Evidence map›Paper›PMID 41582185›Full record

Trial reportBMC oral health2026

Rapid maxillary expansion related sutural and dentoalveolar changes provoke early-term oxidative stress.

Tuba Kose, Ali Kiki, Oguz Kose, Ozge Nur Turkeri

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC oral health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06937775 (Rapid Maxillary Expansion Related Sutural and Dentoalveolar Changes Provoke Salivary Oxidative Stress), which is not on this map. Not yet cited in PubMed.

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1 · What the graph read from it

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06937775 nacompletednot on this map

Rapid Maxillary Expansion Related Sutural and Dentoalveolar Changes Provoke Salivary Oxidative Stress: A Biochemical Study

TypeinterventionalSponsorRecep Tayyip Erdogan University Training and Research HospitalRan2016 to 2016Enrolled35ConditionsMaxillary ExpansionArmsPeriodontal measurements (plaque index, gingival index and probing pocket depth scores ), Biochemical Sample Supply (Collection of serum and saliva samples), Rapid maxillary expansion with Hyrax appliance
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

4 authors.

Tuba KoseDepartment of Orthodontics, School of Dentistry, Recep Tayyip Erdogan University, Rize, TR-53100, Türkiye. tuba.kose@erdogan.edu.tr.
Ali KikiDepartment of Orthodontics, School of Dentistry, Ataturk University, Erzurum, Türkiye.
Oguz KoseDepartment of Periodontology, School of Dentistry, Recep Tayyip Erdogan University, Rize, Türkiye.
Ozge Nur TurkeriDepartment of Pharmacy Services, Çanakkale Health Services Vocational School , Çanakkale Onsekiz Mart University, Çanakkale, Türkiye.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe management of oxidative stress-related cellular activity plays an important role in the bone healing process and dentoalveolar resorption. The aim of this study was to investigate the effects of rapid maxillary expansion on local and systemic oxidative stress levels.

methodsThirty-five volunteer patients (17 females and 18 males) who needed rapid maxillary expansion were included in the study. Serum and unstimulated saliva samples were collected from each patient during four different periods: a week before the treatment (T0), the first day when sutural opening was detected clinically and radiographically (T1), the last day of the active expansion period (T2), and after the completion of a 3-month retention period (T3). To evaluate the patients’ periodontal status, plaque index, gingival index and probing pocket depth scores were recorded for each period. 8-hydroxydeoxyguanosine (8-OHdG), total oxidative status (TOS), total antioxidant status (TAS) and oxidative stress index (TOS/TAS: OSI) biomarkers were evaluated with ELISA and spectrophotometric methods to determine the local and systemic oxidative stress levels.

resultsThere were no statistically significant differences in the clinical periodontal parameters between the four measurement periods (p > 0.05). In the T1 period, only the salivary levels of the 8-OHdG (T1-T0; p:0.001, T2-T1; p:0.030, T3-T1; p:0.045), TOS (T1-T0; p < 0.001, T2-T1; p < 0.001, T3-T1; p < 0.001) and OSI (T1-T0; p < 0.001, T3-T1; p < 0.001) were statistically significantly higher when compared to the other periods. On the other hand, both the serum and salivary TAS levels there were not statistically significantly different between the periods (p > 0.05).

conclusionPeriodontal and skeletal changes associated with rapid maxillary expansion cause an increase in only salivary oxidative stress levels, especially during the initial sutural opening period (5–7 days).

trial registrationClinical Trial Number is NCT06937775. It was recorded retrospectively (Record date 21/04/25).

Indexed as

MaxillaOxidative StressPalatal Expansion Technique8-Hydroxy-2'-DeoxyguanosineAdolescentAdultAntioxidantsBiomarkersDental Plaque IndexDeoxyguanosineFemaleHumansMalePeriodontal IndexSalivaYoung Adult8-Hydroxy-2'-DeoxyguanosineAntioxidantsBiomarkersDeoxyguanosineOxidative stressRapid maxillary expansionSalivaSerumTotal antioxidant status

Identifiers

PMID41582185
PMCPMC12918561

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.