Diagnosis And Treatment of Maxillary Transverse Deficiency: An Overview in Orthodontics

Hilal Tarkan

TR EN

Maksiller Transversal Yetersizlik Tanı ve Tedavisi: Geleneksel Derleme

Abstract

Maksiller transversal yetersizlik, dar bir maksiller ark ile karakterize edilen ve çeşitli dental ile iskeletsel düzensizliklere yol açabilen yaygın bir ortodontik durumdur. Bu derleme, ortodontide maksiller transversal yetersizliğin tanı ve tedavisine ilişkin kapsamlı bir bakış sunmayı amaçlamaktadır. Tanı süreci; klinik değerlendirme, dental model analizleri ve radyografik incelemeleri içermekte olup, maksiller yetersizliğin şiddetinin doğru şekilde belirlenmesi ve eşlik eden anomalilerin saptanması açısından gereklidir. Maksiller transversal boyutların değerlendirilmesi ve tedavi planlamasına rehberlik edilmesi amacıyla çeşitli indeksler ve ölçüm yöntemleri kullanılmaktadır. Maksiller transversal yetersizliğin tedavi seçenekleri ortopedik ve ortodontik yaklaşımları kapsamaktadır. Ortopedik yaklaşım, maksiller midpalatal sütürün ayrılması yoluyla kademeli genişleme elde etmeyi hedefler. Bu yöntem, büyüme dönemindeki hastalarda ağız içi apareylerle, daha ileri yaşlarda ise cerrahi destekle uygulanabilmektedir. Maksiller genişletme sonrasında elde edilen kazanımların stabilizasyonu ve oklüzyonun optimize edilmesi açısından ortodontik mekanikler, kapsamlı tedavi sonuçları için kritik öneme sahiptir. Sonuç olarak, maksiller transversal yetersizliğin tanı ve tedavisi; doğru tanı, uygun tedavi planlaması ve etkili ortodontik müdahaleleri içeren multidisipliner bir yaklaşım gerektirir. Bu durumun karmaşıklığının ve güncel tedavi yöntemlerinin iyi anlaşılması, başarılı yönetim ve uzun dönem stabilite açısından büyük önem taşımaktadır.

Keywords

Supporting Institution

Uşak Üniversitesi Diş Hekimliği Fakültesi Ortodonti Anabilim Dalı

Ethical Statement

Bu çalışma derleme türünde olup herhangi bir insan veya hayvan deneyi içermemektedir. Bu nedenle etik kurul onayı gerekmemektedir.

Diagnosis And Treatment of Maxillary Transverse Deficiency: An Overview in Orthodontics

Abstract

Maxillary transverse deficiency is a common orthodontic condition characterized by narrow maxillary arches that can lead to various dental and skeletal discrepancies. This overview article aims to provide a comprehensive insight into the diagnosis and treatment of maxillary transverse deficiency in orthodontics. The diagnostic process involves clinical evaluation, dental casts analysis, and radiographic assessments such as cone-beam computed tomography to accurately assess the severity of the deficiency and identify associated anomalies. Various indices and measurements are utilized to quantify the transverse dimension and aid in treatment planning. Treatment options for maxillary transverse deficiency include orthopedic and orthodontic interventions. Rapid maxillary expansion is a common orthopedic approach that aims to widen the maxilla through gradual separation of the midpalatal suture. This technique is effective in skeletally immature patients with transverse deficiency and can address crowding, crossbites, and other malocclusions associated with narrow arches. Orthodontic mechanics following maxillary expansion are crucial to stabilize the achieved expansion and optimize dental occlusion. Retention protocols, occlusal adjustments, and coordination with other dental specialists may be necessary for comprehensive treatment outcomes. In conclusion, the diagnosis and treatment of maxillary transverse deficiency require a multidisciplinary approach involving accurate diagnosis, appropriate treatment planning, and effective orthodontic interventions. Understanding the nuances of this condition and the available treatment modalities is essential for successful management and long-term stability of orthodontic outcomes.

Keywords

Supporting Institution

Uşak University Dentistry Faculty Department of Orthodontics

Ethical Statement

This article is a review study and does not involve any human or animal participants. Therefore, ethical approval is not required.

References

1. D. J. Timms, “The dawn of rapid maxillary expansion.,” Angle Orthod, vol. 69, no. 3, pp. 247–250, Jun. 1999. https://doi.org/10.1043/0003-3219(1999)069%3C0247:TDORME%3E2.3.CO;2
2. A. Agarwal and R. Mathur, “Maxillary Expansion.,” Int J Clin Pediatr Dent, vol. 3, no. 3, pp. 139–146, Dec. 2010. https://doi.org/10.5005/jp-journals-10005-1069
3. R. Nowak, A. Strzalkowska, and E. Zawiślak, “Treatment Options and Limitations in Transverse Maxillary Deficiency,” Dental and Medical Problems, vol. 52, pp. 389–400, Dec. 2015. https://doi.org/10.17219/dmp/48525
4. J. A. McNamara, “Maxillary transverse deficiency.,” Am J Orthod Dentofacial Orthop, vol. 117, no. 5, pp. 567–570, May 2000. https://doi.org/10.1016/s0889-5406(00)70202-2
5. J. D. Jacobs, W. H. Bell, C. E. Williams, and J. W. 3rd Kennedy, “Control of the transverse dimension with surgery and orthodontics.,” Am J Orthod, vol. 77, no. 3, pp. 284–306, Mar. 1980. https://doi.org/10.1016/0002-9416(80)90083-4
6. G. Kutin and R. R. Hawes, “Posterior cross-bites in the deciduous and mixed dentitions.,” Am J Orthod, vol. 56, no. 5, pp. 491–504, Nov. 1969. https://doi.org/10.1016/0002-9416(69)90210-3
7. M. L. Hanson, L. W. Barnard, and J. L. Case, “Tongue-thrust in preschool children.,” Am J Orthod, vol. 56, no. 1, pp. 60–69, Jul. 1969. https://doi.org/10.1016/0002-9416(69)90259-0
8. S. Helm, “Malocclusion in Danish children with adolescent dentition: an epidemiologic study.,” Am J Orthod, vol. 54, no. 5, pp. 352–366, May 1968. https://doi.org/10.1016/0002-9416(68)90304-7

9. M. Sandikçioğlu and S. Hazar, “Skeletal and dental changes after maxillary expansion in the mixed dentition.,” Am J Orthod Dentofacial Orthop, vol. 111, no. 3, pp. 321–327, Mar. 1997. https://doi.org/10.1016/s0889-5406(97)70191-4
10. F. A. Başçiftçi, A. Demir, Z. Sarı, and T. Uysal, “Prevalence Of Orthodontıc Malocclusıons On School Chıldren In Konya: An Epıdemıologıc Study,” Turk J Orthod, vol. 15, no. 2, pp. 92–98, 2002. https://doi.org/10.13076/1300-3550-15-2-92
11. R. B. Nur Yilmaz, D. İlhan, E. Fisekcioglu, I. Oktay, and T. Arun, “Prevalence of Orthodontic Malocclusion and Evaluation Criteria in 7 Geographic Regions of Turkey,” Turkish Journal of Orthodontics, vol. 26, pp. 154–161, Dec. 2013. https://doi.org/10.13076/TJO-D-13-00008
12. K. Gungor, L. Taner, and E. Kaygisiz, “Prevalence of Posterior Crossbite for Orthodontic Treatment Timing.,” J Clin Pediatr Dent, vol. 40, no. 5, pp. 422–424, 2016. https://doi.org/10.17796/1053-4628-40.5.422
13. B. Thilander and K. Bjerklin, “Posterior crossbite and temporomandibular disorders (TMDs): need for orthodontic treatment?,” Eur J Orthod, vol. 34, no. 6, pp. 667–673, Dec. 2012. https://doi.org/10.1093/ejo/cjr095
14. B. Thilander, G. Rubio, L. Pena, and C. de Mayorga, “Prevalence of temporomandibular dysfunction and its association with malocclusion in children and adolescents: an epidemiologic study related to specified stages of dental development.,” Angle Orthod, vol. 72, no. 2, pp. 146–154, Apr. 2002. https://doi.org/10.1043/0003-3219(2002)072%3C0146:POTDAI%3E2.0.CO;2
15. S. Nelson, B. Cakirer, and Y.-Y. Lai, “Longitudinal changes in craniofacial factors among snoring and nonsnoring Bolton-Brush study participants.,” Am J Orthod Dentofacial Orthop, vol. 123, no. 3, pp. 338–344, Mar. 2003. https://doi.org/10.1067/mod.2003.85
16. T. Aznar, A. F. Galán, I. Marín, and A. Domínguez, “Dental arch diameters and relationships to oral habits.,” Angle Orthod, vol. 76, no. 3, pp. 441–445, May 2006. https://doi.org/10.1043/0003-3219(2006)076[0441:DADART]2.0.CO;2
17. S. S. Agarwal, K. Nehra, M. Sharma, B. Jayan, A. Poonia, and H. Bhattal, “Association between breastfeeding duration, non-nutritive sucking habits and dental arch dimensions in deciduous dentition: a cross-sectional study.,” Prog Orthod, vol. 15, no. 1, p. 59, Oct. 2014. https://doi.org/10.1186/s40510-014-0059-4
18. T. Żyła, B. Kawala, and M. Dubowik, “The etiology and treatment of posterior crossbite in children,” in Wellness and health, W. Kurlej and G. Nowak-Starz, Eds. NeuroCentrum, 2015, pp. 373–381. [Online]. Available: https://api.semanticscholar.org/CorpusID:36283561
19. R. M. Ricketts, “Perspectives in the clinical application of cephalometrics. The first fifty years.,” Angle Orthod, vol. 51, no. 2, pp. 115–150, Apr. 1981. https://doi.org/10.1043/0003-3219(1981)051%3C0115:PITCAO%3E2.0.CO;2. H.-S. Hwang, C. H. Hwang, K.-H. Lee, and B.-C. Kang, “Maxillofacial 3-dimensional image analysis for the diagnosis of facial asymmetry.,” Am J Orthod Dentofacial Orthop, vol. 130, no. 6, pp. 779–785, Dec. 2006, doi: 10.1016/j.ajodo.2005.02.021
20. F. Angelieri, L. H. S. Cevidanes, L. Franchi, J. R. Gonçalves, E. Benavides, and J. A. J. McNamara, “Midpalatal suture maturation: classification method for individual assessment before rapid maxillary expansion.,” Am J Orthod Dentofacial Orthop, vol. 144, no. 5, pp. 759–769, Nov. 2013. https://doi.org/10.1016/j.ajodo.2013.04.022
21. M. Ülgen, “8. Bölüm: Diş Kavsi, Çene Genişletilmesi,” in Ortodontik Tedavi Prensipleri, 7th ed., Ankara: Ankara Üniversitesi Diş Hekimliği Fakültesi Yayınları Ankara Basımevi, 2005, pp. 107–111.
22. H. Yılmaz, F. Ç. Özlü, C. Karadeniz, and E. İ. Karadeniz, “Efficiency and Accuracy of Three-Dimensional Models Versus Dental Casts: A Clinical Study.,” Turk J Orthod, vol. 32, no. 4, pp. 214–218, Dec. 2019. https://doi.org/10.5152/TurkJOrthod.2019.19034
23. A. J. Haas, “Palatal expansion: just the beginning of dentofacial orthopedics.,” Am J Orthod, vol. 57, no. 3, pp. 219–255, Mar. 1970. https://doi.org/10.1016/0002-9416(70)90241-1
24. L. W. Graber, R. L. Vanarsdall, K. W. L. Vig, and G. J. Huang, Orthodontics: Current Principles and Techniques, 6th ed. Mosby, 2016.
25. V. Ciftci and A. Uzel, “Dento-skeletal effects of myofunctional appliance on patients with class II div 1 in mixed dentition stage: A cephalometric study,” Pediatric Dental Journal, vol. 31, no. 3, pp. 235–241, Dec. 2021. https://doi.org/10.1016/j.pdj.2021.08.005
26. S. E. Bishara and R. N. Staley, “Maxillary expansion: clinical implications.,” Am J Orthod Dentofacial Orthop, vol. 91, no. 1, pp. 3–14, Jan. 1987. https://doi.org/10.1016/0889-5406(87)90202-2
27. W. R. Proffit, H. W. Fields, B. I. Larson, and D. M. Sarver, Contemporary Orthodontics, 6th ed. Elsevier, 2018.
28. E. P. Hicks, “Slow maxillary expansion. A clinical study of the skeletal versus dental response to low-magnitude force.,” Am J Orthod, vol. 73, no. 2, pp. 121–141, Feb. 1978. https://doi.org/10.1016/0002-9416(78)90183-5
29. K. Mossaz-Joëlson and C. F. Mossaz, “Slow maxillary expansion: a comparison between banded and bonded appliances.,” Eur J Orthod, vol. 11, no. 1, pp. 67–76, Feb. 1989, doi: 10.1093/oxfordjournals.ejo.a035967
30. L. A. Cotton, “Slow maxillary expansion: skeletal versus dental response to low magnitude force in Macaca mulatta.,” Am J Orthod, vol. 73, no. 1, pp. 1–23, Jan. 1978. https://doi.org/10.1016/0002-9416(78)90098-2
31. R. Martina et al., “Transverse changes determined by rapid and slow maxillary expansion--a low-dose CT-based randomized controlled trial.,” Orthod Craniofac Res, vol. 15, no. 3, pp. 159–168, Aug. 2012. https://doi.org/10.1111/j.1601-6343.2012.01543.x
32. J. da S. Pereira, H. B. Jacob, A. Locks, M. Brunetto, and G. L. U. Ribeiro, “Evaluation of the rapid and slow maxillary expansion using cone-beam computed tomography: a randomized clinical trial.,” Dental Press J Orthod, vol. 22, no. 2, pp. 61–68, Apr. 2017. https://doi.org/10.1590/2177-6709.22.2.061-068.oar
33. P. B. Subhashchandra, “Chapter-16 History of Expansion Appliances,” in History of Orthodontics, 1/e., Jaypee Medical Ltd, 2013, pp. 154–160. [Online]. Available: 10.5005/jp/books/12065
34. S. W. Frank and G. A. Engel, “The effects of maxillary quad-helix appliance expansion on cephalometric measurements in growing orthodontic patients.,” Am J Orthod, vol. 81, no. 5, pp. 378–389, May 1982. https://doi.org/10.1016/0002-9416(82)90075-6
35. V. A. Harberson and D. R. Myers, “Midpalatal suture opening during functional posterior cross-bite correction.,” Am J Orthod, vol. 74, no. 3, pp. 310–313, Sep. 1978. https://doi.org/10.1016/0002-9416(78)90207-5
36. R. W. Bench, “The quad helix appliance.,” Semin Orthod, vol. 4, no. 4, pp. 231–237, Dec. 1998. https://doi.org/10.1016/s1073-8746(98)80028-5
37. F. L. Martinelli, P. S. Couto, and A. C. O. Ruellas, “Three palatal arches used to correct posterior dental crossbites.,” Angle Orthod, vol. 76, no. 6, pp. 1047–1051, Nov. 2006. https://doi.org/10.2319/111105-397
38. T. Huynh, D. B. Kennedy, D. R. Joondeph, and A.-M. Bollen, “Treatment response and stability of slow maxillary expansion using Haas, hyrax, and quad-helix appliances: a retrospective study.,” Am J Orthod Dentofacial Orthop, vol. 136, no. 3, pp. 331–339, Sep. 2009. https://doi.org/10.1016/j.ajodo.2007.08.026
39. P. Rahul, T. Kapoor, V. Malhotra, U. Nayak, and S. Bhatt, “Efficacy of Nickel-Titanium Palatal Expanders,” Journal of Indian Orthodontic Society, vol. 45, pp. 243–250, Dec. 2011. https://doi.org/10.1177/0974909820110506S
40. V. E. Donohue, L. A. G. Marshman, and L. J. Winchester, “A clinical comparison of the quadhelix appliance and the nickel titanium (tandem loop) palatal expander: a preliminary, prospective investigation.,” Eur J Orthod, vol. 26, no. 4, pp. 411–420, Aug. 2004. https://doi.org/10.1093/ejo/26.4.411
41. A. V. Revankar, S. S. Bhat, and J. E. Rozario, “A comparison of the quadhelix and the nickel-titanium palatal expander in the treatment of narrow maxillary arches: A prospective clinical study.,” J Orthod Sci, vol. 12, p. 8, 2023. https://doi.org/10.4103/jos.jos_29_22
42. R. E. Binder, “Correction of posterior crossbites: diagnosis and treatment.,” Pediatr Dent, vol. 26, no. 3, pp. 266–272, Jun. 2004.
43. F. Godoy, J. Godoy-Bezerra, and A. Rosenblatt, “Treatment of posterior crossbite comparing 2 appliances: a community-based trial.,” Am J Orthod Dentofacial Orthop, vol. 139, no. 1, pp. e45-52, Jan. 2011. https://doi.org/10.1016/j.ajodo.2010.06.017
44. A.-S. Van de Velde, L. De Boodt, M. Cadenas de Llano-Pérula, A. Laenen, and G. Willems, “Short term effects of interceptive expansion treatment: a prospective study.,” Eur J Orthod, vol. 43, no. 3, pp. 324–331, Jun. 2021. https://doi.org/10.1093/ejo/cjab006
45. H. Işeri and S. Ozsoy, “Semirapid maxillary expansion--a study of long-term transverse effects in older adolescents and adults.,” Angle Orthod, vol. 74, no. 1, pp. 71–78, Feb. 2004, doi: 10.1043/0003-3219(2004)074<0071:SMESOL>2.0.CO;2
46. J. Mew, “Relapse following maxillary expansion. A study of twenty-five consecutive cases.,” Am J Orthod, vol. 83, no. 1, pp. 56–61, Jan. 1983. https://doi.org/10.1016/0002-9416(83)90272-5
47. J. Mew, “In favor of semirapid expansion.,” Am J Orthod Dentofacial Orthop, vol. 112, no. 4, pp. 20A-21A, Oct. 1997. https://doi.org/10.1016/s0889-5406(97)70063-5
48. S. I. Ramoglu and Z. Sari, “Maxillary expansion in the mixed dentition: rapid or semi-rapid?,” Eur J Orthod, vol. 32, no. 1, pp. 11–18, Feb. 2010. https://doi.org/10.1093/ejo/cjp057
49. S. Malkoç, R. Alçin, and A. Uzel, “Does the rhythm and appliance type of rapid maxillary expansion have an effect on root resorption?,” Angle Orthod, vol. 91, no. 3, pp. 293–300, May 2021. https://doi.org/10.2319/052220-465.1
50. R. J. Isaacson, J. L. Wood, and A. H. Ingram, “Forces Produced By Rapid Maxillary Expansion: I. Design of the Force Measuring System,” The Angle Orthodontist, vol. 34, no. 4, pp. 256–260, Oct. 1964. https://doi.org/10.1043/0003-3219(1964)034%3C0256:FPBRME%3E2.0.CO;2
51. J. F. Zimring and R. J. Isaacson, “Forces Produced By Rapid Maxillary Expansion: III. Forces Present During Retention,” The Angle Orthodontist, vol. 35, no. 3, pp. 178–186, Jul. 1965. https://doi.org/10.1043/0003-3219(1965)035%3C0178:FPBRME%3E2.0.CO;2
52. A. Ghoneima, E. Abdel-Fattah, J. Hartsfield, A. El-Bedwehi, A. Kamel, and K. Kula, “Effects of rapid maxillary expansion on the cranial and circummaxillary sutures.,” Am J Orthod Dentofacial Orthop, vol. 140, no. 4, pp. 510–519, Oct. 2011. https://doi.org/10.1016/j.ajodo.2010.10.024
53. I. Ceylan, H. Oktay, and M. Demirci, “The effect of rapid maxillary expansion on conductive hearing loss.,” Angle Orthod, vol. 66, no. 4, pp. 301–307, 1996. https://doi.org/10.1043/0003-3219(1996)066%3C0301:TEORME%3E2.3.CO;2
54. F. Taşpinar, H. Uçüncü, and S. E. Bishara, “Rapid maxillary expansion and conductive hearing loss.,” Angle Orthod, vol. 73, no. 6, pp. 669–673, Dec. 2003. https://doi.org/10.1043/0003-3219(2003)073%3C0669:RMEACH%3E2.0.CO;2
55. A. Baldini, A. Nota, C. Santariello, V. Assi, F. Ballanti, and P. Cozza, “A comparative assessment of changes in dental arches associated with different activation protocols of rapid maxillary expansion.,” Eur J Paediatr Dent, vol. 19, no. 1, pp. 35–39, Mar. 2018. https://doi.org/10.23804/ejpd.2018.19.01.06
56. C. Colak, B. Aras, L. L. Cheng, S. Elekdag-Turk, T. Turk, and M. A. Darendeliler, “Effects of rapid and slow maxillary expansion on root resorption: a micro-computed tomography study.,” Eur J Orthod, vol. 43, no. 6, pp. 682–689, Dec. 2021. https://doi.org/10.1093/ejo/cjab024
57. A. J. Haas, “Palatal expansion: just the beginning of dentofacial orthopedics.,” Am J Orthod, vol. 57, no. 3, pp. 219–255, Mar. 1970. https://doi.org/10.1016/0002-9416(70)90241-1
58. W. Biederman, “Rapid correction of Class 3 malocclusion by midpalatal expansion.,” Am J Orthod, vol. 63, no. 1, pp. 47–55, Jan. 1973. https://doi.org/10.1016/0002-9416(73)90109-7
59. C. S. Handelman, L. Wang, E. A. BeGole, and A. J. Haas, “Nonsurgical rapid maxillary expansion in adults: report on 47 cases using the Haas expander.,” Angle Orthod, vol. 70, no. 2, pp. 129–144, Apr. 2000. https://doi.org/10.1043/0003-3219(2000)070%3C0129:NRMEIA%3E2.0.CO;2
60. T. U. T. Memikoglu and H. Işeri, “Effects of a bonded rapid maxillary expansion appliance during orthodontic treatment,” The Angle Orthodontist, vol. 69, no. 3, pp. 251–256, Jun. 1999. https://doi.org/10.1043/0003-3219(1999)069%3C0251:EOABRM%3E2.3.CO;2
61. K. F. Christie, N. Boucher, and C.-H. Chung, “Effects of bonded rapid palatal expansion on the transverse dimensions of the maxilla: a cone-beam computed tomography study.,” Am J Orthod Dentofacial Orthop, vol. 137, no. 4 Suppl, pp. S79-85, Apr. 2010. https://doi.org/10.1016/j.ajodo.2008.11.024
62. D. J. Timms and D. Vero, “The relationship of rapid maxillary expansion to surgery with special reference to midpalatal synostosis.,” Br J Oral Surg, vol. 19, no. 3, pp. 180–196, Sep. 1981. https://doi.org/10.1016/0007-117x(81)90003-2
63. W. Biederman, “Rapid correction of Class 3 malocclusion by midpalatal expansion.,” Am J Orthod, vol. 63, no. 1, pp. 47–55, Jan. 1973. https://doi.org/10.1016/0002-9416(73)90109-7
64. P. B. Subhashchandra, Ed., “Removable Appliances,” Orthodontics: Principles and Practice. Jaypee Brothers Medical Publishers (P) Ltd., pp. 297–318, 2017. [Online]. Available: https://doi.org/10.5005/jp/books/12999_31
65. A. Weissheimer, L. M. de Menezes, M. Mezomo, D. M. Dias, E. M. S. de Lima, and S. M. D. Rizzatto, “Immediate effects of rapid maxillary expansion with Haas-type and hyrax-type expanders: a randomized clinical trial.,” Am J Orthod Dentofacial Orthop, vol. 140, no. 3, pp. 366–376, Sep. 2011. https://doi.org/10.1016/j.ajodo.2010.07.025
66. L. C. Fernandes, R. W. Farinazzo Vitral, P. Y. Noritomi, G. S. Maximiano, and M. José da Silva Campos, “Influence of the hyrax expander screw position on displacement and stress distribution in teeth: A study with finite elements.,” Am J Orthod Dentofacial Orthop, vol. 160, no. 2, pp. 266–275, Aug. 2021. https://doi.org/10.1016/j.ajodo.2020.04.031
67. S. J. Chaconas and A. A. Caputo, “Observation of orthopedic force distribution produced by maxillary orthodontic appliances.,” Am J Orthod, vol. 82, no. 6, pp. 492–501, Dec. 1982. https://doi.org/10.1016/0002-9416(82)90318-9
68. S. Akkaya, S. Lorenzon, and T. T. Uçem, “A comparison of sagittal and vertical effects between bonded rapid and slow maxillary expansion procedures.,” Eur J Orthod, vol. 21, no. 2, pp. 175–180, Apr. 1999. https://doi.org/10.1093/ejo/21.2.175
69. U. Gopalakrishnan and P. Sridhar, “Assessment of the dental and skeletal effects of fan-type rapid maxillary expansion screw and Hyrax screw on craniofacial structures.,” Contemp Clin Dent, vol. 8, no. 1, pp. 64–70, Mar. 2017, https://doi.org/10.4103/0976-237X.205066
70. “Maxillary Expander with Differential Opening (EDO).” Great Lakes Dental Technologies. [Online]. Available: https://www.greatlakesdentaltech.com/maxillary-expander-with-differential-opening-edo.html
71. D. G. Garib, L. C. Garcia, V. Pereira, R. C. M. C. Lauris, and S. Yen, “A rapid maxillary expander with differential opening.,” J Clin Orthod, vol. 48, no. 7, pp. 430–435, Jul. 2014.
72. A. C. de M. Alves, G. Janson, J. A. Mcnamara, J. R. P. Lauris, and D. G. Garib, “Maxillary expander with differential opening vs Hyrax expander: A randomized clinical trial,” American Journal of Orthodontics and Dentofacial Orthopedics, vol. 157, no. 1, pp. 7–18, 2020, doi: https://doi.org/10.1016/j.ajodo.2019.07.010
73. C. Massaro et al., “Dental arch changes comparison between expander with differential opening and fan-type expander: a randomized controlled trial.,” Eur J Orthod, vol. 43, no. 3, pp. 265–273, Jun. 2021, doi: https://doi.org/10.1093/ejo/cjaa050
74. F. Pinto, L. Abi-Ramia, A. Stuani, B. Stuani, and F. Artese, “Vertical growth control during maxillary expansion using a bonded Hyrax appliance,” Dental Press Journal of Orthodontics, vol. 17, pp. 101–107, Feb. 2012. https://doi.org/10.1590/S2176-94512012000100013
75. R. Kanomi, T. Deguchi, E. Kakuno, T. Takano-Yamamoto, and W. E. Roberts, “CBCT of skeletal changes following rapid maxillary expansion to increase arch-length with a development-dependent bonded or banded appliance.,” Angle Orthod, vol. 83, no. 5, pp. 851–857, Sep. 2013. https://doi.org/10.2319/082012-669.1
76. A. Wichelhaus, M. Geserick, and J. Ball, “A new nickel titanium rapid maxillary expansion screw.,” J Clin Orthod, vol. 38, no. 12, pp. 677–80; quiz 671–672, Dec. 2004.
77. K. Halicioğlu and I. Yavuz, “A comparison of the sagittal and vertical dentofacial effects of maxillary expansion produced by a memory screw and a hyrax screw.,” Aust Orthod J, vol. 32, no. 1, pp. 31–40, May 2016.
78. R. Ning, J. Chen, S. Liu, and Y. Lu, “Treatment effects after maxillary expansion using tooth-borne vs tissue-borne miniscrew-assisted rapid palatal expansion appliance.,” Am J Orthod Dentofacial Orthop, vol. 164, no. 4, pp. 545–553, Oct. 2023. https://doi.org/10.1016/j.ajodo.2023.02.022
79. A. Ahmida et al., “Short-term and long-term effects of miniscrew-assisted and conventional rapid palatal expansion on the cranial and circummaxillary sutures.,” Am J Orthod Dentofacial Orthop, vol. 163, no. 4, pp. e115–e126, Apr. 2023. https://doi.org/10.1016/j.ajodo.2023.01.007
80. K.-J. Lee, Y.-C. Park, J.-Y. Park, and W.-S. Hwang, “Miniscrew-assisted nonsurgical palatal expansion before orthognathic surgery for a patient with severe mandibular prognathism.,” Am J Orthod Dentofacial Orthop, vol. 137, no. 6, pp. 830–839, Jun. 2010. https://doi.org/10.1016/j.ajodo.2007.10.065
81. C. Carlson, J. Sung, R. W. McComb, A. W. Machado, and W. Moon, “Microimplant-assisted rapid palatal expansion appliance to orthopedically correct transverse maxillary deficiency in an adult.,” Am J Orthod Dentofacial Orthop, vol. 149, no. 5, pp. 716–728, May 2016. https://doi.org/10.1016/j.ajodo.2015.04.043
82. E.-H. A. Choi et al., “Skeletal and dentoalveolar effects of miniscrew-assisted rapid palatal expansion based on the length of the miniscrew: a randomized clinical trial.,” Angle Orthod, vol. 93, no. 4, pp. 390–397, Jul. 2023. https://doi.org/10.2319/072322-512.1
83. W. H. Bell and B. N. Epker, “Surgical-orthodontic expansion of the maxilla.,” Am J Orthod, vol. 70, no. 5, pp. 517–528, Nov. 1976. https://doi.org/10.1016/0002-9416(76)90276-1
84. A. J. Haas, “Long-term posttreatment evaluation of rapid palatal expansion.,” Angle Orthod, vol. 50, no. 3, pp. 189–217, Jul. 1980. https://doi.org/10.1043/0003-3219(1980)050%3C0189:LPEORP%3E2.0.CO;2
85. D. J. Timms and D. Vero, “The relationship of rapid maxillary expansion to surgery with special reference to midpalatal synostosis.,” Br J Oral Surg, vol. 19, no. 3, pp. 180–196, Sep. 1981. https://doi.org/10.1016/0007-117x(81)90003-2
86. A. S. Glassman, S. J. Nahigian, J. M. Medway, and H. I. Aronowitz, “Conservative surgical orthodontic adult rapid palatal expansion: sixteen cases.,” Am J Orthod, vol. 86, no. 3, pp. 207–213, Sep. 1984. https://doi.org/10.1016/0002-9416(84)90372-5
87. L. Suri and P. Taneja, “Surgically assisted rapid palatal expansion: a literature review.,” Am J Orthod Dentofacial Orthop, vol. 133, no. 2, pp. 290–302, Feb. 2008. https://doi.org/10.1016/j.ajodo.2007.01.021
88. M. J. Koudstaal, L. J. Poort, K. G. H. van der Wal, E. B. Wolvius, B. Prahl-Andersen, and A. J. M. Schulten, “Surgically assisted rapid maxillary expansion (SARME): a review of the literature.,” Int J Oral Maxillofac Surg, vol. 34, no. 7, pp. 709–714, Oct. 2005. https://doi.org/10.1016/j.ijom.2005.04.025
89. K. Silverstein and P. D. Quinn, “Surgically-assisted rapid palatal expansion for management of transverse maxillary deficiency.,” J Oral Maxillofac Surg, vol. 55, no. 7, pp. 725–727, Jul. 1997. https://doi.org/10.1016/s0278-2391(97)90587-5
90. S. Menon, R. Manerikar, and R. Sinha, “Surgical management of transverse maxillary deficiency in adults.,” J Maxillofac Oral Surg, vol. 9, no. 3, pp. 241–246, Sep. 2010. https://doi.org/10.1007/s12663-010-0034-7
91. E. Garreau, J. Bouscaillou, S. Rattier, J. Ferri, and G. Raoul, “Bone-borne distractor versus tooth-borne distractor for orthodontic distraction after surgical maxillary expansion: The patient’s point of view.,” Int Orthod, vol. 14, no. 2, pp. 214–232, Jun. 2016. https://doi.org/10.1016/j.ortho.2016.03.013
92. E. Kayalar, M. Schauseil, S. V. Kuvat, U. Emekli, and S. Fıratlı, “Comparison of tooth-borne and hybrid devices in surgically assisted rapid maxillary expansion: A randomized clinical cone-beam computed tomography study.,” J Craniomaxillofac Surg, vol. 44, no. 3, pp. 285–293, Mar. 2016. https://doi.org/10.1016/j.jcms.2015.12.001
93. N. Inoue, K. Oyama, K. Ishiguro, M. Azuma, and T. Ozaki, “Radiographic observation of rapid expansion of human maxilla.,” Bull Tokyo Med Dent Univ, vol. 17, no. 3, pp. 249–261, Sep. 1970.
94. A. J. Haas, “Rapid Expansion Of The Maxillary Dental Arch And Nasal Cavity By Opening The Midpalatal Suture,” The Angle Orthodontist, vol. 31, no. 2, pp. 73–90, Apr. 1961. https://doi.org/10.1043/0003-3219(1961)031%3C0073:REOTMD%3E2.0.CO;2
95. M. M. Ozbek, U. T. T. Memikoglu, A. T. Altug-Atac, and A. A. Lowe, “Stability of maxillary expansion and tongue posture.,” Angle Orthod, vol. 79, no. 2, pp. 214–220, Mar. 2009. https://doi.org/10.2319/010908-12.1
96. A. Caprioglio et al., “Cellular Midpalatal Suture Changes after Rapid Maxillary Expansion in Growing Subjects: A Case Report.,” Int J Mol Sci, vol. 18, no. 3, Mar. 2017. https://doi.org/10.3390/ijms18030615.
97. R. A. Wertz, “Skeletal and dental changes accompanying rapid midpalatal suture opening.,” Am J Orthod, vol. 58, no. 1, pp. 41–66, Jul. 1970. https://doi.org/10.1016/0002-9416(70)90127-2
98. E. N. Izuka, M. F. N. Feres, and S. S. N. Pignatari, “Immediate impact of rapid maxillary expansion on upper airway dimensions and on the quality of life of mouth breathers.,” Dental Press J Orthod, vol. 20, no. 3, pp. 43–49, Jun. 2015. https://doi.org/10.1590/2176-9451.20.3.043-049.oar
99. L. M. Buck, O. Dalci, M. A. Darendeliler, S. N. Papageorgiou, and A. K. Papadopoulou, “Volumetric upper airway changes after rapid maxillary expansion: a systematic review and meta-analysis.,” Eur J Orthod, vol. 39, no. 5, pp. 463–473, Oct. 2017. https://doi.org/10.1093/ejo/cjw048
100. N. Kılıç and H. Oktay, “Effects of Rapid Maxillary Expansion on Conductive Hearing Loss: Literature Review.,” Ata Diş Hek Fak Derg., vol. 2006, no. Supplement 1, pp. 32–35, 2006
101. F. Taşpinar, H. Uçüncü, and S. E. Bishara, “Rapid maxillary expansion and conductive hearing loss.,” Angle Orthod, vol. 73, no. 6, pp. 669–673, Dec. 2003. https://doi.org/10.1043/0003-3219(2003)073%3C0669:RMEACH%3E2.0.CO;2
102. A. A. Peyvandi, A. Jamilian, and E. Moradi, “Relationship between conductive hearing loss and maxillary constriction.,” J Laryngol Otol, vol. 128, no. 9, pp. 765–767, Sep. 2014. https://doi.org/10.1017/S0022215114001716
103. C. D. Bueno, C. Z. Neves, P. Sleifer, J. R. Prietsch, and E. Gomes, “Effects of rapid maxillary expansion on hearing: a systematic review,” Audiology - Communication Research, vol. 21, 2016. https://doi.org/10.1590/2317-6431-2016-1708
104. T. Nevéus et al., “The Standardization of Terminology of Lower Urinary Tract Function in Children and Adolescents: Report from the Standardisation Committee of the International Children’s Continence Society,” The Journal of Urology, vol. 176, no. 1, pp. 314–324, 2006. https://doi.org/10.1016/S0022-5347(06)00305-3
105. H. L. Zhiyong Yue Mingming Wang, Wei Xu and H. Wang, “Secretion of antidiuretic hormone in children with obstructive sleep apnea-hypopnea syndrome,” Acta Oto-Laryngologica, vol. 129, no. 8, pp. 867–871, 2009. https://doi.org/10.1080/00016480802441762
106. I. J. Ring, T. Nevéus, A. Markström, A. Magnuson, and F. Bazargani, “Rapid Maxillary Expansion in Children with Nocturnal Enuresis: A Randomized Placebo-controlled trial,” The Angle Orthodontist, vol. 90, no. 1, pp. 31–38, Jul. 2019. https://doi.org/10.2319/031819-219.1
107. F. Bazargani, I. Jönson-Ring, and T. Nevéus, “Rapid maxillary expansion in therapy-resistant enuretic children: An orthodontic perspective.,” Angle Orthod, vol. 86, no. 3, pp. 481–486, May 2016. https://doi.org/10.2319/051515-329.1
108. Merry, R. Insha, M. Sanjay, A. Isha, and P. Tanzin, “Slow expansion in orthodontics -A review article,” International Dental Journal of Student’s Research, vol. 2022, p. 17457, Sep. 2022. https://doi.org/10.18231/j.idjsr.2022.019

Details

Primary Language

English

Subjects

Orthodontics and Dentofacial Orthopaedics

Journal Section

Review

Authors

Hilal Tarkan ^*
0000-0002-0932-5210
Türkiye

Publication Date

April 20, 2026

Submission Date

November 27, 2025

Acceptance Date

February 10, 2026

Published in Issue

Year 2026 Volume: 4 Number: 1

IZ

https://izlik.org/JA33EM83UG

Cite

RIS / Bibtex

APA

Tarkan, H. (2026). Diagnosis And Treatment of Maxillary Transverse Deficiency: An Overview in Orthodontics. Journal of Dental Faculty of Usak University, 4(1), 14-34. https://izlik.org/JA33EM83UG

AMA

1.Tarkan H. Diagnosis And Treatment of Maxillary Transverse Deficiency: An Overview in Orthodontics. J Dent Fac Usak Univ. 2026;4(1):14-34. https://izlik.org/JA33EM83UG

Chicago

Tarkan, Hilal. 2026. “Diagnosis And Treatment of Maxillary Transverse Deficiency: An Overview in Orthodontics”. Journal of Dental Faculty of Usak University 4 (1): 14-34. https://izlik.org/JA33EM83UG.

EndNote

Tarkan H (April 1, 2026) Diagnosis And Treatment of Maxillary Transverse Deficiency: An Overview in Orthodontics. Journal of Dental Faculty of Usak University 4 1 14–34.

IEEE

[1]H. Tarkan, “Diagnosis And Treatment of Maxillary Transverse Deficiency: An Overview in Orthodontics”, J Dent Fac Usak Univ, vol. 4, no. 1, pp. 14–34, Apr. 2026, [Online]. Available: https://izlik.org/JA33EM83UG

ISNAD

Tarkan, Hilal. “Diagnosis And Treatment of Maxillary Transverse Deficiency: An Overview in Orthodontics”. Journal of Dental Faculty of Usak University 4/1 (April 1, 2026): 14-34. https://izlik.org/JA33EM83UG.

JAMA

1.Tarkan H. Diagnosis And Treatment of Maxillary Transverse Deficiency: An Overview in Orthodontics. J Dent Fac Usak Univ. 2026;4:14–34.

MLA

Tarkan, Hilal. “Diagnosis And Treatment of Maxillary Transverse Deficiency: An Overview in Orthodontics”. Journal of Dental Faculty of Usak University, vol. 4, no. 1, Apr. 2026, pp. 14-34, https://izlik.org/JA33EM83UG.

Vancouver

1.Hilal Tarkan. Diagnosis And Treatment of Maxillary Transverse Deficiency: An Overview in Orthodontics. J Dent Fac Usak Univ [Internet]. 2026 Apr. 1;4(1):14-3. Available from: https://izlik.org/JA33EM83UG