Nonsurgical miniscrew-assisted rapid maxillary expansion results in acceptable stability in young adults

作者：Choi Sung Hwan; Shi Kyung Keun; Cha Jung Yul; Park Young Chel; Lee Kee Joon

来源：The Angle Orthodontist, 2016, 86(5): 713-720.

DOI：10.2319/101415-689.1

• MARME
• Transverse maxillary deficiency
• Adults
• Stability

Objective: To evaluate the stability of nonsurgical miniscrew-assisted rapid maxillary expansion (MARME) in young adults with a transverse maxillary deficiency.
Materials and Methods: From a total of 69 adult patients who underwent MARME followed by orthodontic treatment with a straight-wire appliance, 20 patients (mean age, 20.9 +/- 2.9 years) with follow-up records (mean, 30.2 +/- 13.2 months) after debonding were selected. Posteroanterior cephalometric records and dental casts were obtained at the initial examination (TO), immediately after MARME removal (T1), immediately after debonding (T2), and at posttreatment follow-up (T3).
Results: Suture separation was observed in 86.96% of subjects (60/69). An increase in the maxillary width (J-J; 1.92 mm) accounted for 43.34% of the total expansion with regard to the intermolar width (IMW) increase (4.43 mm; P < .001) at T2. The amounts of J-J and IMW posttreatment changes were 0.07 mm (P > .05) and 0.42 mm (P = .01), respectively, during retention. The postexpansion change in middle alveolus width increased with age (P < .05). The postexpansion change of interprennolar width (IPMW) was positively correlated with the amount of IPMW expansion (P < .05) but not with IMW. The changes of the clinical crown heights in the maxillary canines, first premolars, and first molars were not significant at each time point.
Conclusions: Nonsurgical MARME can be a clinically acceptable and stable treatment modality for young adults with a transverse maxillary deficiency.

• 出版日期2016-9