Stability of maxillary expansion and tongue posture


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Ozbek M. M., Memikoglu U. T. T., Altug-Atac A. T., Lowe A. A.

Angle Orthodontist, cilt.79, sa.2, ss.214-220, 2008 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 79 Sayı: 2
  • Basım Tarihi: 2008
  • Doi Numarası: 10.2319/010908-12.1
  • Dergi Adı: Angle Orthodontist
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.214-220
  • Anahtar Kelimeler: Maxillary expansion, Tongue posture, Stability, Respiratory disturbances, OBSTRUCTIVE SLEEP-APNEA, SKELETAL MORPHOLOGY, ENLARGED TONSILS, OPEN BITE, TERM, GROWTH, ADULTS, APPLIANCE, PRESSURE, EXPANDER
  • Ankara Üniversitesi Adresli: Evet

Özet

Objective: To evaluate the adaptive changes and the stability in tongue posture following rapid maxillary expansion (RME) in patients without any signs or symptoms of respiratory disturbances. Materials and Methods: Growing subjects with maxillary constrictions and bilateral buccal crossbites were included in the treatment group (n = 20). A control group (n = 20) comprised subjects with normal dentoskeletal features. RME appliances were used in the treatment group, with an average active expansion of 15 ± 2 days. Cephalometric radiographs were traced and digitized to evaluate static tongue posture before RME and 6.75 ± 0.48 months after RME. Follow-up radiographic evaluations of 17 expansion cases were also performed after an average of 29.25 ± 1.85 months. Independent and paired t-tests were conducted to evaluate changes in tongue posture within and between groups. Results: Results revealed significant reductions of tongue-to-palate (P < .05) as well as hyoid bone-to-mandibular plane (P < .01) distances following RME. The new tongue posture was found to be stable during the follow-up period. Conclusions: A higher tongue posture can be obtained with RME in children with no reported respiratory disturbances. © 2009 by The EH Angle Education and Research Foundation, Inc.