Alterações dimensionais produzidas nas vias aéreas superiores após expansão rápida da maxila: avaliação por tomografia computadorizada cone beam

• Autor(a) principal: Moreira, Alexandra Mônego
• Data de Publicação: 2009
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Repositório Institucional PUCRS
• Texto Completo: http://hdl.handle.net/10923/373
• topic: ODONTOLOGIA; ORTODONTIA; ORTOPEDIA FACIAL; TÉCNICA DE EXPANSÃO PALATINA; TOMOGRAFIA COMPUTADORIZADA; APARELHOS ORTODÔNTICOS

The purpose of this study was to evaluate and compare, through cone beam computed tomography (CBCT), the immediate effects of the rapid maxillary expansion on the airway dimensions (nasal cavity, nasopharynx and oropharynx) in individuals treated with tooth tissue-borne (Haas-type) and tooth-borne (Hyrax-type) expanders. The sample consisted of 31 patients with transverse maxillary deficiency, being the group 1 (Haas) composed by 16 subjects (11 girls and 5 boys) and the group 2 (Hyrax) by 15 individuals (9 girls and 6 boys), both with similar chronological and skeletal ages. The expansion screw was activated until reaching 8 mm in both groups. Tomographic exams were taken in two moments: before maxillary expansion (T1) and immediately after that (T2). The results were evaluated statistically by Student test t for paired samples and by analysis of variance with repeated measures. The effects of the treatment showed vertical and transverse increase of the nasal cavity, being the largest increases observed in its anterior e posterior portion, sagittal increase of the nasopharynx space, as well as in its cross-sectional area. No significant changes were observed in the dimensions of the oropharynx. Both appliances were capable to provide alterations in the airway, however the Hyrax-type expander demonstrated larger transverse effects on nasal cavity and larger sagittal effects on the nasopharynx.