Factors influencing complete midpalatal suture separation in adult patients undergoing 3D-guided piezocorticotomy-assisted MARPE: A case-control study.

Svitlana Koval, Daria Chepanova, Nika Stepanoff, Andrii Babii, Viktoriia Kolesnyk

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Article in Journal of oral biology and craniofacial research. 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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5 · Who and what money

Authors and funding

5 authors.

Svitlana KovalDrKoval Orthodontics, Private Practice, Boca Raton, FL, 33341, USA.

Daria ChepanovaDrKoval Orthodontics, Private Practice, Boca Raton, FL, 33341, USA.

Nika StepanoffDrKoval Orthodontics, Private Practice, Boca Raton, FL, 33341, USA.

Andrii BabiiNova Southeastern University, Halmos College of Arts and Science, Fort Lauderdale, FL, 33314, USA.

Viktoriia KolesnykMichigan State University/Hurley Medical Center, Flint, MI, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: To evaluate demographic, cephalometric, and craniometric biomarker (frontozygomatic separation) predictors of full versus partial midpalatal suture (MPS) separation following 3D-guided piezocorticotomy-assisted MARPE, and characterize separation morphologies. Methods: A retrospective case-control study analyzed 108 adults (70 full separation controls; 38 partial separation cases). Separation patterns were categorized (Types 1-5). Multivariable logistic regression assessed biological sex, age, cephalometrics ( Results: Five distinct MPS separation morphologies were identified. Baseline demographic, cephalometric, and post-expansion parameters showed no group differences ( Conclusions: MPS separation manifests in five morphological types. Full separation is uninfluenced by baseline cephalometrics but constrained by male sex and advancing age (precipitously after age 40 in males). Frontozygomatic separation serves as a strong structural predictor.

Indexed as

Craniometric biomarkerLogistic regressionMale genderMARPEMidpalatal suture separationPiezocorticotomy

Identifiers

PMID42657282

DOI10.1016/j.jobcr.2026.101523

PMCPMC13508663

What OpenQuestion holds

Textmetadata

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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.