Transverse maxillary deficiency is a common discrepancy in both children and adults, which can lead to serious health problems, such as prejudicial malocclusions, breathing problems and a higher risk of developing obstructive sleep apnea. By considering the patient’s age and situating him or her on the growth curve, several treatment options can be envisaged, a rapid maxillary expansion (RPE), mini-implant-assisted rapid palatal expansion (MARPE), Surgically assisted rapid maxillary expansion (SARPE), Slow maxillary expansion and aligners. The aim of this article is to describe two methods of maxillary expansion in adults, and to discuss the different meth-ods of maxillary expansion through a review of the literature.
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Aouame, A. E. , Sair, S. and Quars, F. E. (2024). Maxillary Transverse Expansion: What Are the Limits? A Case Report and Literature Review. Open Access Library Journal, 11, e1283. doi: http://dx.doi.org/10.4236/oalib.1111283.
Les anomalies du sens transversal (2023) Dossiers du mois. https://www.lecourrierdudentiste.com/dossiers-du-mois/les-anomalies-du-sens-transversal.html
Andrucioli, M.C.D. and Matsumoto, M.A.N. (2020) Transverse Maxillary Deficiency: Treatment Alternatives in Face of Early Skeletal Maturation. Dental Press Journal of Orthodontics, 25, 70-79. https://doi.org/10.1590/2177-6709.25.1.070-079.bbo
Kiliç, N. and Oktay, H. (2008) Effects of Rapid Maxillary Expansion on Nasal Breathing and Some Naso-Respiratory and Breathing Problems in Growing Children: A Literature Review. International Journal of Pediatric Otorhinolaryngology, 72, 1595-1601. https://doi.org/10.1016/j.ijporl.2008.07.014
Kapetanović, A., Theodorou, C.I., Bergé, S.J., Schols, J.G.J.H. and Xi, T. (2021) Efficacy of Miniscrew-Assisted Rapid Palatal Expansion (MARPE) in Late Adolescents and Adults: A Systematic Review and Meta-Analysis. European Journal of Orthodontics, 43, 313-323. https://doi.org/10.1093/ejo/cjab005
Rachmiel, A., Turgeman, S., Shilo, D., Emodi, O. and Aizenbud, D. (2020) Surgically Assisted Rapid Palatal Expansion to Correct Maxillary Transverse Deficiency. Annals of Maxillofacial Surgery, 10, 136-141. https://doi.org/10.4103/ams.ams_163_19
Baratieri, C., Alves, M., De Souza, M.M.G., De Souza Araújo, M.T. and Maia, L.C. (2011) Does Rapid Maxillary Expansion Have Long-Term Effects on Airway Dimensions and Breathing? American Journal of Orthodontics and Dentofacial Orthopedics, 140, 146-156. https://doi.org/10.1016/j.ajodo.2011.02.019
Lin, L., Ahn, H.W., Kim, S.J., Moon, S.C., Kim, S.H. and Nelson, G. (2015) Tooth-Borne vs Bone-Borne Rapid Maxillary Expanders in Late Adolescence. The Angle Orthodontist, 85, 253-262. https://doi.org/10.2319/030514-156.1
Jia, H., Zhuang, L., Zhang, N., Bian, Y. and Li, S. (2021) Comparison of Skeletal Maxillary Transverse Deficiency Treated by Microimplant-Assisted Rapid Palatal Expansion and Tooth-Borne Expansion during the Post-Pubertal Growth Spurt Stage. The Angle Orthodontist, 91, 36-45. https://doi.org/10.2319/041920-332.1
Dahiya, S., Chitra, P., Rao, S.S. and Bindra, S. (2023) Modified SARME (Surgically Assisted Rapid Maxillary Expansion) in Conjunction with Orthodontic Treatment—A Case Report. Journal of Clinical and Diagnostic Research, 9, ZD20-ZD22. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4625349/
Ilizarov, G.A. (1990) Clinical Application of the Tension-Stress Effect for Limb Lengthening. Clinical Orthopaedics and Related Research, 250, 8-26. https://doi.org/10.1097/00003086-199001000-00003
Loriato, L. and Ferreira, C.E. (2020) Surgically-Assisted Rapid Maxillary Expansion (SARME): Indications, Planning and Treatment of Severe Maxillary Deficiency in an Adult Patient. Dental Press Journal of Orthodontics, 25, 73-84. https://doi.org/10.1590/2177-6709.25.3.073-084.bbo
Rutili, V., Nieri, M., Franceschi, D., Pierleoni, F., Giuntini, V. and Franchi, L. (2022) Comparison of Rapid versus Slow Maxillary Expansion on Patient-Reported Outcome Measures in Growing Patients: A Systematic Review and Meta-Analysis. Progress in Orthodontics, 23, Article No. 47. https://doi.org/10.1186/s40510-022-00440-5
Franchi, L., Baccetti, T., Camporesi, M. and Lupoli, M. (2006) Maxillary Arch Changes during Leveling and Aligning with Fixed Appliances and Low-Friction Ligatures. American Journal of Orthodontics and Dentofacial Orthopedics, 130, 88-91. https://doi.org/10.1016/j.ajodo.2006.01.017
Alsayegh, E., Balut, N., Ferguson, D.J., Makki, L., Wilcko, T., Hansa, I., et al. (2022) Maxillary Expansion: A Comparison of Damon Self-Ligating Bracket Therapy with MARPE and PAOO. BioMed Research International, 2022, Article ID: 1974467. https://doi.org/10.1155/2022/1974467
de Figueiredo, M.A., Romano, F.L., Feres, M.F.N., Stuani, M.B.S., Ferreira, J.T.L., et al. (2023) Maxillary Alveolar Bone Evaluation following Dentoalveolar Expansion with Clear Aligners in Adults: A Cone-Beam Computed Tomography Study. Korean Journal of Orthodontics, 53, 264-275. https://doi.org/10.4041/kjod22.243
Morales-Burruezo, I., Gandía-Franco, J.L., Cobo, J., Vela-Hernández, A. and Bellot-Arcís, C. (2020) Arch Expansion with the Invisalign System: Efficacy and Predictability. PLOS ONE, 15, e0242979. https://doi.org/10.1371/journal.pone.0242979
Rocha, A.S., Gonçalves, M., Oliveira, A.C., Azevedo, R.M.S. and Pinho, T. (2023) Efficiency and Predictability of Coronal Maxillary Expansion Repercussion with the Aligners System: A Retrospective Study. Dentistry Journal, 11, Article 258. https://doi.org/10.3390/dj11110258
Bouchant, M., Saade, A. and El Helou, M. (2023) Is Maxillary Arch Expansion with Invisalign® Efficient and Predictable? A Systematic Review. International Orthodontics, 21, Article ID: 100750. https://doi.org/10.1016/j.ortho.2023.100750