Purpose: To compare the short-term effects of tooth-bone-borne and tooth-borne rapid maxillary expansion (RME) devices on dentofacial structures in older adolescents.
Methods: The retrospective study reviewed pre- and posttreatment lateral and posteroanterior cephalometric images and orthodontic model records of patients who underwent maxillary expansion. Two groups were formed, in which the same upper jaw expansion protocol was applied with two different maxillary expansion devices: the first group consisted of 15 individuals treated with tooth-bone-borne (hybrid) RME (HRME; 9 girls and 6 boys; mean age, 16.9 ± 0.42 years) and the second group consisted of 15 individuals treated with tooth-borne (conventional) RME (CRME; 8 girls and 7 boys; mean age, 16.74 ± 0.54 years). Cephalometric and orthodontic model measurements were conducted on the records taken before and after treatment.
Results: Significant skeletal and dental expansions were observed in both groups (p < 0.05). However, the increase in nasal width measurements in the HRME group (2.24 ± 0.61 mm) was significantly higher than the increase in the CRME group (1.12 ± 0.25 mm; p < 0.01). Buccal tipping of the premolars was significantly less in the HRME group (0.46 ± 0.35°) than in the CRME group (2.46 ± 0.63°; p < 0.01). The amount of tipping of the molars was higher in the HRME group (4.76 ± 0.88°) compared to the CRME group (2.9 ± 1.03°; p < 0.01).
Conclusion: Although the HRME device increase the nasal width in older adolescents to a greater extent, more dental side effects were seen at the maxillary first molars.
This study aimed to investigate the olfactory fossa anatomy (Keros types) and its relationship with changes in adjacent anatomical structures using cone-beam computed tomography (CBCT). In this descriptive-analytical study, the paranasal CBCT of 120 healthy adults over 18 years of age were evaluated. The olfactory fossa depth on both sides and the degree of asymmetry on both sides were reported. Correlation of olfactory fossa depth with the size of adjacent anatomical structures such as middle concha length, maximum orbital height and distance from ethmoid roof to nasal floor and ethmoid roof height to the palate in the anterior and posterior, length, and lateral angle of the lamella and cribriform plate distance. The lower concha junction was examined. The most common olfactory fossae on both sides of the Keros classification were Type II, Type I, and Type III, respectively. The mean dimensions of adjacent anatomical structures on the right and left did not differ significantly. The length and lateral angle of the lamella and the height of the ethmoid roof to the floor of the nose, and the height of the ethmoid roof to the palate in the back, on the right, and left in Type III were greater. The lateral angle of the left lamella was greater in Type III. The relationship between olfactory fossa depth and changes in anatomical structures were not significantly correlated with increasing olfactory fossa depth.
Supplementary information: The online version contains supplementary material available at 10.1007/s12070-023-03538-2.