ArticleInternational journal of dentistry2025
Causes and Potential Solutions of Molar Buccal Inclination in Maxillary Skeletal Expander: A Retrospective CBCT Analysis.
Article in International journal of dentistry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: This study aimed to investigate the causes of molar buccal inclination following maxillary skeletal expander (MSE) treatment and explore potential solutions by analyzing MSE appliance design and patient-specific factors to mitigate this inclination. Materials and Methods: Cone-beam computed tomography (CBCT) data from 120 patients with maxillary transverse deficiency (MTD) were analyzed using Materialise's Interactive Medical Image Control System (MIMICS) software. The buccal inclination of the zygomaticomaxillary complex (ZMC), alveolar bone, and molars was measured using angular analysis to identify the contributing factors to molar buccal inclination. Results: Significant changes were observed in the frontozygomatic angle (FZA), frontoalveolar angle (FAA), frontodental angle (FDA), ZMC angle (ZMCA), maxillary first molar angle (MFMA), and maxillary second molar angle (MSMA) ( Conclusions: During MSE expansion, the buccal inclination of the molars will still occur, primarily due to the buccal expansion force transmitted to the molars by the bracket and the band. Additionally, this inclination is partly influenced by the left and right ZMC rotating buccally in the coronal plane.
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