TY - JOUR
T1 - Midpalatal suture density ratio
T2 - A novel predictor of skeletal response to rapid maxillary expansion
AU - Grünheid, Thorsten
AU - Larson, Chad E.
AU - Larson, Brent E.
PY - 2017/2/1
Y1 - 2017/2/1
N2 - Introduction During adolescence, increasing interdigitation of the midpalatal suture increases resistance to rapid maxillary expansion (RME); this decreases its skeletal effect. In this study, we aimed at determining whether a novel measure of midpalatal suture maturity, the midpalatal suture density ratio, can be used as a valid predictor of the skeletal response to RME. Methods The midpalatal suture density ratio, chronologic age, cervical vertebral maturation, and the stage of midpalatal suture maturation were assessed before treatment for 30 patients (ages, 12.9 ± 2.1 years) who underwent RME as part of comprehensive orthodontic treatment. Measurements on cone-beam computed tomography scans were used to determine the proportions of prescribed expansion achieved at the greater palatine foramina, the nasal cavity, and the infraorbital foramina. Results There was a statistically significant negative correlation between the midpalatal suture density ratio and both the greater palatine foramina and the infraorbital foramina (r = −0.7877 and −0.3647, respectively; P <0.05). In contrast, chronologic age, cervical vertebral maturation, and stage of midpalatal suture maturation were not significantly correlated to any of the assessed measures of skeletal expansion (r range, −0.2209 to 0.0831; P >0.05). Conclusions The midpalatal suture density ratio has the potential to become a useful clinical predictor of the skeletal response to RME. Conversely, chronologic age, cervical vertebral maturation, and stage of midpalatal suture maturation cannot be considered useful parameters to predict the skeletal effects of RME.
AB - Introduction During adolescence, increasing interdigitation of the midpalatal suture increases resistance to rapid maxillary expansion (RME); this decreases its skeletal effect. In this study, we aimed at determining whether a novel measure of midpalatal suture maturity, the midpalatal suture density ratio, can be used as a valid predictor of the skeletal response to RME. Methods The midpalatal suture density ratio, chronologic age, cervical vertebral maturation, and the stage of midpalatal suture maturation were assessed before treatment for 30 patients (ages, 12.9 ± 2.1 years) who underwent RME as part of comprehensive orthodontic treatment. Measurements on cone-beam computed tomography scans were used to determine the proportions of prescribed expansion achieved at the greater palatine foramina, the nasal cavity, and the infraorbital foramina. Results There was a statistically significant negative correlation between the midpalatal suture density ratio and both the greater palatine foramina and the infraorbital foramina (r = −0.7877 and −0.3647, respectively; P <0.05). In contrast, chronologic age, cervical vertebral maturation, and stage of midpalatal suture maturation were not significantly correlated to any of the assessed measures of skeletal expansion (r range, −0.2209 to 0.0831; P >0.05). Conclusions The midpalatal suture density ratio has the potential to become a useful clinical predictor of the skeletal response to RME. Conversely, chronologic age, cervical vertebral maturation, and stage of midpalatal suture maturation cannot be considered useful parameters to predict the skeletal effects of RME.
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U2 - 10.1016/j.ajodo.2016.06.043
DO - 10.1016/j.ajodo.2016.06.043
M3 - Article
C2 - 28153155
AN - SCOPUS:85010987157
SN - 0889-5406
VL - 151
SP - 267
EP - 276
JO - American Journal of Orthodontics and Dentofacial Orthopedics
JF - American Journal of Orthodontics and Dentofacial Orthopedics
IS - 2
ER -