal effects to the maxilla after rapid maxillary expansion assessed with cone-beam computed tomography. Am J Orthod Dentofacial Orthop 2008; 134: 8-9
    CrossrefPubMedGoogle Scholar
  • 6 Cross DL, McDonald JP. Effect of rapid maxillary expansion on skeletal, dental, and nasal structures: A postero-anterior cephalometric study. Eur J Orthod 2000; 22: 519-28
    CrossrefPubMedGoogle Scholar
  • 7 De Rossi M, De Rossi A, Hallak JE, Vitti M, Regalo SC. Electromyographic evaluation in children having rapid maxillary expansion. Am J Orthod Dentofacial Orthop 2009; 136: 355-60
    CrossrefPubMedGoogle Scholar
  • 8 Afrashtehfar KI, Qadeer S. Computerized occlusal analsis as an alternative occlusal indicator. Cranio. 2014: 2151090314Y0000000024 [Epub ahead of print]
    Google Scholar
  • 9 Arat FE, Arat ZM, Acar M, Beyazova M, Tompson B. Muscular and condylar response to rapid maxillary expansion. Part 1: Electromyographic study of anterior temporal and superficial masseter muscles. Am J Orthod Dentofacial Orthop 2008; 133: 815-22
    CrossrefPubMedGoogle Scholar
  • 10 Halazonetis DJ, Katsavrias E, Spyropoulos MN. Changes in cheek pressure following rapid maxillary expansion. Eur J Orthod 1994; 16: 295-300
    CrossrefPubMedGoogle Scholar
  • 11 Arat FE, Arat ZM, Tompson B, Tanju S, Erden I. Muscular and condylar response to rapid maxillary expansion. Part 2: Magnetic resonance imaging study of the temporomandibular joint. Am J Orthod Dentofacial Orthop 2008; 133: 823-9
    CrossrefPubMedGoogle Scholar
  • 12 Arat FE, Arat ZM, Tompson B, Tanju S. Muscular and condylar response to rapid maxillary expansion. Part 3: Magnetic resonance assessment of condyle-disc relationship. Am J Orthod Dentofacial Orthop 2008; 133: 830-6
    CrossrefPubMedGoogle Scholar
  • 13 Bicakci AA, Agar U, Sökücü O, Babacan H, Doruk C. Nasal airway changes due to rapid maxillary expansion timing. Angle Orthod 2005; 75: 1-6
    PubMedGoogle Scholar
  • 14 Oliveira De FelippeNL, Da Silveira AC, Viana G, Kusnoto B, Smith B, Evans CA. Relationship between rapid maxillary expansion and nasal cavity size and airway resistance: Short- and long-term effects. Am J Orthod Dentofacial Orthop 2008; 134: 370-82
    CrossrefPubMedGoogle Scholar
  • 15 Miyauchi S, Nakaminami T, Nishio K, Maruyama T. Chewing pattern in posterior crossbite. Classification of chewing pattern in the frontal plane. Nihon Hotetsu Shika Gakkai Zasshi 1989; 33: 938-51
    CrossrefPubMedGoogle Scholar
  • 16 Kecik D, Kocadereli I, Saatci I. Evaluation of the treatment changes of functional posterior crossbite in the mixed dentition. Am J Orthod Dentofacial Orthop 2007; 131: 202-15
    CrossrefPubMedGoogle Scholar
  • 17 Jacobson A, Jacobson RL. Radiographic Cephalometry. From Basics to 3-D Imaging. 2nd ed.. Hanover Park, IL, USA: Quintessence Publishing Co, Inc.; 2006: 71-8
    Google Scholar
  • 18 Bakke M, Holm B, Jensen BL, Michler L, Möller E. Unilateral, isometric bite force in 8-68-year-old women and men related to occlusal factors. Scand J Dent Res 1990; 98: 149-58
    PubMedGoogle Scholar
  • 19 Owais AI, Shaweesh M, Abu AlhaijaES. Maximum occusal bite force for children in different dentition stages. Eur J Orthod 2013; 35: 427-33
    CrossrefPubMedGoogle Scholar
  • 20 Tuxen A, Bakke M, Pinholt EM. Comparative data from young men and women on masseter muscle fibres, function and facial morphology. Arch Oral Biol 1999; 44: 509-18
    CrossrefPubMedGoogle Scholar
  • 21 Calderon PdosS, Kogawa EM, Corpas LdosS, Lauris JR, Conti PC. The influence of gender and bruxism on human minimum interdental threshold ability. J Appl Oral Sci 2009; 17: 224-8
    CrossrefPubMedGoogle Scholar
  • 22 Proffit WR, Fields HW, Nixon WL. Occlusal forces in normal- and long-face adults. J Dent Res 1983; 62: 566-70
    Google Scholar
  • 23 Ingervall B, Minder C. Correlation between maximum bite force and facial morphology in children. Angle Orthod 1997; 67: 415-22
    PubMedGoogle Scholar
  • 24 Kiliaridis S, Kjellberg H, Wenneberg B, Engström C. The relationship between maximal bite force, bite force endurance, and facial morphology during growth. A cross-sectional study. Acta Odontol Scand 1993; 51: 323-31
    CrossrefPubMedGoogle Scholar
  • 25 Abu AlhaijaES, Al Zo'ubi IA, Al Rousan ME, Hammad MM. Maximum occlusal bite forces in Jordanian individuals with different dentofacial vertical skeletal patterns. Eur J Orthod 2010; 32: 71-7
    CrossrefPubMedGoogle Scholar
  • 26 Linderholm H, Lindqvist B, Ringqvist M, Wennström A. Isometric bite force in children and its relation to body build and general muscle force. Acta Odontol Scand 1971; 29: 563-8
    CrossrefPubMedGoogle Scholar
  • 27 Sonnesen L, Bakke M. Molar bite force in relation to occlusion, craniofacial dimensions, and head posture in pre-orthodontic children. Eur J Orthod 2005; 27: 58-63
    CrossrefPubMedGoogle Scholar
  • 28 English JD, Buschang PH, Throckmorton GS. Does malocclusion affect masticatory performance?. Angle Orthod 2002; 72: 21-7
    PubMedGoogle Scholar
  • 29 Schelb E, Kaiser DA, Brukl CE. Thickness and marking characteristics of occlusal registration strips. J Prosthet Dent 1985; 54: 122-6
    CrossrefPubMedGoogle Scholar
  • 30 Breeding LC, Dixon DL, Kinderknecht KE. Accuracy of three interocclusal recording materials used to mount a working cast. J Prosthet Dent 1994; 71: 265-70
    CrossrefPubMedGoogle Scholar
  • 31 Millstein PL. An evaluation of occlusal indicator wax. J Prosthet Dent 1985; 53: 570-2
    CrossrefPubMedGoogle Scholar
  • 32 Koos B, Godt A, Schille C, Göz G. Precision of an instrumentation-based method of analyzing occlusion and its resulting distribution of forces in the dental arch. J Orofac Orthop 2010; 71: 403-10
    CrossrefPubMedGoogle Scholar
  • 33 Throckmorton GS, Rasmussen J, Caloss R. Calibration of T-Scan sensors for recording bite forces in denture patients. J Oral Rehabil 2009; 36: 636-43
    CrossrefPubMedGoogle Scholar
  • 34 Qadeer S, Kerstein R, Kim RJ, Huh JB, Shin SW. Relationship between articulation paper mark size and percentage of force measured with computerized occlusal analysis. J Adv Prosthodont 2012; 4: 7-12
    CrossrefPubMedGoogle Scholar
  • 35 Garrido GarcíaVC, García CartagenaA, González SequerosO. Evaluation of occlusal contacts in maximum intercuspation using the T-Scan system. J Oral Rehabil 1997; 24: 899-903
    CrossrefPubMedGoogle Scholar
  • 36 Liu CW, Chang YM, Shen YF, Hong HH. Using the T-scan III system to analyze occlusal function in mandibular reconstruction patients: A pilot study. Biomed J 2015; 38: 52-7
    CrossrefPubMedGoogle Scholar
  • 37 Hatch JP, Shinkai RS, Sakai S, Rugh JD, Paunovich ED. Determinants of masticatory performance in dentate adults. Arch Oral Biol 2001; 46: 641-8
    CrossrefPubMedGoogle Scholar
  • 38 Okeson JP. Management of Temporomandibular Disorders and Occlusion. 6th ed.. St. Louis, Mo: Mosby Elsevier Inc.; 2008: 128-31
    Google Scholar
  • 39 Antonarakis GS, Kjellberg H, Kiliaridis S. Bite force and its association with stability following Class II/1 functional appliance treatment. Eur J Orthod 2013; 35: 434-41
    CrossrefPubMedGoogle Scholar
  • 40 Sharma R, Preethi N, Sidana A. Neurological mechanisms involved in orthodontic tooth movement: A contemporary review. Int J Contemp Dent Med Rev 2015;Article ID 250115: 7. Available from: www.ijcdmr.com/index.php/ijcdmr/article/view/101
    Google Scholar
  • 41 Yamaguchi M, Nakajima R, Kasai K. Mechanoreceptors, nociceptors, and orthodontic tooth movement. Semin Orthod 2012; 18: 249-56
    CrossrefGoogle Scholar
  • 42 Kiliaridis S, Johansson A, Haraldson T, Omar R, Carlsson GE. Craniofacial morphology, occlusal traits, and bite force in persons with advanced occlusal tooth wear. Am J Orthod Dentofacial Orthop 1995; 107: 286-92
    CrossrefPubMedGoogle Scholar
  • 43 Lyons MF, Baxendale RH. A preliminary electromyographic study of bite force and jaw-closing muscle fatigue in human subjects with advanced tooth wear. J Oral Rehabil 1990; 17: 311-8
    CrossrefPubMedGoogle Scholar