Changes in Vertical and Anteroposterior Dimensions of Skeletal After Treatment of the Orthodontic Combination of Rapid Palatal Expansion in Non Growing Patients
Introduction
Orthodontic treatment is a crucial step in improving the position of teeth and jaw, especially in patients who no longer experience growth. The combination of close orthodontics with rapid palatal expansion (RPE) is a common technique used to achieve desired changes in the skeletal structure. However, the effectiveness of this technique combination in non-growing patients is still unclear. This study aims to explore changes in vertical and anteroposterior skeletal dimensions in non-growing patients after undergoing the treatment of close orthodontics combined with RPE.
Background
Orthodontic treatment is an important aspect of dental care, and its effectiveness depends on various factors, including the patient's growth stage. Non-growing patients, in particular, require a tailored approach to achieve optimal results. The combination of close orthodontics with RPE is a popular technique used to expand the palate and improve the alignment of teeth. However, the impact of this technique on the skeletal structure of non-growing patients is still unknown.
Research Methods
This study involved eight patients with an age range of 12-14 years, which corresponds to the development phase of CVM T6. The patients underwent close orthodontics combined with RPE, and lateral cephalometry photos were taken before treatment (T1) and one year after treatment (T2). The measurements taken included vertical and anteroposterior dimensions, which are essential indicators of the success of orthodontic care.
Research Results
The data analysis using the ANOVA statistical test revealed that there were no significant changes in the vertical and anteroposterior dimensions. The results of the significant analysis for each measurement are as follows:
Sn-Ans.pns: Sig 0.857 > Alpha 0.05
MP-SN: SIG 0.883 > Alpha 0.05
NS-NG: SIG 0.15 > Alpha 0.05
Ans.Pns-MP: Sig 0.737 > Alpha 0.05
SNA: Sig 0.274 > Alpha 0.05
SNB: Sig 0.142 > Alpha 0.05
ANB: Sig 0.233 > Alpha 0.05
Napog: Sig 0.292 > Alpha 0.05
These results indicate that both vertical and anteroposterior dimensions in non-growing patients remain stable after treatment.
Conclusion
The findings of this study suggest that the treatment of close orthodontics combined with RPE does not produce significant changes in vertical and anteroposterior skeletal dimensions in non-growing patients. This conclusion is crucial for clinical considerations, especially in determining the appropriate orthodontic treatment approach for this group of patients.
Additional Analysis
The results of this study can provide valuable insights for orthodontic practitioners in understanding the limitations of RPE techniques in patients who are not in the growth phase. While RPE is proven to be effective in patients who are still growing, these results show the need for further evaluation and maybe the use of additional or alternative methods to achieve the desired changes in the skeletal dimensions of non-growing patients.
Implications for Future Research
Considering the importance of an individual approach in orthodontic care, there needs to be further research to understand other factors that may contribute to skeletal changes in patients with different characteristics. In addition, an increase in understanding of the interaction between orthodontic care and skeletal growth can help in optimizing the results of treatment for future patients.
Limitations of the Study
This study had a small sample size, which may limit the generalizability of the results. Additionally, the study only focused on non-growing patients, and further research is needed to understand the effects of RPE in patients who are still growing.
Future Directions
Future studies should aim to investigate the effects of RPE in patients with different characteristics, such as age, sex, and skeletal morphology. Additionally, the use of advanced imaging techniques, such as cone beam computed tomography (CBCT), can provide more detailed information about the skeletal changes after RPE.
Conclusion
In conclusion, this study provides valuable insights into the effects of close orthodontics combined with RPE on the skeletal structure of non-growing patients. The findings suggest that this technique combination does not produce significant changes in vertical and anteroposterior skeletal dimensions in non-growing patients. Further research is needed to understand the limitations of RPE techniques and to develop more effective treatment approaches for this group of patients.Frequently Asked Questions (FAQs) About Changes in Vertical and Anteroposterior Dimensions of Skeletal After Treatment of the Orthodontic Combination of Rapid Palatal Expansion in Non Growing Patients
Q: What is the purpose of this study?
A: The purpose of this study is to explore changes in vertical and anteroposterior skeletal dimensions in non-growing patients after undergoing the treatment of close orthodontics combined with rapid palatal expansion (RPE).
Q: What is rapid palatal expansion (RPE)?
A: RPE is a common orthodontic technique used to expand the palate and improve the alignment of teeth. It involves the use of a specialized appliance that applies gentle pressure to the upper jaw, causing it to expand.
Q: Who are non-growing patients?
A: Non-growing patients are individuals who have reached their maximum growth potential and are no longer experiencing significant changes in their skeletal structure. This typically occurs in late adolescence or early adulthood.
Q: What are the limitations of RPE in non-growing patients?
A: The results of this study suggest that RPE does not produce significant changes in vertical and anteroposterior skeletal dimensions in non-growing patients. This may be due to the fact that non-growing patients have reached their maximum growth potential and are no longer responsive to orthodontic treatment.
Q: What are the implications of this study for orthodontic practitioners?
A: The findings of this study suggest that orthodontic practitioners should be cautious when using RPE in non-growing patients. Instead, they may need to consider alternative treatment approaches that are more effective for this group of patients.
Q: What are some potential future directions for research in this area?
A: Future studies should aim to investigate the effects of RPE in patients with different characteristics, such as age, sex, and skeletal morphology. Additionally, the use of advanced imaging techniques, such as cone beam computed tomography (CBCT), can provide more detailed information about the skeletal changes after RPE.
Q: What are some potential benefits of RPE in growing patients?
A: RPE has been shown to be effective in growing patients, particularly in improving the alignment of teeth and reducing the risk of orthodontic relapse. However, the effectiveness of RPE in non-growing patients is still unclear.
Q: What are some potential risks associated with RPE?
A: RPE is generally considered to be a safe and effective treatment approach. However, as with any orthodontic treatment, there are potential risks associated with RPE, including tooth movement, gum recession, and temporomandibular joint (TMJ) pain.
Q: How can orthodontic practitioners determine whether a patient is a good candidate for RPE?
A: Orthodontic practitioners should carefully evaluate each patient's individual needs and characteristics before determining whether RPE is an appropriate treatment approach. This may involve conducting a thorough examination, taking radiographs, and reviewing the patient's medical and dental history.
Q: What are some alternative treatment approaches to RPE?
A: Alternative treatment approaches to RPE may include the use of other orthodontic appliances, such as fixed appliances or removable appliances, or the use of surgical techniques, such as orthognathic surgery. The choice of treatment approach will depend on the individual needs and characteristics of each patient.
Q: How can patients ensure that they receive the best possible care from their orthodontic practitioner?
A: Patients can ensure that they receive the best possible care from their orthodontic practitioner by:
Researching the practitioner's qualifications and experience
Asking questions about the treatment approach and potential risks and benefits
Following the practitioner's instructions and recommendations
Attending regular follow-up appointments to monitor progress and address any concerns
By understanding the potential benefits and limitations of RPE, patients can make informed decisions about their orthodontic care and work with their practitioner to achieve the best possible results.