{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T01:49:15Z","timestamp":1747187355436,"version":"3.40.5"},"reference-count":40,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,3,8]],"date-time":"2024-03-08T00:00:00Z","timestamp":1709856000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100002322","name":"Coordena\u00e7\u00e3o de Aperfei\u00e7oamento de Pessoal de N\u00edvel Superior","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100002322","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthod Craniofacial Res"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The objective of this prospective study was to assess possible changes in the position and shape of the temporomandibular joint (TMJ) articular disc in patients treated with two protocols of rapid maxillary expansion (RME) and face mask (FM) therapy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A sample of 88 patients with Class III or Class III subdivision malocclusions, aged between 6 and 13\u2009years, were consecutively selected and divided into three groups (G): G1\u201034 patients were treated with RME, followed by FM therapy; G2\u201034 patients were treated using RME according to modified alternate rapid maxillary expansion and constriction (ALT\u2010RAMEC) protocol, followed by FM therapy. These treated groups were randomly (1:1 allocation ratio) distributed according to the two treatment protocols. G3 \u2013 Control Group \u2013 20 untreated patients were followed. Magnetic resonance imaging (MRI) TMJs were obtained before (T1) and after (T2) a treatment period or follow\u2010up. McNemar test, Fisher's exact test and intra\u2010 and inter\u2010observer concordance (K) were performed (<jats:italic>p<\/jats:italic>\u2009\u2264\u2009.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were no statistically significant differences in the baseline cephalometric variables at T1 between the groups. There were statistically significant differences between the groups (<jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001) in relation to the disc shape in T1, since G1 (8 TMJs \u221211.76%) presented higher occurrences of altered forms in comparison with G2 (no changes). No significant differences were observed in disc position CM and OM (G1 \u2013 <jats:italic>p<\/jats:italic>\u2009&gt;\u2009.999; G2 \u2013 <jats:italic>p<\/jats:italic>\u2009=\u2009.063; G3 \u2013 <jats:italic>p<\/jats:italic>\u2009=\u2009.500) and shape (G1 \u2013 <jats:italic>p<\/jats:italic>\u2009&gt;\u20090.999; G2 \u2013 <jats:italic>p<\/jats:italic>\u2009=\u2009.250; G3 \u2013 not calculable), between T1\u2009\u00d7\u2009T2, in any of the groups studied.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The two treatment protocols did not have adverse effects on the position and shape of the TMJ disc, in a short\u2010term evaluation.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ocr.12777","type":"journal-article","created":{"date-parts":[[2024,3,8]],"date-time":"2024-03-08T14:29:11Z","timestamp":1709908151000},"page":"615-625","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Temporomandibular joint disc position and shape in patients submitted to two protocols of rapid maxillary expansion and face mask therapy: A randomized clinical trial"],"prefix":"10.1111","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5420-7344","authenticated-orcid":false,"given":"Daniella Torres","family":"Tagawa","sequence":"first","affiliation":[{"name":"Graduate Program in Medicine (Clinical Radiology) Universidade Federal de S\u00e3o Paulo (UNIFESP)  S\u00e3o Paulo Brazil"},{"name":"Department of Orthodontics Universidade Santa Cec\u00edlia  Santos 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