DESCRIPTION OF CHANGES IN PTERYGOPALATINE SUTURE ON CONEBEAM CT IN PATIENTS AFTER MINIVIS SUPPORTED RAPIDE MAXILLARY EXPANSION

Phạm Thị Hồng Thùy1,, Trịnh Thị Thái Hà2, Phạm Thị Thu Hằng3, Vũ Quang Hưng1
1 Haiphong University of Medicine and Pharmacy
2 The Odonto-Stomatology Training Institute, Hanoi Medical University
3 108 Military Central Hospital

Main Article Content

Abstract

Objective: The purpose of this study was to assess the pterygopalatine suture disarticulation pattern in the tomographic axial plane after treatment with midfacial skeletal expander (MSE). Materials and methods: Pre- and post-expansion CBCT records of 36 subjects (12 males, 24 females, mean age 20,14 years) who were treated with MSE (Biomaterials Korea, Seoul, Korea) appliance were analysed and compared using OneClinic 3D software. Reference planes were identified, from there calculate the distance and angle to evaluate the opening and displacement of the suture to the lateral side. Results: After MSE treatment, 37 sutures out of 72 (51,4%) presented openings between the medial and lateral pterygoid plates on both right and left sides. Partial split was detected with 13 patients (8 females, 5 males). The mean size of the opening was 1,24 mm for the right side and 1,15 mm for the left side. The lateral movements of the pterygomaxillary fissure and pterygoid process were observed. Conclusions: this study shows that pterygopalatine suture can be split by MSE appliance without the surgical intervention.

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References

1. McNamara JA. Maxillary transverse deficiency. Am J Orthod Dentofacial Orthop. 2000;117(5):567–70.
2. Melsen B. Palatal growth studied on human autopsy material. A histologic microradiographic study. Am J Orthod. 1975;68 (1):42–54.
3. Lin L, Ahn HW, Kim SJ, Moon SC, Kim SH, Nelson G. Tooth-borne vs bone-borne rapid maxillary expanders in late adolescence. Angle Orthod. 2015;85(2):253–62.
4. Cantarella D, Dominguez-Mompell R, Mallya SM, Moschik C, Pan HC, Miller J, et al. Changes in the midpalatal and pterygopalatine sutures induced by micro-implant-supported skeletal expander, analyzed with a novel 3D method based on CBCT imaging. Prog Orthod. 2017;18(1):34.
5. Song KT, Park JH, Moon W, Chae JM, Kang KH. Three-dimensional changes of the zygomaticomaxillary complex after mini-implant assisted rapid maxillary expansion. Am J Orthod Dentofacial Orthop. 2019;156(5):653–62.
6. Rayan K. Tamburrio. The Transverse Dimension: Diagnosis and Relevance to Functional Occlusion. RWISO Journal. 2010, 7, pp. 13-21.
7. Stepanko LS, Lagravère MO. Sphenoid bone changes in rapid maxillary expansion assessed with cone-beam computed tomography. Korean J Orthod. 2016;46:269-79.
8. Ozge Colak, Ney Alberto Paredes. Tomographic assessment of palatal suture opening pattern and pterygopalatine suture disarticulation in the axial plane after midfacial skeletal expansion. Progress in Orthodontics. 2020, 21:21