Impact of Non-Surgical and Surgically Assisted Rapid Maxillary Expansion Procedures upon the Periodontium: A Systematic Review
Source abstract
Abstract
Background: Scarce evidence is available regarding the occurrence and prevalence of hard/soft tissue deficiencies among patients undergoing surgically assisted rapid maxillary expansion (SARME) as compared to non-surgical rapid maxillary expansion (NSRME) approaches. The purpose of this study is to evaluate the effect of NSRME and SARME upon the periodontal structures. Methods: A literature search was performed to identify studies that fulfilled pre-established eligibility criteria, evaluating changes in the periodontium (e.g., probing depths) and hard/soft tissue deficiencies (e.g., bone levels, gingival recession) within patients undergoing NSRME and SARME procedures. Results: A total of 21 articles were included in the present review. Four of them evaluated the outcomes of both NSRME and SARME procedures, while six and eleven studies analyzed NSRME alone and SARME alone, respectively. The incidence of hard (e.g., changes in buccal bone width/height) and soft tissue deficiencies (e.g., gingival recession, keratinized tissue, and clinical attachment level) is slightly increased among patients undergoing maxillary expansion with worsened outcomes during NSRME procedures. Conclusions: The impact of NSRME and SARME upon the periodontium remains inconclusive.
Source: crossref · Quality: baseline
Research context
OpenAlex topics: Orthodontics and Dentofacial Orthopedics · Dental Radiography and Imaging · Dental Implant Techniques and Outcomes
SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.
Affiliations
Pre-Doctoral Clinics, University of Iowa College of Dentistry, Iowa City, IA 52242, USA
Private Practice, Portland, OR 97005, USA
Hardin Library for the Health Sciences, University of Iowa Libraries, Iowa City, IA 52242, USA
Department of Orthodontics, University of Iowa College of Dentistry, Iowa City, IA 52242, USA
Department of Periodontics, University of Iowa College of Dentistry, Iowa City, IA 52242, USA
School of Dentistry, Espiritu Santo University, Samborondon 092301, Ecuador
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