Maxillary tridimensional changes after slow expansion with leaf expander in a sample of growing patients: a pilot study.

Abstract:

AIM:The aim of this study is to evaluate the dento-alveolar effects of slow maxillary expansion using the Leaf Expander in a sample of growing patients with maxillary transverse deficiency, unilateral cross bite and mandibular shift. MATERIALS AND METHODS:The study included 10 patients, 3 male and 7 female (mean age 7.5 + 7 months), treated with Leaf Expander anchored on the upper deciduous teeth. Digital models were obtained by a lab scan of the pvs impressions at the beginning of the therapy (T1) and at the removal of the palatal expander (T2). Five parameters were measured: 1) the distance between the first upper permanent molars; 2) the distance between the upper second deciduous molars; 3) the distance between the upper canine cusps 4) the distance between the first lower permanent molars; 5) the distance of the lower canine cusps. RESULTS:In all patients complete correction of posterior crossbite was achieved on average in 4 months, with a spontaneous expansion of the upper first permanent molars. Significant increases in the dento-alveolar transversal diameters were obtained. Increases were also observed in the anterior mandibular arch diameter (+ 1 mm). CONCLUSIONS:These findings suggest that slow maxillary expansion using Leaf Expander appliance could be a reasonable alternative to conventional maxillary expansion therapy in the early mixed dentition.

journal_name

Eur J Paediatr Dent

authors

Lanteri V,Gianolio A,Gualandi G,Beretta M

doi

10.23804/ejpd.2018.19.01.05

subject

Has Abstract

pub_date

2018-03-01 00:00:00

pages

29-34

issue

1

eissn

1591-996X

issn

2035-648X

journal_volume

19

pub_type

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