ArticleCureus2023
Skeletal and Dentoalveolar Changes With Mandibular Expansion in Growing Children.
Article in Cureus, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed.
- Mandibular Dentoalveolar Expansion in Early Mixed Dentition Using the Clara Expander: A Case Series.Children (Basel, Switzerland) · 2025Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction The primary objective of this study was to quantitatively analyze the skeletal and dentoalveolar parameters following the mandibular expansion with a banded appliance. It was also part of the study to evaluate the amount of dental expansion and assess the change in the intermolar and individual first molar angulation. The basal bone parameters were compared to assess the skeletal effect of removable mandibular expansion appliance therapy. Methods In this retrospective cone beam computed tomography (CBCT) study, a total of 80 subjects with mandibular expansion therapy were screened. After imposing inclusion/exclusion criteria, 70 patients (40 females and 30 males) with a mean age of 8.8±1.24 years and 4.79±3.59 months were included. The mean expansion period was 3.04±1.61 months. Skeletal parameters such as buccal cortical thickness, buccal bone width, and cortical density were measured at 2mm from the alveolar crest, mid-root, and apex region in the coronal slice at the level of the mesiobuccal root of the first molar. Expansion parameters such as intermolar width, intermolar angulation, and individual molar angulation were also measured in the same slice. Finally, basal bone parameters such as inter-mental foramina distance and anterior arch perimeter were recorded. Results No significant difference (p>0.05) was found for most skeletal parameters following the expansion, except for the mid-root buccal bone width (p<0.05). On average, 4.54±2.53 mm of dental expansion (p<0.05) was achieved at the first molar region. Individual molar angulation showed a statistically significant difference (right = 7.46±7.91°, left = 7.53±7.18°, p=<0.05). The basal bone parameters showed no significant difference (p>0.05). Conclusions The mandibular expansion device leads to an increase in intermolar distance. The amount of expansion achieved with such devices is due to the buccal tipping of the molars. Skeletal effects such as cortical thickness, buccal bone width, or changes in the basal bone dimensions should not be expected with mandibular expansion therapy.
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