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Comparison of Dentoalveolar Expansion with Clear Aligners by Using Two Different Treatment Protocols in the Early Mixed Dentition: A Retrospective Study

Year 2024, Volume: 51 Issue: 1, 32 - 37, 30.04.2024
https://doi.org/10.52037/eads.2024.0006

Abstract

Objectives: To evaluate the effect of different expansion protocols on tooth movements during maxillary arch expansion with Invisalign First System® (IFS) in the mixed dentition.
Materials and Methods: This study was conducted using digital models of 20 patients treated with sequential expansion (MFE, mean age: 7.88±0.60; 9 girls, 11 boys) and 20 patients treated with simultaneous expansion (SIE, mean age: 7.94±0.51; 12 girls, 8 boys) acquired before (T0) and after (T1) treatment. Maxillary parameters were measured on each model at T0 and T1. Mann Whitney U tests were used for comparisons between groups, and Wilcoxon tests were used for the analysis of intra-group.
Results: In both groups, the greatest increase of maxillary arch width (AW) was determined at both the cusp tips and gingival levels of the upper first deciduous molars followed by the second deciduous molars and by the deciduous canines (p < 0.01). The lowest increase of AW was found in the at the permanent first molars (p < 0.01).
Conclusion: Both protocols with IFS can be considered effective in patients in early mixed dentition. The greatest increase was detected at the level of the upper first deciduous molars, whereas the least increase was observed at the level of the first permanent molars.
Key Words: Clear Aligners, Invisalign® First system, Mixed dentition

References

  • Spillane LM, McNamara Jr JA. Maxillary adaptation to expansion in the mixed dentition. In: Seminars in orthodontics. vol. 1. Elsevier;. p. 176–187. doi:10.1016/s1073-8746(95)80021-2.
  • Bell RA, LeCompte EJ. The effects of maxillary expansion using a quad-helix appliance during the deciduous and mixed dentitions. Am J Orthod. 1981;79(2):152–161. doi:10.1016/0002- 9416(81)90313-4.
  • Lanteri V, Gianolio A, Gualandi G, Beretta M. Maxillary tridimensional changes after slow expansion with leaf expander in a sample of growing patients: a pilot study. EJPD. 2018;19(1):29–34. doi:10.23804/ejpd.2018.19.01.05.
  • Wong CA, Sinclair PM, Keim RG, Kennedy DB. Arch dimension changes from successful slow maxillary expansion of unilateral posterior crossbite. Angle Orthod. 2011;81(4):616–623. doi:10.2319/072210-429.1.
  • Tuncay O, Bowman SJ, Amy B, Nicozisis J. Aligner treatment in the teenage patient. J Clin Orthod. 2013;47(2):115–119.
  • Blevins R. Phase I orthodontic treatment using Invisalign First. JCO. 2019;53(2):73–83.
  • Lione R, Gazzani F, Moretti S, Danesi C, Cretella Lombardo E, Pavoni C. Gingival Margins’ Modifications during Orthodontic Treatment with Invisalign First®: A Preliminary Study. Children. 2022;9(10):1423. doi:10.3390/children9101423.
  • Levrini L, Carganico A, Abbate L. Maxillary expansion with clear aligners in the mixed dentition: A preliminary study with Invisalign® First system. EJPD. 2021;22(2):125–128. doi:10.23804/ejpd.2021.22.02.7.
  • Bruni A, Gallo V, Parrini S, Ferrillo M, Garino F, Deregibus A, et al. Effectiveness of Aligners Versus Rapid Palatal Expander on Palatal Volume in Mixed Dentition Patients: A Randomized Controlled Trial. Res Sq. 2022. doi:10.21203/rs.3.rs-1961728/v1.
  • Cretella Lombardo E, Paoloni V, Fanelli S, Pavoni C, Gazzani F, Cozza P. Evaluation of the Upper Arch Morphological Changesafter Two Different Protocols of Expansion in Early Mixed Dentition: Rapid Maxillary Expansion and Invisalign® First System. Life. 2022;12(9):1323. doi:10.3390/life12091323.
  • Lione R, Cretella Lombardo E, Paoloni V, Meuli S, Pavoni C, Cozza P. Upper arch dimensional changes with clear aligners in the early mixed dentition: A prospective study. J Orofac Orthop. 2023;84(1). doi:10.1007/s00056-021-00332-z.
  • Lione R, Paoloni V, De Razza FC, Pavoni C, Cozza P. The efficacy and predictability of maxillary first molar derotation with Invisalign: a prospective clinical study in growing subjects. Appl Sci. 2022;12(5):2670. doi:10.3390/app12052670.
  • Lione R, Pavoni C, Cozza P. Management of crowding in mixed dentition with Invisalign First: 10 steps to successful digital planning. Management. 2021;5(2):115–122.
  • Weir T. Clear aligners in orthodontic treatment. Aust Dent J. 2017;62:58–62. doi:10.1111/adj.12480.
  • Houle JP, Piedade L, Todescan Jr R, Pinheiro FHL. The predictability of transverse changes with Invisalign. Angle Orthod. 2017;87(1):19–24. doi:10.2319/122115-875.1.
  • Lione R, Paoloni V, Bartolommei L, Gazzani F, Meuli S, Pavoni C, et al. Maxillary arch development with Invisalign system: Analysis of expansion dental movements on digital dental casts. Angle Orthod. 2021;91(4):433–440. doi:10.2319/080520-687.1.
  • Pavoni C, Lione R, Laganà G, Cozza P. Self-ligating versus Invisalign: analysis of dento-alveolar effects. Ann Stomatol. 2011;2(1-2):23.
  • Solano-Mendoza B, Sonnemberg B, Solano-Reina E, Iglesias Linares A. How effective is the Invisalign® system in expansion movement with Ex30 aligners? Clin Oral Investig. 2017;21:14751484. doi:10.1007/s00784-016-1908-y.
  • Zhou N, Guo J. Efficiency of upper arch expansion with the Invisalign system. Angle Orthod. 2020;90(1):23–30.
  • Giancotti A, Pirelli P, Mampieri G. Correction of class II malocclusions in growing patients by using the Invisalign® technique: rational bases and treatment staging. J Orthod Endod. 2017;3(3):1–12. doi:10.2319/022719-151.1.
Year 2024, Volume: 51 Issue: 1, 32 - 37, 30.04.2024
https://doi.org/10.52037/eads.2024.0006

Abstract

References

  • Spillane LM, McNamara Jr JA. Maxillary adaptation to expansion in the mixed dentition. In: Seminars in orthodontics. vol. 1. Elsevier;. p. 176–187. doi:10.1016/s1073-8746(95)80021-2.
  • Bell RA, LeCompte EJ. The effects of maxillary expansion using a quad-helix appliance during the deciduous and mixed dentitions. Am J Orthod. 1981;79(2):152–161. doi:10.1016/0002- 9416(81)90313-4.
  • Lanteri V, Gianolio A, Gualandi G, Beretta M. Maxillary tridimensional changes after slow expansion with leaf expander in a sample of growing patients: a pilot study. EJPD. 2018;19(1):29–34. doi:10.23804/ejpd.2018.19.01.05.
  • Wong CA, Sinclair PM, Keim RG, Kennedy DB. Arch dimension changes from successful slow maxillary expansion of unilateral posterior crossbite. Angle Orthod. 2011;81(4):616–623. doi:10.2319/072210-429.1.
  • Tuncay O, Bowman SJ, Amy B, Nicozisis J. Aligner treatment in the teenage patient. J Clin Orthod. 2013;47(2):115–119.
  • Blevins R. Phase I orthodontic treatment using Invisalign First. JCO. 2019;53(2):73–83.
  • Lione R, Gazzani F, Moretti S, Danesi C, Cretella Lombardo E, Pavoni C. Gingival Margins’ Modifications during Orthodontic Treatment with Invisalign First®: A Preliminary Study. Children. 2022;9(10):1423. doi:10.3390/children9101423.
  • Levrini L, Carganico A, Abbate L. Maxillary expansion with clear aligners in the mixed dentition: A preliminary study with Invisalign® First system. EJPD. 2021;22(2):125–128. doi:10.23804/ejpd.2021.22.02.7.
  • Bruni A, Gallo V, Parrini S, Ferrillo M, Garino F, Deregibus A, et al. Effectiveness of Aligners Versus Rapid Palatal Expander on Palatal Volume in Mixed Dentition Patients: A Randomized Controlled Trial. Res Sq. 2022. doi:10.21203/rs.3.rs-1961728/v1.
  • Cretella Lombardo E, Paoloni V, Fanelli S, Pavoni C, Gazzani F, Cozza P. Evaluation of the Upper Arch Morphological Changesafter Two Different Protocols of Expansion in Early Mixed Dentition: Rapid Maxillary Expansion and Invisalign® First System. Life. 2022;12(9):1323. doi:10.3390/life12091323.
  • Lione R, Cretella Lombardo E, Paoloni V, Meuli S, Pavoni C, Cozza P. Upper arch dimensional changes with clear aligners in the early mixed dentition: A prospective study. J Orofac Orthop. 2023;84(1). doi:10.1007/s00056-021-00332-z.
  • Lione R, Paoloni V, De Razza FC, Pavoni C, Cozza P. The efficacy and predictability of maxillary first molar derotation with Invisalign: a prospective clinical study in growing subjects. Appl Sci. 2022;12(5):2670. doi:10.3390/app12052670.
  • Lione R, Pavoni C, Cozza P. Management of crowding in mixed dentition with Invisalign First: 10 steps to successful digital planning. Management. 2021;5(2):115–122.
  • Weir T. Clear aligners in orthodontic treatment. Aust Dent J. 2017;62:58–62. doi:10.1111/adj.12480.
  • Houle JP, Piedade L, Todescan Jr R, Pinheiro FHL. The predictability of transverse changes with Invisalign. Angle Orthod. 2017;87(1):19–24. doi:10.2319/122115-875.1.
  • Lione R, Paoloni V, Bartolommei L, Gazzani F, Meuli S, Pavoni C, et al. Maxillary arch development with Invisalign system: Analysis of expansion dental movements on digital dental casts. Angle Orthod. 2021;91(4):433–440. doi:10.2319/080520-687.1.
  • Pavoni C, Lione R, Laganà G, Cozza P. Self-ligating versus Invisalign: analysis of dento-alveolar effects. Ann Stomatol. 2011;2(1-2):23.
  • Solano-Mendoza B, Sonnemberg B, Solano-Reina E, Iglesias Linares A. How effective is the Invisalign® system in expansion movement with Ex30 aligners? Clin Oral Investig. 2017;21:14751484. doi:10.1007/s00784-016-1908-y.
  • Zhou N, Guo J. Efficiency of upper arch expansion with the Invisalign system. Angle Orthod. 2020;90(1):23–30.
  • Giancotti A, Pirelli P, Mampieri G. Correction of class II malocclusions in growing patients by using the Invisalign® technique: rational bases and treatment staging. J Orthod Endod. 2017;3(3):1–12. doi:10.2319/022719-151.1.
There are 20 citations in total.

Details

Primary Language English
Subjects Orthodontics and Dentofacial Orthopaedics
Journal Section Original Research Articles
Authors

Nurver Karslı 0000-0003-3585-9440

Zehra Yurdakul 0000-0002-3359-2116

Gözde Çobanoğlu 0009-0003-2397-2697

Ebru Çetinkaya Tokmak 0000-0001-7295-6210

Hakan Gogen 0000-0003-1373-0507

Early Pub Date April 30, 2024
Publication Date April 30, 2024
Submission Date November 25, 2023
Acceptance Date February 13, 2024
Published in Issue Year 2024 Volume: 51 Issue: 1

Cite

Vancouver Karslı N, Yurdakul Z, Çobanoğlu G, Çetinkaya Tokmak E, Gogen H. Comparison of Dentoalveolar Expansion with Clear Aligners by Using Two Different Treatment Protocols in the Early Mixed Dentition: A Retrospective Study. EADS. 2024;51(1):32-7.