A preliminary study on effects of removable expanders on root development and root resorption of permanent teeth during mixed dentition

Wu Jingqi, Wang Yunji

PDF(1187 KB)
PDF(1187 KB)
Journal of Chongqing Medical University ›› 2024, Vol. 49 ›› Issue (09) : 1175-1180. DOI: 10.13406/j.cnki.cyxb.003574
Clinical research

A preliminary study on effects of removable expanders on root development and root resorption of permanent teeth during mixed dentition

Author information +
History +

Abstract

Objective Removable expanders have been a typical treatment option for children with transverse maxillary deficiency in the mixed dentition period,but they may affect dental root development and cause root resorption. We aimed to use cone-beam computed tomography(CBCT) and Exam Vision to preliminarily assess the effects on the root development and root resorption of permanent teeth caused by maxillary expansion with removable appliances in the mixed dentition period. Methods We enrolled 17 patients treated with removable maxillary expansion during mixed dentition(experimental group;mean age,10 years) and 20 patients treated with functional correction without maxillary expansion(control group;mean age:10 years) in the Department of Orthodontics of Stomatological Hospital of Chongqing Medical University. CBCT was taken for all the subjects before and after treatment. We used Exam Vision to measure the length of the root and the width of the apical foramen of the maxillary central incisors and maxillary first molars before and after treatment. SPSS 26.0 was used for statistical comparisons. Results The width of the apical foramen:The root of right maxillary central incisor was (0.52±0.35) mm in experimental group and (0.98±0.78) mm in control group;The root of left maxillary central incisor was (0.47±0.39) mm in experimental group and (1.09±0.93) mm in control group;The palate root of the right maxillary first molar was (0.43±0.28) mm in experimental group and (0.61±0.34) mm in control group;The palate root of the left maxillary first molar was (0.59±0.24) mm in experimental group and (0.59±0.40) mm in control group;The degree of apical foramen closure was lower in experimental group than in control group. The length of the root: The root of right maxillary central incisor was (0.48±0.77) mm in experimental group and (0.83±1.35) mm in control group;The root of left maxillary central incisor was (0.31±0.84) mm in experimental group and (0.78±1.16) mm in control group;The mesial root of the right maxillary first molar was (0.37±0.72) mm in experimental group and (0.42±0.79)mm in control group;The distal root of right maxillary first molar was (0.10±0.92) mm in experimental group and (0.70±1.09) mm in control group;The palate root of the right maxillary first molar was (0.43±0.96) mm in experimental group and (0.70±1.12) mm in control group;The control group showed greater increases in the length of the root of the maxillary central incisors on both sides and the maxillary first molar on the right side. The mesial root of the left maxillary first molar was (0.59±0.79) mm in experimental group and (0.28±0.68) mm in control group. The distal root of the left maxillary first molar was (0.43±0.70) mm in experimental group and (0.40±1.06) mm in control group;The palate root of left maxillary first molar was (0.62±0.84) mm in experimental group and (0.61±0.97) mm in control group;The experimental group had an insignificantly greater increase in the length of the root of the maxillary first molar on the left side. The length of root divided by the closure status of apical foramina:The palate root of the right maxillary first molar was (0.40±0.97) mm in the closed group and (-0.06±0.72) mm in the unclosed group. The increasing amount of root length in the closed group was greater than in the unclosed group. The palate root of the left maxillary first molar was (0.20±0.59) mm in the closed group and (0.78±0.91) mm in the unclosed group. The increasing amount of root length in the unclosed group was greater than in the closed group. Conclusion For treating transverse maxillary deficiency during mixed dentition,removable expansion has no significant effects on the root development and root resorption of permanent teeth,suggesting that orthodontists can use removable appliances for treating children with transverse maxillary deficiency as appropriate. The optimal age for maxillary expansion should be further studied.

Key words

removable maxillary expansion / mixed dentition / root development / root resorption

Cite this article

Download Citations
Wu Jingqi , Wang Yunji. A preliminary study on effects of removable expanders on root development and root resorption of permanent teeth during mixed dentition. Journal of Chongqing Medical University. 2024, 49(09): 1175-1180 https://doi.org/10.13406/j.cnki.cyxb.003574

References

1
黄丞一. Damon系统非拔牙矫治青少年期上颌中重度牙列拥挤的临床观察[J]. 全科医学临床与教育201412(3):283-285,361.
Huang CY. Clinical observation on non-extraction treatment of moderate and severe maxillary dentition crowding in adolescence with Damon system[J]. Clin Educ Gen Pract201412(3):283-285,361.
2
赵志河. 口腔正畸学[M]. 7版. 北京:人民卫生出版社,2020:25,39,171-197.
Zhao ZH. Orthodontics[M]. 7th ed. Beijing:People’s Medical Publishing House,2020:25,39,171-197.
3
MacGinnis M Chu H Youssef G,et al. The effects of micro-implant assisted rapid palatal expansion(MARPE) on the nasomaxillary complex:a finite element method(FEM) analysis[J]. Prog Orthod201415(1):52.
4
史晓扬,刘东旭. 上颌横向发育不足的研究进展[J]. 口腔医学202242(6):557-561.
Shi XY Liu DX. Research advances in maxillary transverse deficiency[J]. Stomatology202242(6):557-561.
5
Brunetto DP Sant’Anna EF Machado AW,et al. Non-surgical treatment of transverse deficiency in adults using Microimplant-assisted Rapid Palatal Expansion(MARPE)[J]. Dental Press J Orthod201722(1):110-125.
6
Seker ED Yagci A Demirsoy KK. Dental root development associated with treatments by rapid maxillary expansion/reverse headgear and slow maxillary expansion[J]. Eur J Orthod201941(5):544-550.
7
Malkoç S Alçin R Uzel A. Does the rhythm and appliance type of rapid maxillary expansion have an effect on root resorption?[J]. Angle Orthod202191(3):293-300.
8
徐 超,王以玲,任旭升,等. MSE对上颌第一磨牙及牙槽骨影响的CBCT研究[J]. 影像研究与医学应用20215(16):225-226.
Xu C Wang YL Ren XS,et al. CBCT study on the effect of MSE on maxillary first molar and alveolar bone[J]. J Imag Res Med Appl20215(16):225-226.
9
Jacob HB Ribeiro GLU English JD,et al. A 3-D evaluation of transverse dentoalveolar changes and maxillary first molar root length after rapid or slow maxillary expansion in children[J]. Dental Press J Orthod201924(3):79-87.
10
郑如松,李岩涛,王兰珠,等. MSE骨性扩弓后上颌牙根及颊侧齿槽骨吸收状况的CBCT分析[J]. 口腔医学研究202137(6):543-548.
Zheng RS Li YT Wang LZ,et al. Changes of upper root and buccal alveolar bone resorption after MSE:a cone-beam CT analysis[J]. J Oral Sci Res202137(6):543-548.
11
刘 筠,郭宏铭. 自锁托槽与传统托槽导致正畸牙根吸收的锥形束CT比较[J]. 上海口腔医学201625(2):238-241.
Liu Y Guo HM. Comparison of root resorption between self-ligating and conventional brackets using cone-beam CT[J]. Shanghai J Stomatol201625(2):238-241.
12
Dudic A Giannopoulou C Leuzinger M,et al. Detection of apical root resorption after orthodontic treatment by using panoramic radiography and cone-beam computed tomography of super-high resolution[J]. Am J Orthod Dentofacial Orthop2009135(4):434-437.
13
Moriyasu K Kuriyama C Kurihara K,et al. Longitudinal clinical study on the effect of slow maxillary expansion with removable appliances[J]. Pediatr Dent J201020:78-83.
14
唐万红,刘 桥,林居红,等. 替牙列早期上颌慢速扩弓后腭部及气道变化的初步研究[J]. 实用口腔医学杂志202036(3):533-535.
Tang WH Liu Q Lin JH,et al. Changes of palatine and airway after maxillary slow expansion in early mixed dentition[J]. J Pract Stomatol202036(3):533-535.
15
Cardinal L da Rosa Zimermann G Mendes FM,et al. The impact of rapid maxillary expansion on maxillary first molar root morphology of cleft subjects[J]. Clin Oral Investig201822(1):369-376.
16
Mavragani M Bøe OE Wisth PJ,et al. Changes in root length during orthodontic treatment:advantages for immature teeth[J]. Eur J Orthod200224(1):91-97.
17
Hendrix I Carels C Kuijpers-Jagtman AM,et al. A radiographic study of posterior apical root resorption in orthodontic patients[J]. Am J Orthod Dentofacial Orthop1994105(4):345-349.
18
Barber AF Sims MR. Rapid maxillary expansion and external root resorption in man:a scanning electron microscope study[J]. Am J Orthod198179(6):630-652.
19
Martins DC Souki BQ Cheib PL,et al. Rapid maxillary expansion:do banded teeth develop more external root resorption than non-banded anchorage teeth?[J]. Angle Orthod201686(1):39-45.
20
Dindaroğlu F Doğan S. Evaluation and comparison of root resorption between tooth-borne and tooth-tissue borne rapid maxillary expansion appliances:a CBCT study[J]. Angle Orthod201686(1):46-52.
21
许天民,SBaumrind. 青少年期正畸治疗与上中切牙牙根吸收的关系[J]. 中华口腔医学杂志200237(4):265-268.
Xu TM,SBaumrind. The relationship between apical root resorption and orthodontic tooth movement in growing subjects[J]. Chin J Stomatol200237(4):265-268.
22
黄 丽,徐晓梅. 替牙期正畸治疗对上中切牙牙根发育的影响[J]. 北京口腔医学201523(6):346-348.
Huang L Xu XM. The relationship between root development of maxillary central incisor and orthodontic treatment[J]. Beijing J Stomatol201523(6):346-348.
23
赵彦文. 正畸治疗在不同牙根发育阶段对牙根吸收的影响[J]. 医学理论与实践201629(2):218-219.
Zhao YW. Effect of orthodontic treatment on root resorption at different stages of root development[J]. J Med Theory Pract201629(2):218-219.

Comments

PDF(1187 KB)

Accesses

Citation

Detail

Sections
Recommended

/