Changes in nasal septum morphology after rapid maxillary expansion: a Cone-Beam Computed Tomography study in pre-pubertal patient

Detalhes bibliográficos
Autor(a) principal: Bruno,Giovanni
Data de Publicação: 2020
Outros Autores: Stefani,Alberto De, Benetazzo,Celeste, Cavallin,Francesco, Gracco,Antonio
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Dental Press Journal of Orthodontics
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2176-94512020000500051
Resumo: ABSTRACT Introduction: Nasal septum deviation (NSD) is the most common structural cause of nasal obstruction, affecting around 65-80% of the adult population. Rapid maxillary expansion (RME) is currently used for treatment of maxillary transverse deficiency, but can also influence nasal cavity geometry. Objective: The present study aimed at evaluating the changes in NSD by using Cone-Beam Computed Tomography (CBCT) scans in pre-pubertal patients treated with RME. Methods: This retrospective exploratory study evaluated 20 pre-pubertal patients (mean age 10 ± 2 years) who were treated for transverse maxillary constriction with RME and presented mild/moderate NSD as an incidental finding. The outcome measures were NSD tortuosity and area. These measures were obtained from transverse and coronal views of records taken before and after RME treatment. Intra-rater reliability was also assessed with intraclass correlation coefficient. Results: NSD was mild in thirteen patients (65%) and moderate in seven (35%). NSD tortuosity index did not significantly change over time (mean difference 0.002 mm/year, 95% CI; p = 0.58). NSD area did not significantly change over time (mean difference 2.103 mm2/year, 95% CI; p = 0.38). Intraclass correlation coefficient was 0.73 (95% CI) for NSD tortuosity and 0.84 (95% CI) for NSD area. Conclusions: NSD tortuosity and area suggested potential changes in NSD with small clinical relevance in pre-pubertal patients who were treated with RME. Additional studies using CBCT scans in larger samples are required to clarify the role of RME in NSD treatment.
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spelling Changes in nasal septum morphology after rapid maxillary expansion: a Cone-Beam Computed Tomography study in pre-pubertal patientNasal septum deviationRPERapid maxillary expansionMaxillary transverse hypoplasiaABSTRACT Introduction: Nasal septum deviation (NSD) is the most common structural cause of nasal obstruction, affecting around 65-80% of the adult population. Rapid maxillary expansion (RME) is currently used for treatment of maxillary transverse deficiency, but can also influence nasal cavity geometry. Objective: The present study aimed at evaluating the changes in NSD by using Cone-Beam Computed Tomography (CBCT) scans in pre-pubertal patients treated with RME. Methods: This retrospective exploratory study evaluated 20 pre-pubertal patients (mean age 10 ± 2 years) who were treated for transverse maxillary constriction with RME and presented mild/moderate NSD as an incidental finding. The outcome measures were NSD tortuosity and area. These measures were obtained from transverse and coronal views of records taken before and after RME treatment. Intra-rater reliability was also assessed with intraclass correlation coefficient. Results: NSD was mild in thirteen patients (65%) and moderate in seven (35%). NSD tortuosity index did not significantly change over time (mean difference 0.002 mm/year, 95% CI; p = 0.58). NSD area did not significantly change over time (mean difference 2.103 mm2/year, 95% CI; p = 0.38). Intraclass correlation coefficient was 0.73 (95% CI) for NSD tortuosity and 0.84 (95% CI) for NSD area. Conclusions: NSD tortuosity and area suggested potential changes in NSD with small clinical relevance in pre-pubertal patients who were treated with RME. Additional studies using CBCT scans in larger samples are required to clarify the role of RME in NSD treatment.Dental Press International2020-09-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S2176-94512020000500051Dental Press Journal of Orthodontics v.25 n.5 2020reponame:Dental Press Journal of Orthodonticsinstname:Dental Press International (DPI)instacron:DPI10.1590/2177-6709.25.5.051-056.oarinfo:eu-repo/semantics/openAccessBruno,GiovanniStefani,Alberto DeBenetazzo,CelesteCavallin,FrancescoGracco,Antonioeng2020-11-13T00:00:00Zoai:scielo:S2176-94512020000500051Revistahttp://www.scielo.br/dpjoONGhttps://old.scielo.br/oai/scielo-oai.phpartigos@dentalpress.com.br||davidnormando@hotmail.com2177-67092176-9451opendoar:2020-11-13T00:00Dental Press Journal of Orthodontics - Dental Press International (DPI)false
dc.title.none.fl_str_mv Changes in nasal septum morphology after rapid maxillary expansion: a Cone-Beam Computed Tomography study in pre-pubertal patient
title Changes in nasal septum morphology after rapid maxillary expansion: a Cone-Beam Computed Tomography study in pre-pubertal patient
spellingShingle Changes in nasal septum morphology after rapid maxillary expansion: a Cone-Beam Computed Tomography study in pre-pubertal patient
Bruno,Giovanni
Nasal septum deviation
RPE
Rapid maxillary expansion
Maxillary transverse hypoplasia
title_short Changes in nasal septum morphology after rapid maxillary expansion: a Cone-Beam Computed Tomography study in pre-pubertal patient
title_full Changes in nasal septum morphology after rapid maxillary expansion: a Cone-Beam Computed Tomography study in pre-pubertal patient
title_fullStr Changes in nasal septum morphology after rapid maxillary expansion: a Cone-Beam Computed Tomography study in pre-pubertal patient
title_full_unstemmed Changes in nasal septum morphology after rapid maxillary expansion: a Cone-Beam Computed Tomography study in pre-pubertal patient
title_sort Changes in nasal septum morphology after rapid maxillary expansion: a Cone-Beam Computed Tomography study in pre-pubertal patient
author Bruno,Giovanni
author_facet Bruno,Giovanni
Stefani,Alberto De
Benetazzo,Celeste
Cavallin,Francesco
Gracco,Antonio
author_role author
author2 Stefani,Alberto De
Benetazzo,Celeste
Cavallin,Francesco
Gracco,Antonio
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Bruno,Giovanni
Stefani,Alberto De
Benetazzo,Celeste
Cavallin,Francesco
Gracco,Antonio
dc.subject.por.fl_str_mv Nasal septum deviation
RPE
Rapid maxillary expansion
Maxillary transverse hypoplasia
topic Nasal septum deviation
RPE
Rapid maxillary expansion
Maxillary transverse hypoplasia
description ABSTRACT Introduction: Nasal septum deviation (NSD) is the most common structural cause of nasal obstruction, affecting around 65-80% of the adult population. Rapid maxillary expansion (RME) is currently used for treatment of maxillary transverse deficiency, but can also influence nasal cavity geometry. Objective: The present study aimed at evaluating the changes in NSD by using Cone-Beam Computed Tomography (CBCT) scans in pre-pubertal patients treated with RME. Methods: This retrospective exploratory study evaluated 20 pre-pubertal patients (mean age 10 ± 2 years) who were treated for transverse maxillary constriction with RME and presented mild/moderate NSD as an incidental finding. The outcome measures were NSD tortuosity and area. These measures were obtained from transverse and coronal views of records taken before and after RME treatment. Intra-rater reliability was also assessed with intraclass correlation coefficient. Results: NSD was mild in thirteen patients (65%) and moderate in seven (35%). NSD tortuosity index did not significantly change over time (mean difference 0.002 mm/year, 95% CI; p = 0.58). NSD area did not significantly change over time (mean difference 2.103 mm2/year, 95% CI; p = 0.38). Intraclass correlation coefficient was 0.73 (95% CI) for NSD tortuosity and 0.84 (95% CI) for NSD area. Conclusions: NSD tortuosity and area suggested potential changes in NSD with small clinical relevance in pre-pubertal patients who were treated with RME. Additional studies using CBCT scans in larger samples are required to clarify the role of RME in NSD treatment.
publishDate 2020
dc.date.none.fl_str_mv 2020-09-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2176-94512020000500051
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2176-94512020000500051
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/2177-6709.25.5.051-056.oar
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
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dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Dental Press International
publisher.none.fl_str_mv Dental Press International
dc.source.none.fl_str_mv Dental Press Journal of Orthodontics v.25 n.5 2020
reponame:Dental Press Journal of Orthodontics
instname:Dental Press International (DPI)
instacron:DPI
instname_str Dental Press International (DPI)
instacron_str DPI
institution DPI
reponame_str Dental Press Journal of Orthodontics
collection Dental Press Journal of Orthodontics
repository.name.fl_str_mv Dental Press Journal of Orthodontics - Dental Press International (DPI)
repository.mail.fl_str_mv artigos@dentalpress.com.br||davidnormando@hotmail.com
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