Palatal Depth Research Articles

A Comparison of Arch Length, Intercanine Width, Intermolar Width, and Interalveolar Width in Patients With Angle's Class II Division I Malocclusion With Shallow and Deep Palates.

Background and objective Palatal depth is significant as it impacts the intra-arch dimensions in patients with Angle's Class II Division 1 malocclusion. Hence, understanding this relationship is crucial for developing targeted orthodontic treatment plans, to optimize dental alignment and overall facial aesthetics. This study aimed to compare the arch length, intercanine width, intermolar width, and interalveolar width in patients with Class II Division 1 malocclusion with deep palates and those with shallow palates. Methods The study involved 88 patients aged 18-30 years, categorized into two groups based on palatal depth: Group A (deep palates) and Group B (shallow palates). Measurements were taken for arch length, intercanine width, intermolar width, and interalveolar width. An independent samples t-test was used to compare these measurements between the groups, with statistical significance set at p<0.05. Results The analysis revealed significant differences in intermolar and interalveolar widths between the two groups. Group B, with shallow palates, showed larger intermolar and interalveolar widths compared to Group A, with deep palates (p = 0.001 and p = 0.017, respectively). However, no significant differences were observed in arch length and intercanine width between the groups. Conclusions Our findings suggest that palatal depth is significantly associated with certain intra-arch transverse dimensions, particularly intermolar and interalveolar widths. These differences underline the importance of considering palatal morphology in the orthodontic treatment of patients with Class II Division 1 malocclusion.

Upper airway dimensions and craniofacial morphology: A correlation study using cone beam computed tomography.

To determine the correlation between dentoskeletal parameters related to craniofacial morphology and the upper airway (UA) volume. Cone-beam computed tomography images of 106 randomly selected orthodontic patients were analyzed using NemoFab Ortho software. The dentoskeletal variables assessed were anterior facial height (AFH), posterior facial height (PFH), PFH/AFH ratio, hyoid position, maxillary width (MW), and palatal depth. The UA volume (evaluation in anatomical regions and as a whole) was also assessed using the same software. We also evaluated potential differences in UA variables between age and sex groups. The correlation between the dentoskeletal parameters and UA volume was calculated using the Pearson correlation coefficient (R). Analysis of variance and Student's t test were performed to assess differences between age and sex for UA variables. Statistical analyses were performed using SPSS software (version 26 for Windows). This study found that PFH, AFH, and MW were the dentoskeletal parameters most strongly correlated with UA volume. However, the ANB angle did not show any significant correlation with UA volume. Additionally, differences in UA volumes were observed between age groups. Sex differences were found in both the "8-12" and "≥ 16" age groups for oropharyngeal and pharyngeal volumes. In conclusion, our findings indicate a significant correlation between UA volume and dentoskeletal parameters, particularly those related to facial height and MW.

Three-Dimensional Determination (Morphometric Study) of Arch Perimeter and Palatal Depth in an Iraqi Sample Aged 17–25 Years with Sickle Cell Anemia: A Cross-Sectional Study

Sickle cell anemia (SCA) is a hereditary disorder caused by the substitution of valine for glutamic acid in position six of globin's beta chain. Segmental arch dimensions, arch perimeter, and palatal depth comparison between SCA and control using the three-dimensional (3D) technique was the aim of this study. This cross-sectional investigation was carried out in Karbala City. The sample consisted of 200 casts (100 SCA and 100 control). Each group consisted of 50 casts upper, and 50 casts lower (25 males and 25 females). The arch perimeter was calculated using two segmented arch lengths bilaterally. Palatal depth was measured from the mesiolingual cusp tip of the upper first permanent molar to the corresponding palatal vault. The difference between the control and SCA groups was calculated using the independent t-test. Except for lower left incisal to canine distance (LLI-C), where p = 0.01 there was no significant difference in segmental arch measurements and perimeter between males in SCA and males in control. There was no significant difference in segmental arch measurements and perimeter between females in SCA and females in control. There was no significant difference in palatal depth between the control and SCA (male and female). SCA did not affect the segmental, arch perimeter, and palatal depth measurements.

Morphological evaluation of maxillary arch in unilateral buccally and palatally impacted canines: a cone-beam computed tomography (CBCT)-based study in Northern Iran.

This study investigated the association between the maxillary impacted canines' position and the maxilla's morphological features in an Iranian population based on cone-beam computed tomography (CBCT) images. In this cross-sectional descriptive-analytical study, 47 CBCT images of unilateral buccally impacted maxillary canines and 47 CBCT images of unilateral palatally impacted maxillary canines were examined. Several morphological variables were compared between the impacted and non-impacted sides, and between the buccal and palatal impaction types. Gender and age were not significantly associated with the canine impaction type. The alveolar bone height at the impacted side was significantly greater in the buccally impacted group than in the palatally impacted group (p = 0.016). In a comparison of the impacted and non-impacted sides, all variables of alveolar bone thickness at depth of 2 mm, maxillary arch width, and palatal volume had significantly smaller values in the impacted side in both buccally and palatally impacted groups (p < 0.05). The alveolar bone was significantly thicker at the depth of 10 mm in the impacted side of the buccal group (p = 0.024). The maxillary arch perimeter was significantly smaller in the impacted side of the buccal group (p = 0.008). The palatal depth did not significantly differ between the groups. Among the studied variables, the alveolar bone thickness showed contrary results at different depths. The palatal volume and maxillary arch width were significantly smaller on the impacted side in both buccal and palatal groups, and the arch perimeter showed the same results only in the buccal group.

Evaluation of the relationship between maxillary canine impaction with arch dimensions and maxillary sinus dimensions using Cone Beam Computed Tomography (CBCT ).

We aimed to evaluate the morphology of maxilla and sinus dimensions in subjects with unilaterally and bilaterally impacted canine using cone beam computed tomography (CBCT) records. CBCT records taken during 2020-2022 of 120 patients were obtained to investigate the relationship between impacted canine and maxillary morphology as well as sinus dimensions. The CBCT images were then divided into three groups: control, unilaterally canine impaction and bilaterally canine impaction. Then morphology-related variables (arch circumference, arch length, inter molar width, inter first premolar width, palatal depth, anterior posterior dimension of the right and left sinuses, and mediolateral dimension of the right and left sinuses) were analyzed and compared between groups. All measurements were done by Ondeman 3D dental software. Statistical analysis was carried out by SPSS software version 21 using one-way ANOVA. There were meaningful differences in patients with canine impaction compared with control group in arch circumference (P value= 0.004) and arch length (P value= 0.001), inter molar width (P value= 0.001), inter first premolar width (P value= 0.001), mediolateral dimension of the right (P value=0.001) and left (P value= 0.001) sinuses of maxilla. Furthermore, Palatal depth and anterior posterior dimension of the right and left sinuses did not show statistically significant difference between groups. Canine impaction can considerably affect the morphology of maxillary and sinuses dimensions. Nevertheless, future studies are needed to determine the exact structural and molecular effects of the canine impaction on maxillary sinuses and neighboring tissues.

Maxillary Canine Impaction: Assessing the Influence of Maxillary Anatomy Using Cone Beam Computed Tomography.

BACKGROUND The purpose of this study was to evaluate the anatomical characteristics of patients with unilateral impacted canine teeth compared to a control group. Cone beam computed tomography (CBCT) records were retrospectively analyzed. MATERIAL AND METHODS CBCT records of 64 patients with unilateral impacted canine teeth (57.8% female and 42.2% male) and 64 controls (59.4% female and 40.6% male) were retrospectively analyzed. On the CBCT images, intermolar width, arch length, arch perimeter, palatal width in the molar region at cementoenamel junction, palatal width in the molar region at the crest, palatal width in the molar region measured from mid-root level, nasal cavity width, and palatal depth were evaluated. RESULTS In the palatal width measurement from the mid-root variable, the measurement of labially positioned canines was significantly lower than the control group (P<0.05). In terms of intermolar width, the labial positioned impacted canines' values were lower than in the control group. There was a significant difference in terms of the perimeter variable and both palatinally and labially positioned impacted canines were significantly lower than in the control group (P<0.05). All parameters were compared according to sex, and measurements of male patients were significantly higher than in female patients (P<0.05). CONCLUSIONS A labially impacted canine was strongly linked to a decrease in mid-root palatal and intermolar widths. Additionally, impacted canines positioned both palatally and labially were found to result in a reduced arch perimeter. Moreover, male patients with impacted canines exhibited notably greater anatomical measurements compared to female patients.

Tooth-Bone-Borne vs Bone-Borne Rapid Maxillary Expanders on Dentoskeletal Changes.

This study compared the insertion and thickness of the cortical bone, the parallelism of the midpalatal suture, and the skeletal transverse dimension using a microimplant-assisted rapid palatal expansion (MARPE) with those produced by bone-anchored maxillary expander (BAME) in adults. The sample comprised 18 patients (mean age, 29.9±9.4 years) selected for the MARPE group and 18 (mean age 24.8±6.8 years) selected for the BAME group. Cone-Beam computed tomography scans taken just before and after the expansion. After treatment, there was a significant palatal depth decrease. In addition, maxillary and mandibular width were increased in both groups. Regarding the cortical bone insertion and cortical bone width, it is shown an increase in both groups but those changes are not significant. However, the anterior suture opening effect occurs more frequently in the BAME than in the MARPE device. There are no differences in the frequency of opening of the midpalatal suture in the cases treated with MARPE and BAME, in both cases the most frequent opening morphology is parallel, independently of midpalatal suture maturation. There are no differences in the use of MARPE or BAME in the parallelism of the middle palatal suture, the cortical bone insertion, and thickness according to the maturation stages of the midpalatal suture but significantly increases the transverse dimensions of the maxillary skeleton.

Tongue pressure production and orofacial muscle activities during swallowing are related to palatal morphology in individuals with normal occlusion

ABSTRACT Purpose The relationships between motor function, including the orofacial muscles coordinated with the tongue during swallowing, and palatal morphology are still unclear. This study aimed to identify the relationships between tongue pressure production and orofacial muscle activities during swallowing and palatal morphology. Materials and methods The participants were 20 healthy volunteers with individual normal occlusion (8 men, 12 women; mean age: 25.0 ± 2.9 years). Tongue pressure and masseter, orbicularis oris, mentalis and supra-infrahyoid muscle activities during 4 ml gel swallowing were recorded simultaneously by a sensor sheet system, with five measuring points and surface electromyography, respectively. Onset, offset and duration of each parameter and the maximum magnitude of tongue pressure were analysed. Palatal width and depth were measured using three-dimensional digital images of maxillary dental models and examined for correlations with tongue pressure and orofacial muscle activities. Results The temporal coordination between tongue pressure production and orofacial muscle activities during swallowing was observed. The maximum magnitude of tongue pressure was significantly positively correlated with the palatal width. Palatal depth showed significant correlations with the time sequences of tongue pressure and orbicularis oris and mentalis muscle activities. Conclusion These results suggest that tongue pressure production and orofacial muscle activities during swallowing are related to palatal width and depth.

Correlation of palatal anatomic characteristics with dermatoglyphic heterogeneity in different growth patterns

The study aimed to explore the correlation between dermatoglyphic patterns and quantitative palatal anatomic variables in individuals with different growth patterns. A cross-sectional study was conducted involving 126 healthy patients aged 17-25 years. Participants were divided into three groups based on growth patterns: average, vertical, and horizontal. Dermatoglyphic patterns were recorded using an optical fingerprint sensor, and palatal characteristics were measured using digital software. Palatal characteristics, including intercanine width, intermolar width, and palatal depth, were measured using digital software. The results were statistically analyzed. Significant differences were observed in ridge counts among the three growth patterns. The average growth pattern showed lower ridge counts compared to the vertical and horizontal growth patterns. Dermatoglyphic patterns, such as double loops and tented arches, were significantly higher in the horizontal growth pattern. Weak correlations were found between certain dermatoglyphic patterns and palatal characteristics, with simple arch patterns showing a negative correlation with inter-canine width and symmetrical whorl patterns showing a positive correlation with palatal depth. Loop patterns, spiral patterns, double loop patterns, symmetrical whorl, and simple arch patterns were significant predictors of growth patterns. This study revealed distinct dermatoglyphic patterns and ridge counts among individuals with different growth patterns. Weak correlations were observed between dermatoglyphic patterns and palatal characteristics. However, the predictive value of dermatoglyphics for skeletal malocclusion requires further investigation. Understanding the relationships between dermatoglyphic patterns and craniofacial growth can provide valuable insights into genetic and developmental factors affecting dental and orthodontic conditions.

CORRELATION BETWEEN FACIOLINGUAL INCLINATION OF MAXILLARY CENTRAL INCISORS AND MOLARS WITH MAXILLARY AND MANDIBULAR MORPHOLOGY.

The torque of maxillary incisors and molars forms an important component of smile esthetics. The inclination of these teeth may be affected by maxillary and mandibular dimensions. The study aimed to evaluate the correlation between the faciolingual inclinations of maxillary incisors and first molars with palatal width (PW), palatal depth (PD), maxillomandibular angle (MMA) and mandibular width (MW) using cone beam computed tomography scans. A retrospective analysis of cone-beam computed tomography (CBCT) images of 66 adult subjects (males-37; females-29) was performed. The Planmeca Romexis viewer 6.2.1 software was utilized to determine the faciolingual inclination of the maxillary central incisor (UIPP) and first molars (right-MMR; left-MML). The correlation of UIPP, MMR and MML with age, PW, PD, MW and MMA was determined using Pearson's correlation. The mean age of the sample was 32.8±11.4 years. The UIPP showed a mild negative correlation with age (r=-0.430; p<0.001). Only the PW showed a mild significant correlation with MMR (r=-0.287; p=0.019) and MML (r=-0.343; p=0.005). All the other maxillomandibular parameters had insignificant (p>0.05) correlations with the inclinations of maxillary incisors and molars. The current study concludes that the PW had a significant inverse correlation with bilateral maxillary molar inclinations. Other parameters such as MMA, MW and PD had no statistically significant correlation with incisors and molars inclinations.

Investigation of the relatıonshıp of palatal arch morphometry with maxillary sinus volume: CBCT study

Background/Aim: The maxillofacial region is a complex of anatomical structures that are in close proximity and connection with each other. The aim of this study was to determine the shape, depth, width, length and palatal vault angle of the palatal arch on cone beam computed tomography (CBCT) images taken for various reasons and to determine the relationship between these factors and maxillary sinus volume. Material and Methods: CBCT images of a total of 150 male and female patients over the age of 18, taken for different diagnostic purposes, were evaluated by an oral radiologist with two years of experience. The shape of the palatal arch was determined on each image, and palatal depth, width, length and palatal vault angle were measured. ITK-SNAP (version 3.8.0) software was used for maxillary sinus measurement. Statistical analysis of the study was performed using SPSS v.21 software. Results: All of the measured parameters were found to be statistically significant between genders, except for the palatal vault angle. As a result of the correlation analysis, it was shown that palatal length was 0.4% (R2=0.004), palatal depth was 42.3% (R2=0.423), and palatal width was 2%(R2=0.020) effective in explaining the palatal vault angle. A high level of correlation was detected between the right (1) and left (2) sinus maxillaris volumes and total sinus maxillaris volumes (r1=0.959, r2=0.961). Conclusions: There is a significant difference in palatal arch parameters between different genders. In addition, these dimensions also play a role on maxillary sinus volumes.

Influence of different palatal morphologies on the accuracy of intraoral scanning of the edentulous maxilla: A three-dimensional analysis.

This study investigated the influence of different palatal morphologies on the accuracy of intraoral scanning (TRIOS 4) of edentulous maxillae. Six typodonts were fabricated for different palatal morphologies with flat (F), medium (M), and deep (D) palates, with palatal wrinkles (W), or smooth palates (S), resulting in six groups: WF, WM, WD and SF, SM, SD. Ten scans were performed for each group; standard tessellation language files obtained were imported into a software to measure trueness and precision in micrometer. Trueness was calculated as the mean of the standard deviation values obtained by superimposing each scan onto the reference scan. Precision was achieved by overlapping each scan with that with the best trueness in the group. Descriptive and post-hoc analyses were conducted. The mean values for trueness were as follows: WM=48.7±4.7, WD=161.7±18.4, WF=85.9±16, SM=48.1±2.4, SD=349.9±8.8, and SF=349.1±25.5. The precision values were as follows: WM=46.7±7.3, WD=46.9±9, WF=48.9±6.7, SM=46±2.7, SD=105.9±17.4, SF=72.6±10.8. Significant differences were observed for trueness between SM and SD (P < 0.001), SM and SF (P < 0.001), and WF and SF (P = 0.003); whereas for precision, significant differences were reported between WD and SD (P = 0.015). Regarding trueness and precision, no difference was found between WM and SM (P = 1.0). Medium palatal depth showed the best accuracy. The mean accuracy values were within the clinical acceptability thresholds for all palatal morphologies. The presence of rugae improved the precision of deeper palates and the trueness of flat palates. No differences were observed in the medium palates with or without rugae.

Is There a Relationship Between Unilateral/Bilateral Impacted Maxillary Canines and Nasal Septum Deviation?

Introduction A deviated nasal septum may be associated with some dentofacial deformities. The aim of the study was to determine whether there is a relationship between some craniomaxillary features of unilateral and bilateral maxillary impacted canines and nasal septum deviation. Methods This is a retrospective study consisting of cone beam computed tomography (CBCT) images of 51 patients. All patients were divided into three subgroups: unilateral maxillary impacted canines (UMIC) (n=19) bilateral maxillary impacted canines (BMIC) (n=15), and control group (MC) (n=17). The septal deviation angle and some angular and dimensional measurements were performed. Differences in linear and angular measurements between the groups were analyzed using One-way ANOVA and the Kruskal-Wallis test. Pearson's correlation analysis was performed to determine the relationship between the septal deviation angle, septal deviation direction, nasal floor angle, and other parameters, and multivariate linear regression analysis was performed to determine the effect of variables in the septal deviation angle. Results Bilateral or unilateral position of the impacted canines was found to be effective on septal deviation. The septal deviation angle and the nasal floor angle values were found to be significantly higher in the UMIC and BMIC groups (p<0.001) than in the MC group. Maxillary width was found to be significantly lower in the BMIC group compared to the UMIC (p<0.01) and MC group (p<0.001). Septal deviation angle was positively correlated with septal deviation direction and nasal floor angle (p<0.001). Palatal width and nasal floor angle were found to be negatively correlated (p<0.05), and palatal depth and septal deviation direction were found to be positively correlated (p<0.01). Groups and septal deviation angle, septal deviation direction, and nasal floor angle were found to be negatively correlated (p<0.001). The multivariate linear regression analysis revealed an association between septal deviation angle, group (p<0.01), and nasal floor angle (p<0.05). Conclusion Bilateral or unilateral position of the impacted canines was found to be effective on septal deviation.The septal deviation angle values were found to be higher when the maxillary impacted canine was unilateral. Unilateral or bilateral positions of the impacted canine and the nasal floor angle were found to be factors affecting the formation of septal deviation.

Heritability of dental arches and occlusal characteristics: a systematic review and meta-analysis.

The genetic basis of dentoalveolar characteristics has been investigated by several studies, however, the findings are equivocal. The objective of this systematic review and meta-analysis was to evaluate the heritability of dental arches and occlusal parameters in different stages of human dentition. Electronic databases PubMed, Embase, Scopus, Web of Science, and Dentistry and Oral Science Source were searched up to August 2023 without the restriction of language or publication date. Empirical studies investigating the heritability of dentoalveolar parameters among twins and siblings were included in the review. Study selection, data extraction, and risk of bias assessment were performed independently and in duplicate by two authors and a third author resolved conflicts if needed. Joanna Briggs Institute's critical appraisal tool was used to evaluate the risk of bias among studies and the certainty of evidence was assessed using the Grading of Recommendation, Assessment, Development, and Evaluation (GRADE) criteria. Twenty-eight studies were included in the systematic review, of which 15 studies reporting heritability coefficients in the permanent dentition stages were deemed suitable for the meta-analysis. Random-effects meta-analyses showed high heritability estimates for maxillary intermolar width (0.52), maxillary intercanine width (0.54), mandibular intermolar width (0.55), mandibular intercanine width (0.55), maxillary arch length (0.76), mandibular arch length (0.57), and palatal depth (0.56). The heritability estimates for the occlusal parameters varied considerably, with relatively moderate values for crossbite (0.46) and overbite (0.44) and low values for buccal segment relationship (0.32), overjet (0.22), and rotation and displacement of teeth (0.16). However, the certainty of evidence for most of the outcomes was low according to the GRADE criteria. Based on the available evidence, it can be concluded that the dental arch dimensions have a high heritability while the occlusal parameters demonstrate a moderate to low heritability. PROSPERO (CRD42022358442).

Assessment of palatal mucosal thickness and location of the greater palatine foramen using cone-beam computed tomography: a retrospective study.

This study aimed to measure the palatal mucosal thickness and examine the location of the greater palatine foramen using cone-beam computerized tomography (CBCT). In this study, cone-beam computed tomography (CBCT) images of the maxillary posterior region of 120 subjects were evaluated. The palatal mucosal thickness (PMT), palatal width and depth, and location of the greater palatine foramen (GPF) were determined on CBCT. The differences in the palatal mucosal thickness according to gender and palatal width/palatal depth were analyzed. The location of the GPF related to the maxillary molars was noted. The mean palatal mucosal thicknesses from the canine to the second molar teeth were 3.66, 3.90, 4.06, 3.76, and 3.92mm, respectively. The mean PMT at the second premolar was statistically thicker than at other regions (p < 0,001). There was no relationship between PMT and gender. However, the palatal depth and width of the males were greater than females. (p = 0.004 and p = 0.014, respectively) PMT in the low palatal vault group had statistically higher compared to the high palatal vault group. (p = 0.023) Greater palatine foramen was mostly observed between second and third molar teeth. (48%). According to our results, first and second premolar regions can be preferable in soft tissue grafting procedures for safe and successful treatment outcomes. The measurement of the thickness of the palatal mucosa and the evaluation of the greater palatine foramen location before the surgical procedures are essential steps to harvest from the ideal donor site and to achieve optimal surgical outcomes.

Effects of two flap palatoplasty versus furlow palatoplasty with buccal myomucosal flap on maxillary arch dimensions in patients with cleft palate at the primary dentition stage: a cohort study

ObjectiveThe objective of this study was to evaluate the effect of two flap palatoplasty (TFP) versus Furlow palatoplasty with buccal myomucosal flap (FPBF) on maxillary arch dimensions in children at the primary dentition stage with cleft palate, in comparison to matching subjects without any craniofacial anomalies.Material and methodsThis study included 28 subjects with an age range of 5–6 years; 10 non-cleft subjects were included in the control group, 9 patients treated with TFP, and 9 patients treated with FPBF. For the included patients, the maxillary models were scanned using a desktop scanner to produce virtual models, and the maxillary dimension measurements were virtually completed. The produced measurements were compared between the 3 groups. Maxillary models of the 28 participants were evaluated.ResultsStatistically insignificant differences were detected between the 3 groups for arch symmetry measurements. Differences were detected in the inter-canine width between the 2 surgical groups and non-cleft group. Both arch length and posterior palatal depth significantly differ while comparing the TFP to the control group, with no differences between FPBF and the non-cleft group.ConclusionFurlow palatoplasty with buccal myomucosal flap might be considered a better surgical option than two flap palatoplasty for patients with cleft palate while evaluating maxillary arch dimensions at the primary dentition stage as a surgical outcome.Clinical relevanceThis study gives insight into the surgical technique that has limited effect on the maxillary growth and dental arch dimension. Therefore, it decreases the need for orthodontic treatment and orthognathic surgery.Trial registrationclinicaltrials.gov (NCT05405738).

Maxillary Arch Dimensions in Children with Unilateral Cleft Lip and Palate Receiving Alveolar Bone Grafting.

To analyse the maxillary arch dimensions of children aged 9 and 12 with unilateral cleft lip and palate (UCLP) who received orthodontic treatment and secondary alveolar bone grafting. This retrospective cohort study was performed on 30 patients with UCLP. All patients were treated at the Cleft Lip and Palate Centre, which is part of the University Medical Centre Amsterdam and Academic Centre for Dentistry Amsterdam, the Netherlands. Children with non-syndromic UCLP who received pre- and postsurgical orthodontics combined with secondary alveolar bone grafting between the ages of 9 and 12 years were included. Maxillary arch dimensions were assessed on 60 digitised dental casts with measurements of the intermolar widths, interpremolar widths, arch perimeters, arch lengths, arch widths, and palatal depths. The results of a paired-samples t-test revealed a statistically significant increase (P < .05) in intermolar width 1, intermolar width 3, interpremolar width 1, arch perimeter, and arch width between the ages of 9 (T0) and 12 (T1). Intermolar width 2 and the palatal depth decreased statistically significantly between T0 and T1. Analysis of maxillary arch dimensions of children with UCLP indicates significant changes between 9 and 12 years of age. This suggests that orthodontic treatment and secondary alveolar bone grafting can be effective in improving maxillary arch dimensions. However, there is a need for collaborative research and data collection in order to provide sensible and evidence-based care to patients with cleft lip and palate.

Comparison of palatal depth and intermolar width in class I and class II div 1 malocclusion and in class II div 1 with hyperdivergent and hypodivergent pattern

: To compare the aligning efficiency, pain experienced by the patient during alignment and the post alignment third order values of anterior teeth in I arch (study) group and conventional NiTi (control) wire group.: A prospective clinical study.: A total of 40 dental arches (maxilla/mandible) were divided into 2 study groups with 20 dental arches (maxilla/mandible) in each group based on the selection criteria. Group I. Twenty dental arches (maxillary/mandibular) having 0.018” preadjusted appliance (MBT) brackets (ORMCO), aligned with I –arch 0.016”x0.014” copper NiTi wires. Group II Twenty dental arches (maxillary/mandibular) having 0.018” preadjusted appliance (MBT) brackets by ORMCO aligned with round super elastic NiTi archwires.: I -arch copper NiTi (study group) was more efficient in alignment compared to the superelastic NiTi (control group) in the lower arch and the values are statistically significant. There was torque expression in the I-arch group as compared to the superelastic NiTi group. The subjects in the I-arch (study group) experienced lesser pain compared to the superelastic NiTi (control group) and the pain values are statistically significant.

Analysis of maxillary arch expansion in growing patients treated with early Class III protocol versus RME.

To evaluate and compare the maxillary arch expansion obtained in growing patients treated with Class III early treatment protocol (the modified SEC III protocol), or rapid maxillary expansion (RME). This retrospective observational study included patients in the mixed dentition with maxillary constriction and/ or dental crowding. The first group consisted of 30 patients (11 males and 19 females, mean age 9.4 ±1.7 years) with dentoskeletal Class III malocclusion treated with the modified SEC III protocol. The second group of 30 patients (14 males and 16 females, mean age 9.3 ±1.5 years) with Class I or II malocclusion was treated with a Hyrax-type expander applied to bands on the first upper molars. For each subject, initial (T0) and post expansion (T1) digital dental casts were collected. The intermolar and intercanine widths, the arch lengths at both cusp and gingival levels, the anteroposterior length and the palatal depth were measured at T0 and T1. At T1 there were statistically significant differences for 3-3 occlusal (OC) (P < 0.009), arch-length OC (P <0.030), anteroposterior arch-length (AP) (P <0.003), Depth (P <0.030) and Ap (P <0.000). No statistically significant T0-T1 changes were found between the modified SEC III and Hyrax groups except for Depth (P <0.011) with a mean difference of 2.3 mm between the two groups. Both bonded and banded expanders, used in the modified SEC III protocol and RME treatment respectively, produced similar changes in the upper arch. The different initial dentoskeletal malocclusions of the two sample groups were not relevant to the post-expansion arch changes.

Dental, Skeletal, and Soft Tissue Changes after Bone-Borne Surgically Assisted Rapid Maxillary Expansion: A Systematic Review and Meta-Analysis.

(1) Background: For non-growing patients with marked transverse maxillary deficiency, bone-borne surgically assisted rapid maxillary expansion (SARME) has been proposed as an effective treatment option. Objective: To evaluate the dental, skeletal, and soft tissue changes following bone-borne SARME. (2) Methods: An unrestricted systematic electronic search of six databases, supplemented by manual searches, was performed up to April 2023. The eligibility criteria included prospective/retrospective clinical studies with outcomes pertaining to objective measurements of dental/skeletal/soft tissue effects of bone-borne SARME in healthy patients. (3) Results: Overall, 27 studies satisfied the inclusion criteria. The risk of bias of the non-randomized trials ranged between moderate (20) and serious (4). For the two RCTs, there were some concerns of bias. Trials with outcomes measured at the same landmarks within the scope of the prespecified timeframe were deemed eligible for quantitative synthesis. Eventually, five trials were included in the meta-analysis. SARME was associated with a statistically significant lengthening of the dental arch perimeter immediately after expansion, along with a marginally significant decrease in palatal depth during the post-SARME retention period. Post-treatment SNA values exhibited no statistically significant change. (4) Conclusion: Current evidence indicates that bone-borne SARME constitutes an effective treatment option for adult patients with maxillary transverse deficiency. Further long-term randomized clinical trials with robust methodology, large sample sizes, and 3D evaluation of the outcomes are needed.