Palabras clave
Ortodoncia
Técnica De Expansión Palatina
Cómo citar
Copyright © | Todos los derechos reservados.
La revista posee los derechos de autor exclusivos para la publicación de este artículo en los términos de la ley brasileña 9610/98.
Reproducción parcial
El uso de partes de los textos, figuras y cuestionario del artículo es libre, siendo obligatoria la citación de los autores y revista.
Reproducción total
Está expresamente prohibido y debe ser autorizado por la revista.
Resumen
Objetivo: Realizar revisión integradora de la literatura para comparar los efectos de diferentes tipos de expansores maxilares en pacientes con fisura labiopalatina (FLP). Métodos: Se llevó a cabo una revisión en las bases de datos PubMed y Biblioteca Virtual en Salud desde 2016 hasta 2023, utilizando los descriptores "Cleft Palate" y "Palatal Expansion Technique." Resultados: Después de excluir duplicados y revisar títulos y resúmenes, se seleccionaron 12 artículos para su lectura completa. Se utilizaron expansores Haas/Hyrax, mini-Hyrax, tipo Leque, expansor con abertura diferencial (EDO) o expansores óseos palatinos soportados para la expansión maxilar rápida, y Quadrihélice para la expansión lenta. En general, tanto Hyrax como Quadrihélice pueden ser igualmente indicados. EDO promovió un mayor aumento en la anchura intercanina que en la intermolar, y el expansor palatino óseo soportado produjo una expansión esquelética alveolar sin efectos dentarios adversos. Consideraciones Finales: Al comparar varios aparatos destinados a la expansión maxilar rápida o lenta, es ventajosa una mayor expansión maxilar en la región anterior que en la posterior en pacientes con FLP. Es esencial que el ortodoncista analice, para cada caso clínico, los efectos causados por los expansores maxilares, con el objetivo de lograr resultados eficaces y minimizar efectos adversos.
Referencias
ALKADHI OH, et al. Effect of Maxillary Expansion on the Maxillary Arch Width in Patients with Bilateral Cleft Palate: A Review. Children, 2023; 10(5): 762.
ALLAREDDY V, et al. Orthodontic Preparation for Secondary Alveolar Bone Grafting in Patients with Complete Cleft Lip and Palate. Oral Maxillofac Surg Clin North Am., 2020; 32(2): 205-217.
ALVES ACM, et al. Maxillary expander with differential opening vs Hyrax expander: A randomized clinical trial. Am J Orthod Dentofacial Orthop., 2020; 157(1): 7-18.
AYUB PV, et al. Intercenter comparison of slow and rapid maxillary expansion in unilateral complete cleft lip and palate. Dental Press J Orthod., 2022; 27(3): e2220233.
BITTENCOURT DUTRA DOS SANTOS P, et al. Association Between Dental Arch Widths and Interarch Relationships in Children With Operated Unilateral Complete Cleft Lip and Palate. Cleft Palate Craniofac J., 2015; 52(6): e196-200.
BRUNETTO M, et al. Three-dimensional assessment of buccal alveolar bone after rapid and slow maxillary expansion: a clinical trial study. Am J Orthod Dentofacial Orthop., 2013; 143: 633-44.
CALIL LR, et al. Comparison of conventional and differential rapid maxillary expansion in patients with complete bilateral cleft lip and palate: evaluation by means of digital dental models. Internacional de fissuras orofaciais e anomalias relacionadas. 2015.
CASSI D, et al. Dentoalveolar Effects of Early Orthodontic Treatment in Patients With Cleft Lip and Palate., J Craniofac Surg., 2017; 28(8): 2021-2026.
CARDINAL L, et al. The impact of rapid maxillary expansion on maxillary first molar root morphology of cleft subjects. Clin Oral Investig., 2018; 22(1): 369-376.
DALESSANDRI D, et al. Rapid palatal expander vs. quad-helix in the orthodontic treatment of cleft lip and palate patients. Minerva Stomatol., 2016; 65(2): 97-103.
DE ALMEIDA AM, et al. Slow versus rapid maxillary expansion in bilateral cleft lip and palate: a CBCT randomized clinical trial. Clin Oral Investig., 2017; 21(5): 1789-1799.
DE MEDEIROS ALVES AC, et al. Analysis of the dentoalveolar effects of slow and rapid maxillary expansion in complete bilateral cleft lip and palate patients: a randomized clinical trial. Clin Oral Investig., 2016; 20: 1837–1847.
FIGUEIREDO DS, et al. Dentoskeletal effects of 3 maxillary expanders in patients with clefts: A cone-beam computed tomography study. Am J Orthod Dentofacial Orthop., 2014; 146(1): 73-81.
FIGUEIREDO DS, et al. Effects of rapid maxillary expansion in cleft patients resulting from the use of two different expanders. Dental Press J Orthod., 2016; 21(6): 82-90.
FRANCISCO I, et al. Cleft Orthodontic Care in Europe: A Cross-Sectional Survey. Healthc, 2022; 10(8): 1555.
FREITAS JA, et al. Rehabilitative treatment of cleft lip and palate: experience of the Hospital for Rehabilitation of Craniofacial Anomalies-USP (HRACUSP)–part 2: pediatric dentistry and orthodontics. J Appl Oral Sci., 2012; 20: 268–281.
GARIB D, et al. Dentoskeletal outcomes of a rapid maxillary expander with differential opening in patients with bilateral cleft lip and palate: A prospective clinical trial. Am J Orthod Dentof Orthop., 2016; 150(4): 564-574.
GARIB D, et al. Orthopedic outcomes of hybrid and conventional Hyrax expanders. Angle Orthod., 2021; 91(2): 178-186.
GRAÇA IC, et al. Condylar Changes after Maxillary Expansion in Children with Cleft Lip and Palate-A Three-Dimensional Retrospective Study. Biomimetics (Basel), 2022; 7(2): 73.
GREGÓRIO L, et al. Cephalometric evaluation of rapid and slow maxillary expansion in patients with BCLP: Secondary data analysis from a randomized clinical trial. Angle Orthod., 2019; 89(4): 583-589.
HEIDBUCHEL KL, et al. Effects of early treatment on maxillary arch development in BCLP. A study on dental casts between 0 and 4 years of age. J Craniomaxillofac Surg., 1998; 26(3): 140-7.
INCHINGOLO AD, et al. Rapid Maxillary Expansion on the Adolescent Patient: Systematic Review and Case Report. Children (Basel), 2022; 9(7): 1046.
JAIN S, et al. Maxillary expansion in cleft lip and palate cases- a review. International Journal of Advanced Research, 2015; 3(9): 1455-1461.
LAGRAVERE MO, et al. Transverse, vertical, and anteroposterior changes from bone-anchored maxillary expansion vs traditional rapid maxillary expansion: a randomized clinical trial. Am J Orthod Dentofacial Orthop., 2010; 137(3): 304.e1-12.
LEE KJ, et al. Miniscrew-assisted nonsurgical palatal expansion before orthognathic surgery for a patient with severe mandibular prognathism. Am J Orthod Dentofacial Orthop., 2010; 137: 830–9.
LI WR. Stability of orthodontic treatment in the patients with cleft lip and palate. Zhonghua Kou Qiang Yi Xue Za Zhi, 2018; 53(9): 585-589.
LIU Y, et al. Suture cartilage formation pattern varies with different expansive forces. Am J Orthod Dentofacial Orthop. 2014; 146(4): 442-450.
MARAZITA ML e MOONEY MP. Current concepts in the embryology and genetics of cleft lip and cleft palate. Clin Plast Surg., 2004; 31(2): 125-40.
MATHEW A, et al. Stress and displacement pattern evaluation using two different palatal expanders in unilateral cleft lip and palate: a three-dimensional finite element analysis. Prog Orthod., 2016; 17(1): 38.
MEAZZINI MC, et al. Short- and Long-Term Effects of Late Maxillary Advancement With the Liou-Alt-RAMEC Protocol in Unilateral Cleft Lip and Palate. Cleft Palate Craniofac J., 2019; 56(2): 159-167.
MENG WY, et al. The comparison of biomechanical effects of the conventional and bone-borne palatal expanders on late adolescence with unilateral cleft palate: a 3-dimensional finite element analysis. BMC Oral Health, 2022; 22(1): 600.
MORDENTE CM, et al. Upper airway assessment using four different maxillary expanders in cleft patients: A cone-beam computed tomography study. Angle Orthod., 2016; 86(4): 617-24.
OKADA W, et al. Interdisciplinary treatment of an adult with complete bilateral cleft lip and palate. Am J Orthod Dentofacial Orthop., 2012; 141(4 Suppl): S149-58.
OZAWA TO, et al. Influence of surgical technique and timing of primary repair on interarch relationship in UCLP: A randomized clinical trial. Orthod Craniofac Res., 2021; 24(2): 288-295.
PUGLIESE F, et al. Dental arch size and shape after maxillary expansion in bilateral complete cleft palate: A comparison of three expander designs. Angle Orthod., 2020; 90(2): 233-238.
ROCHA MO, et al. Plaque index and gingival index during rapid maxillary expansion of patients with unilateral cleft lip and palate. Dental Press J Orthod., 2017; 22(6): 43-48.
RUTILI V, et al. Comparison of rapid versus slow maxillary expansion on patient-reported outcome measures in growing patients: a systematic review and meta-analysis. Prog Orthod., 2022; 23(1): 47.
SINGH H, et al. Effects of maxillary expansion on hearing and voice function in non-cleft lip palate and cleft lip palate patients with transverse maxillary deficiency: a multicentric randomized controlled trial. Braz J Otorhinolaryngol., 2021; 87(3): 315-325.
WAHAJ A e AHMED I. Comparison of Intercanine and Intermolar Width Between Cleft Lip Palate and Normal Class I Occlusion Group. J Coll Physicians Surg Pak, 2015; 25(11): 811-4.
WORLEY ML, et al. Cleft Lip and Palate. Clin. Perinatol, 2018.