Unusual Systemic and Nondental Effects of Maxillary Expansion Therapy: A Comprehensive and Updated Review of Literature

Overview

Journal J Orthod Sci

Date 2023 Oct 26

PMID 37881659

Authors

Mohammad Kamran Khan

Divya Sanjay Sharma

Mahendra Kumar Jindal

Affiliations

Soon will be listed here.

Abstract

In dental practice, pediatric patients with a wide range of manifestations of malocclusion viz. crossbite, dental crowding, and skeletal Class III due to transverse discrepancy of the abnormally constricted maxilla or palate are found. However, the dental management of such kind of malocclusion with narrow palate needs a meticulous dental evaluation. Appliances used for treating such malocclusion conditions may include Slow-Maxillary Expansion (SME) or Rapid Maxillary Expansion (RME) orthodontic or orthopedic appliances. Considerable success has been described in the literature using the maxillary/palatal expansion modality. Unusual systemic and nondental effects of expansion appliances therapy have been described in some scientific studies. However, no comprehensive review article has been published describing the nondental and systemic effects of RME/SME therapy in Pediatric Dentistry. Considering the above scenarios, the updated and comprehensive review of the relevant literature is necessary for health professionals. Dental professionals including pediatric dentists and orthodontists need to consider such untoward or unexpected effects of RME/SME treatment modality. Hence, the current comprehensive review article has been written with the aim to meticulously describe the relevant scientific literature about nondental/extraoral and systemic effects of RME/SME appliances.

Citing Articles

Comparative Experimental Evaluation of Orthodontic Appliances for Maxillary Arch Expansion.

Ebrahimy G, Konermann A, El-Bialy T, Keilig L, Bourauel C J Clin Med. 2024; 13(21).

PMID: 39518612 PMC: 11546383. DOI: 10.3390/jcm13216473.

References

Patil G, Lakhe P, Niranjane P . Maxillary Expansion and Its Effects on Circummaxillary Structures: A Review. Cureus. 2023; 15(1):e33755. PMC: 9922614. DOI: 10.7759/cureus.33755. View

Lima Illescas M, Aucapina Aguilar D, Vallejo Ledesma L . A review on the influence of rapid maxillary expansion and mandibular advancement for treating obstructive sleep apnea in children. J Clin Pediatr Dent. 2023; 47(1):9-16. DOI: 10.22514/jocpd.2022.035. View

Kilinc A, Arslan S, Kama J, Ozer T, Dari O . Effects on the sagittal pharyngeal dimensions of protraction and rapid palatal expansion in Class III malocclusion subjects. Eur J Orthod. 2007; 30(1):61-6. DOI: 10.1093/ejo/cjm076. View

Aziz T, Ansari K, Lagravere M, Major M, Flores-Mir C . Effect of non-surgical maxillary expansion on the nasal septum deviation: a systematic review. Prog Orthod. 2015; 16:15. PMC: 4456578. DOI: 10.1186/s40510-015-0084-y. View

Carbajal-Rodriguez G, Langer M, Yaya-Beas M, Linan-Duran C, Lagravere M, Gianoni-Capenakas S . Effects of rapid maxillary expansion on head and cervical posture in growing patients: A systematic review. Int Orthod. 2022; 20(3):100658. DOI: 10.1016/j.ortho.2022.100658. View

Buyukbayraktar Z, Doruk C, Dogan M, Ertas G . Effects of rapid maxillary expansion or alternating rapid maxillary expansion and constriction on nasal mucociliary clearance : A randomized clinical trial. J Orofac Orthop. 2021; 83(6):395-402. DOI: 10.1007/s00056-021-00316-z. View

Farronato G, Maspero C, Russo E, Periti G, Farronato D . Headache and transverse maxillary discrepancy. J Clin Pediatr Dent. 2008; 33(1):67-74. DOI: 10.17796/jcpd.33.1.j82n127877250863. View

Fastuca R, Lorusso P, Lagravere M, Michelotti A, Portelli M, Zecca P . Digital evaluation of nasal changes induced by rapid maxillary expansion with different anchorage and appliance design. BMC Oral Health. 2017; 17(1):113. PMC: 5513127. DOI: 10.1186/s12903-017-0404-3. View

Lanteri C, Beretta M, Lanteri V, Gianolio A, Cherchi C, Franchi L . The Leaf Expander for Non-Compliance Treatment in the Mixed Dentition. J Clin Orthod. 2016; 50(9):552-560. View

10.

Lopponi G, Maino B, Dalessandri D . Rapid Palatal Expansion Should Not Be Trivialized: Two Case Reports of Unexpected Complications. Eur J Dent. 2021; 15(3):599-605. PMC: 8382503. DOI: 10.1055/s-0041-1728840. View

11.

Cerritelli L, Hatzopoulos S, Catalano A, Bianchini C, Cammaroto G, Meccariello G . Rapid Maxillary Expansion (RME): An Otolaryngologic Perspective. J Clin Med. 2022; 11(17). PMC: 9457357. DOI: 10.3390/jcm11175243. View

12.

Camacho M, Chang E, Song S, Abdullatif J, Zaghi S, Pirelli P . Rapid maxillary expansion for pediatric obstructive sleep apnea: A systematic review and meta-analysis. Laryngoscope. 2016; 127(7):1712-1719. DOI: 10.1002/lary.26352. View

13.

Yacout Y, Abdalla E, El Harouny N . Patient-reported outcomes of slow vs rapid miniscrew-supported maxillary expansion in adolescents: secondary outcomes of a randomized clinical trial. Angle Orthod. 2022; . PMC: 9933559. DOI: 10.2319/061022-418.1. View

14.

Bahammam S . . Sleep Sci. 2020; 13(1):70-77. PMC: 7347361. DOI: 10.5935/1984-0063.20190123. View

15.

Taspinar F, Ucuncu H, Bishara S . Rapid maxillary expansion and conductive hearing loss. Angle Orthod. 2004; 73(6):669-73. DOI: 10.1043/0003-3219(2003)073<0669:RMEACH>2.0.CO;2. View

16.

Fagundes N, Rabello N, Maia L, Normando D, Mello K . Can rapid maxillary expansion cause auditory improvement in children and adolescents with hearing loss? A systematic review. Angle Orthod. 2017; 87(6):886-896. PMC: 8317559. DOI: 10.2319/021517-111.1. View

17.

Alyessary A, Othman S, Yap A, Radzi Z, Rahman M . Effects of non-surgical rapid maxillary expansion on nasal structures and breathing: A systematic review. Int Orthod. 2019; 17(1):12-19. DOI: 10.1016/j.ortho.2019.01.001. View

18.

Baser B, Bolukbasi M, Uzlu D, Ozbay A . Does MARPE therapy have effects on intracranial pressure? a clinical study. BMC Oral Health. 2022; 22(1):450. PMC: 9583475. DOI: 10.1186/s12903-022-02482-x. View

19.

Lanteri V, Farronato M, Ugolini A, Cossellu G, Gaffuri F, Parisi F . Volumetric Changes in the Upper Airways after Rapid and Slow Maxillary Expansion in Growing Patients: A Case-Control Study. Materials (Basel). 2020; 13(10). PMC: 7287613. DOI: 10.3390/ma13102239. View

20.

Singh H, Maurya R, Sharma P, Kapoor P, Mittal T, Atri M . Effects of maxillary expansion on hearing and voice function in non-cleft lip palate and cleft lip palate patients with transverse maxillary deficiency: a multicentric randomized controlled trial. Braz J Otorhinolaryngol. 2019; 87(3):315-325. PMC: 9422610. DOI: 10.1016/j.bjorl.2019.09.010. View