Expansión rápida maxilar no quirúrgica con miniimplantes en adultos: Una Revisión Narrativa
DOI:
https://doi.org/10.17126/joralres.2022.064Resumen
Introducción: En los últimos años se ha investigado profundamente la expansión maxilar rápida (ERM) en etapas de crecimiento prepuberal; sin embargo, recientemente se ha ido incrementando su estudio en adultos sin necesidad de cirugía. El objetivo de esta revisión es presentar los resultados reportados en la literatura científica sobre ERM en adultos.
Material y Métodos: Se utilizaron seis bases de datos para realizar la búsqueda secundaria de la revisión. La búsqueda se realizó de manera virtual y se consideraron estudios de los últimos seis años, con una última búsqueda realizada hasta noviembre de 2022.
Resultados: Se encontraron un total de 253 estudios, de los cuales finalmente se seleccionaron 20 estudios. La ERM en adultos puede dar como resultado una expansión sustancial similar a la obtenida en pacientes que aún no han completado la osificación de la sutura palatina media.
Conclusión: La literatura científica revisada muestra evidencia que existen diversos dispositivos apoyados en mini-implantes como opciones de tratamiento no quirúrgico para corregir la deficiencia transversal y ayudar a generar disyunción maxilar en pacientes adultos.
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[1]. Asiri SN, Tadlock LP, Buschang PH. The prevalence of clinically meaningful malocclusion among US adults. Orthod Craniofac Res. 2019;22(4):321–8.
[2]. Proffit WR, Phillips C, Dann C. Who seeks surgical-orthodontic treatment? Int J Adult Orthodon Orthognath Surg. 1990;5(3):153–60.
[3]. Davoudi A, Amrolahi M, Khaki H. Effects of laser therapy on patients who underwent rapid maxillary expansion; a systematic review. Lasers Med Sci. 2018;33(6):1387–95.
[4]. De la Iglesia G, Walter A, De la Iglesia F, Winsauer H, Puigdollers A. Stability of the anterior arm of three different Hyrax hybrid expanders: an in vitro study. Dental Press J Orthod. 2018;23(1):37–45.
[5]. Ghoneima A, Abdel-Fattah E, Hartsfield J, El-Bedwehi A, Kamel A, Kula K, et al. Effects of rapid maxillary expansion on the cranial and circummaxillary sutures. Am J Orthod Dentofacial Orthop. 2011;140(4):510–9.
[6]. Cannavale R, Chiodini P, Perillo L, Piancino MG. Rapid palatal expansion (RPE): Meta-analysis of long-term effects. Orthod Craniofac Res. 2018;21(4):225–35.
[7]. Rojas V, Macherone C, Zursiedel MI, Valenzuela JG. Rapid maxilary expansion in young adults: comparison of tooth-borne and bone-borne appliances, a cohort study. Journal of Oral Research. 2019;8(3):201–9.
[8]. Kim H, Park S-H, Park JH, Lee K-J. Nonsurgical maxillary expansion in a 60-year-old patient with gingival recession and crowding. Korean J Orthod. 2021;51(3):217–27.
[9]. Lyu CX, Yang L, Chen LL, Yu FY, Lu HP. Advance and review: miniscrew-assisted rapid palatal expansion. Zhonghua Kou Qiang Yi Xue Za Zhi 2019;54(11):778–82.
[10]. Kasrovi PM, Meyer M, Nelson GD. Occlusion: an orthodontic perspective. J Calif Dent Assoc. 2000;28(10):780–90.
[11]. Suzuki H, Moon W, Previdente LH, Previdente L, Syuri S, Silva A, et al. Miniscrew-assisted rapid palatal expander (MARPE): the quest for pure orthopedic movement. Dental Press J Orthod. 2016;21(4):17–23.
[12]. Quinzi V, Rossi O, Paglia L, Marzo G, Caprioglio A. Paediatric Orthodontics Part 2: Periodontal effects of maxillary expansion. Eur J Paediatr Dent. 2019;20(2):164–6.
[13]. Abdullatif J, Certal V, Zaghi S, Song S, Chang E, Guillespie M, et al. Maxillary expansion and maxillomandibular expansion for adult OSA: A systematic review and meta-analysis. J Craniomaxillofac Surg. 2016;44(5):574–8.
[14]. Angelieri F, Cevidanes L, Franchi L, Gonçaves J, Benavides E, McNamara J, et al. Midpalatal suture maturation: Classification method for individual assessment before rapid maxillary expansion. Am J Orthod Dentofacial Orthop. 2013;144(5):759–69.
[15]. Isfeld D, Flores-Mir C, Salazar L, Lagravère M. Evaluation of a novel palatal suture maturation classification as assessed by cone-beam computed tomography imaging of a pre- and postexpansion treatment cohort. Angle Orthod. 2019;89(2):252–61.
[16]. Cunha AC, Lee H, Nojima LI, Nojima M, Lee K-J. Miniscrew-assisted rapid palatal expansion for managing arch perimeter in an adult patient. Dental Press J Orthod. 2017;22(3):97–108.
[17]. Cantarella D, Dominguez R, Moschik C, Mallya S, Chuan H, Mohammed A. et al. Midfacial changes in the coronal plane induced by microimplant-supported skeletal expander, studied with cone-beam computed tomography images. Am J Orthod Dentofacial Orthop. 2018;154(3):337–45.
[18]. Kim SY, Park YC, Lee KJ, Lintermann A, Han SS, Yu HS, et al. Assessment of changes in the nasal airway after nonsurgical miniscrew-assisted rapid maxillary expansion in young adults. Angle Orthod. 2018;88(4):435–441.
[19]. Annarumma F, Posadino M, De Mari A, Drago S, Aghazada H , Gravina G, et al. Skeletal and dental changes after maxillary expansion with a bone-borne appliance in young and late adolescent patients. Am J Orthod Dentofacial Orthop. 2021;159(4):e363–75.
[20]. Shin H, Hwang C-J, Lee K-J, Choi YJ, Han S-S, Yu HS, et al. Predictors of midpalatal suture expansion by miniscrew-assisted rapid palatal expansion in young adults: A preliminary study. Korean J Orthod. 2019;49(6):360–71.
[21]. Alkadhimi A, Al-Awadhi EA. Miniscrews for orthodontic anchorage: a review of available systems. J Orthod. 2018;45(2):102–14.
[22]. Lee K-J, Choi S-H, Choi T-H, Shi K-K, Keum B-T. Maxillary transverse expansion in adults: Rationale, appliance design, and treatment outcomes. Semin Orthod. 2018;24(1):52–65.
[23]. Calil RC, Marin CM, Otazu A, Torres D, Aráujo J, Olivera R, et al. Maxillary dental and skeletal effects after treatment with self-ligating appliance and miniscrew-assisted rapid maxillary expansion. Am J Orthod Dentofacial Orthop. 2021;159(2):e93–101.
[24]. Ganesh G, Tripathi T, Rai P. Orthopaedic and orthodontic treatment with hyrax, Class III elastics on mandibular miniplates, maxillary mini-implants in a Class III adolescent: A case report. Int Orthod. 2020;18(4):827–38.
[25]. Winsauer H, Walter A, Katsaros C, Ploder O. Success and complication rate of miniscrew assisted non-surgical palatal expansion in adults - a consecutive study using a novel force-controlled polycyclic activation protocol. Head Face Med. 2021;17(1):50
[26]. Lanigan DT, Mintz SM. Complications of surgically assisted rapid palatal expansion: review of the literature and report of a case. J Oral Maxillofac Surg. 2002;60(1):104–10.
[27]. Yildirim M, Akin M. Comparison of root resorption after bone-borne and tooth-borne rapid maxillary expansion evaluated with the use of microtomography. Am J Orthod Dentofacial Orthop. 2019;155(2):182–90.
[28]. Seong E-H, Choi S-H, Kim H-J, Yu H-S, Park Y-C, Lee K-J. Evaluation of the effects of miniscrew incorporation in palatal expanders for young adults using finite element analysis. Korean J Orthod. 2018;48(2):81–9.
[29]. Suzuki SS, Braga LFS, Fujii DN, Moon W, Suzuki H, et al. Corticopuncture Facilitated Microimplant-Assisted Rapid Palatal Expansion. Case Rep Dent. 2018;2018:1392895.
[30]. Paik C-H, Park K-H, Park JH. New orthopedic and orthodontic treatment modality for adult patients with skeletal Class III malocclusion with insufficient maxillary incisor exposure. AJO-DO CC. 2021;1(1):22–30.
[31]. Choi S-H, Jeon JY, Lee K-J, Hwang C-J. Clinical applications of miniscrews that broaden the scope of non-surgical orthodontic treatment. Orthod Craniofac Res. 2021;24 Suppl 1:48–58.
[32]. Davami K, Talma E, Harzer W, Lagravère MO. Long term skeletal and dental changes between tooth-anchored versus Dresden bone-anchored rapid maxillary expansion using CBCT images in adolescents: Randomized clinical trial. Int Orthod. 2020;18(2):317–29.
[33]. Lombardo L, Carlucci A, Maino BG, Colonna A, Paoletto E, Siciliani G, et al. Class III malocclusion and bilateral cross-bite in an adult patient treated with miniscrew-assisted rapid palatal expander and aligners. Angle Orthod. 2018;88(5):649–64.
[34]. Christoph KM, Campbell PM, Feng JQ, Taylor RW, Jacob HB, Buschang PH, et al. Effects of transverse bodily movements of maxillary premolars on the surrounding hard tissue. Am J Orthod Dentofacial Orthop. 2020;157(4):490–502.
[35]. Li N, Sun W, Li Q, Dong W, Martin D, Guo J. Skeletal effects of monocortical and bicortical mini-implant anchorage on maxillary expansion using cone-beam computed tomography in young adults. Am J Orthod Dentofacial Orthop. 2020;157(5):651–61.
[36]. Oh H, Park J, Lagravere-Vich MO. Comparison of traditional RPE with two types of micro-implant assisted RPE: CBCT study. Semin Orthod. 2019;25(1):60–8.
. Bucci R, D’Antò V, Rongo R, Valletta R, Martina R, Michelotti A, et al. Dental and skeletal effects of palatal expansion techniques: a systematic review of the current evidence from systematic reviews and meta-analyses. J Oral Rehabil. 2016;43(7):543–64.
[38]. Lo Giudice A, Quinzi V, Ronsivalle V, Martina S, Bennici O, Isola G, et al. Description of a Digital Work-Flow for CBCT-Guided Construction of Micro-Implant Supported Maxillary Skeletal Expander. Materials (Basel) 2020;13(8):E1815.
[39]. Nucera R, Lo A, Bellocchio AM, Spinuzza P, Caprioglio A, Perillo L, et al. Bone and cortical bone thickness of mandibular buccal shelf for mini-screw insertion in adults. Angle Orthod. 2017;87(5):745–51.
[40]. Park JJ, Park Y-C, Lee K-J, Cha J-Y, Tahk JH, Choi YJ, et al. Skeletal and dentoalveolar changes after miniscrew-assisted rapid palatal expansion in young adults: A cone-beam computed tomography study. Korean J Orthod. 2017;47(2):77–86.
[41]. Chen S, Zhang C, Zhang K, Tan X, Xi X, Zhao Y, et al. Condylar morphology and position changes after miniscrew-assisted rapid palatal expansion in skeletal Class III malocclusion adult patients with mandibular deviation and unilateral posterior crossbite. Prog Orthod. 2022;23(1):30.
[42]. Kim S-Y, Park Y-C, Lee K-J, Lintermann A, Han S-S, Yu H-S, et al. Assessment of changes in the nasal airway after nonsurgical miniscrew-assisted rapid maxillary expansion in young adults. Angle Orthod. 2018;88(4):435–41.
[43]. Shetty A, Ratti S, Nakra P, Shetty S, Mohammed A, Saidath K, et al. Evaluation of Soft Tissue and Airway Changes in Individuals Treated with Mini-Implant Assisted Rapid Palatal Expansion (MARPE). J Long Term Eff Med Implants. 2022;32(1):7–18.
[44]. Shahabee M, Shafaee H, Abtahi M, Rangrazi A, Bardideh E. Effect of micro-osteoperforation on the rate of orthodontic tooth movement-a systematic review and a meta-analysis. Eur J Orthod. 2020;42(2):211–21.
[45]. Manni A, Lupini D, Cozzani M. Bone-anchored intermaxillary elastics in an asymmetric Class II malocclusion: A case report. Int Orthod. 2017;15(2):263–77.
[46]. Skondra FG, Koletsi D, Eliades T, Farmakis ETR. The Effect of Low-Level Laser Therapy on Bone Healing After Rapid Maxillary Expansion: A Systematic Review. Photomed Laser Surg. 2018;36(2):61–71.
[47]. Cano JA, Ortega D, Peña JF, Fernández E, Gao E, López J, et al. Sarpe. Bone anchoring technique. Case report and review. Cient. dent. (Ed. impr.) 2017:69–75.
[48]. Greco M, Rossini G, Rombolà A. Simplifying the approach of open bite treatment with aligners and selective micro-osteoperforations: An adult case report. Int Orthod. 2021;19(1):159–69.
[49]. Brunetto DP, Moschik CE, Dominguez-Mompell R, Jaria E, Sant’Anna EF, Moon W, et al. Mini-implant assisted rapid palatal expansion (MARPE) effects on adult obstructive sleep apnea (OSA) and quality of life: a multi-center prospective controlled trial. Prog Orthod. 2022;23(1):3.
[50]. Jeon JY, Choi S-H, Chung CJ, Lee K-J. The success and effectiveness of miniscrew-assisted rapid palatal expansion are age- and sex-dependent. Clin Oral Investig. 2022;26(3):2993–3003.
[51]. Cao Y, Zhou Y, Song Y, Vanarsdall RL. Cephalometric study of slow maxillary expansion in adults. Am J Orthod Dentofacial Orthop. 2009;136(3):348–54.
[52]. Chung C-H, Goldman AM. Dental tipping and rotation immediately after surgically assisted rapid palatal expansion. Eur J Orthod. 2003;25(4):353–8.
[53]. Choi S-H, Shi K-K, Cha J-Y, Park Y-C, Lee K-J. Nonsurgical miniscrew-assisted rapid maxillary expansion results in acceptable stability in young adults. Angle Orthod. 2016;86(5):713–20.
[54]. Lim H-M, Park Y-C, Lee K-J, Kim K-H, Choi YJ. Stability of dental, alveolar, and skeletal changes after miniscrew-assisted rapid palatal expansion. Korean J Orthod. 2017;47(5):313–22.
[55]. Naveda R, Dos Santos AM, Seminario MP, Miranda F, Janson G, Garib D, et al. Midpalatal suture bone repair after miniscrew-assisted rapid palatal expansion in adults. Prog Orthod. 2022;23(1):35.
[56]. Carvalho L, González A, Moreira C, Barbosa E. Stresses and Strains Analysis Using Different Palatal Expander Appliances in Upper Jaw and Midpalatal Suture. Artif Organs. 2017;41(6):E41–51.
[57]. Cantarella D, Dominguez-Mompell R, Moschik C, Sfogliano L, Elkenawy I, Pan HC, et al. Zygomaticomaxillary modifications in the horizontal plane induced by micro-implant-supported skeletal expander, analyzed with CBCT images. Prog Orthod. 2018;19(1):41.
[58]. Hur J-S, Kim H-H, Choi J-Y, Suh S-H, Baek S-H. Investigation of the effects of miniscrew-assisted rapid palatal expansion on airflow in the upper airway of an adult patient with obstructive sleep apnea syndrome using computational fluid-structure interaction analysis. Korean J Orthod. 2017;47(6):353–64.
[59]. Oliveira CB, Ayub P, Angelieri F, Murata WH, Suzuki SS, Ravelli DB, et al. Evaluation of factors related to the success of miniscrew-assisted rapid palatal expansion. Angle Orthod. 2021;91(2):187–94.
. Haas OL, Matje PRB, Rosa BM, Rojo C, Guijarro R, Valls A, et al. Minimally invasive surgical and miniscrew-assisted rapid palatal expansion (MISMARPE) in adult patients. J Craniomaxillofac Surg. 2022;50(3):211–7.
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