{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T16:01:07Z","timestamp":1785427267528,"version":"3.56.0"},"reference-count":41,"publisher":"Akademiai Kiado Zrt.","issue":"30","license":[{"start":{"date-parts":[[2025,7,27]],"date-time":"2025-07-27T00:00:00Z","timestamp":1753574400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2025,7,27]]},"abstract":"\n Bevezet\u00e9s:<\/jats:italic>\n A fels\u0151 \u00e1llcsont transzverz\u00e1lis sz\u0171k\u00fclete az\n \u00e1llcsontok k\u00f6z\u00f6tti m\u00e9retbeli elt\u00e9r\u00e9sek k\u00f6z\u00e9 tartozik, amely t\u00f6bbek k\u00f6z\u00f6tt\n sz\u00e1jl\u00e9gz\u00e9s, k\u00e1ros szok\u00e1sok \u00e9s rendellenes nyel\u00e9s k\u00f6vetkezt\u00e9ben alakulhat ki. A\n sz\u0171k\u00fclet sz\u00e1mos klinikai t\u00fcnetben megjelenhet, mint p\u00e9ld\u00e1ul oldals\u00f3\n keresztharap\u00e1s, g\u00f3tikus sz\u00e1jpad vagy fogtorl\u00f3d\u00e1s. Kezel\u00e9s\u00e9re k\u00fcl\u00f6nb\u00f6z\u0151 t\u00e1g\u00edt\u00e1si\n m\u00f3dszerek l\u00e9teznek, amelyek a t\u00e1g\u00edt\u00e1s id\u0151beli lefut\u00e1s\u00e1ban \u00e9s alkalmazott\n er\u0151hat\u00e1s\u00e1ban k\u00fcl\u00f6nb\u00f6znek. A fogakon r\u00f6gz\u00edtett hagyom\u00e1nyos t\u00e1g\u00edt\u00f3 k\u00e9sz\u00fcl\u00e9kek\n mellett az ut\u00f3bbi \u00e9vekben egyre nagyobb figyelmet kaptak a skeletalisan\n elhorgonyzott eszk\u00f6z\u00f6k, amelyek eredm\u00e9nyesebben befoly\u00e1solj\u00e1k a csontszerkezet\n \u00e1talakul\u00e1s\u00e1t.\n C\u00e9lkit\u0171z\u00e9s:<\/jats:italic>\n A kutat\u00e1s c\u00e9lja a seb\u00e9szileg\n t\u00e1mogatott \u00e9s nem t\u00e1mogatott, skeletalisan elhorgonyzott MICRO-4 t\u00edpus\u00fa\n maxillat\u00e1g\u00edt\u00f3 k\u00e9sz\u00fcl\u00e9k expanzi\u00f3s karakterisztik\u00e1j\u00e1nak elemz\u00e9se, k\u00fcl\u00f6n\u00f6s\n tekintettel a \u201ebuccal rolling\u201d jelens\u00e9g\u00e9re, amely a dentoalveolaris egys\u00e9g\n oldalir\u00e1ny\u00fa d\u0151l\u00e9s\u00e9t jelenti a t\u00e1g\u00edt\u00e1s sor\u00e1n.\n M\u00f3dszer:<\/jats:italic>\n A\n Semmelweis Egyetemen v\u00e9gzett vizsg\u00e1latban 10, MICRO-4 t\u00edpus\u00fa k\u00e9sz\u00fcl\u00e9kkel\n t\u00e1g\u00edtott p\u00e1ciens vett r\u00e9szt, akiket seb\u00e9szileg t\u00e1mogatott (n = 5) \u00e9s nem\n t\u00e1mogatott (n = 5) expanzi\u00f3s csoportokra osztottunk. A m\u00e9r\u00e9sek digit\u00e1lis\n intraoralis lenyomatv\u00e9tellel (szkennel\u00e9s) \u00e9s h\u00e1romdimenzi\u00f3s elemz\u00e9ssel\n t\u00f6rt\u00e9ntek.\n Eredm\u00e9nyek:<\/jats:italic>\n A seb\u00e9szeti t\u00e1mogat\u00e1s n\u00e9lk\u00fcl alkalmazott\n MICRO-4 k\u00e9sz\u00fcl\u00e9kkel v\u00e9gzett expanzi\u00f3 szignifik\u00e1nsan nagyobb m\u00e9rt\u00e9k\u0171\n dentoalveolaris billen\u00e9st eredm\u00e9nyezett, mint a seb\u00e9szi \u00faton t\u00e1mogatott\n expanzi\u00f3.\n Megbesz\u00e9l\u00e9s:<\/jats:italic>\n A m\u0171t\u00e9ti beavatkoz\u00e1ssal seg\u00edtett\n expanzi\u00f3 gyorsabbnak \u00e9s hat\u00e9konyabbnak bizonyult a seb\u00e9szileg nem t\u00e1mogatott\n m\u00f3dszerhez k\u00e9pest.\n K\u00f6vetkeztet\u00e9s:<\/jats:italic>\n A kutat\u00e1s r\u00e1vil\u00e1g\u00edt a\n konzervat\u00edv, skeletalisan elhorgonyzott maxillat\u00e1g\u00edt\u00e1s korl\u00e1taira, de tov\u00e1bbi\n vizsg\u00e1latok \u00e9s nagyobb mintasz\u00e1m sz\u00fcks\u00e9ges az eredm\u00e9nyek meger\u0151s\u00edt\u00e9s\u00e9hez. Orv\n Hetil. 2025; 166(30): 1195\u20131200.\n <\/jats:p>","DOI":"10.1556\/650.2025.33350","type":"journal-article","created":{"date-parts":[[2025,7,28]],"date-time":"2025-07-28T07:27:36Z","timestamp":1753687656000},"page":"1195-1200","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":0,"title":["A fels\u0151 \u00e1llcsont skeletalisan elhorgonyzott t\u00e1g\u00edt\u00e1s\u00e1nak vizsg\u00e1lata"],"prefix":"10.1556","volume":"166","author":[{"given":"Krist\u00f3f Andr\u00e1s","family":"Vass","sequence":"first","affiliation":[{"name":"Semmelweis Egyetem, Fogorvostudom\u00e1nyi Kar, Gyermekfog\u00e1szati \u00e9s Fogszab\u00e1lyoz\u00e1si Klinika Budapest, Szentkir\u00e1lyi u. 47. V. em., 1088 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lili","family":"Farkas","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, Fogorvostudom\u00e1nyi Kar Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Tfirst","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, Fogorvostudom\u00e1nyi Kar, Gyermekfog\u00e1szati \u00e9s Fogszab\u00e1lyoz\u00e1si Klinika Budapest, Szentkir\u00e1lyi u. 47. V. em., 1088 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S\u00e1ndor","family":"Bogd\u00e1n","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, Arc- \u00c1llcsont- Sz\u00e1jseb\u00e9szeti \u00e9s Fog\u00e1szati Klinika Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"No\u00e9mi Katinka","family":"R\u00f3zsa","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, Fogorvostudom\u00e1nyi Kar Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B\u00e1lint","family":"Nemes","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, Fogorvostudom\u00e1nyi Kar, Gyermekfog\u00e1szati \u00e9s Fogszab\u00e1lyoz\u00e1si Klinika Budapest, Szentkir\u00e1lyi u. 47. V. em., 1088 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"key":"R1","doi-asserted-by":"crossref","unstructured":"Belluzzo RH, Faltin K Jr, Lascala CE, et al. Maxillary constriction:\n are there differences between anterior and posterior regions? Dent Press J\n Orthod. 2012; 17: 1\u20136.","DOI":"10.1590\/S2176-94512012000400009"},{"key":"R2","doi-asserted-by":"crossref","unstructured":"Gurd\u00e1n Zs, Szalma J, Benedek P, et al. Achondroplasia from the\n viewpoint of orthodontics. [Az achondroplasia a fogszab\u00e1lyoz\u00e1s szemsz\u00f6g\u00e9b\u0151l.]\n Orv Hetil. 2021; 162: 683\u2013688. [Hungarian]","DOI":"10.1556\/650.2021.32074"},{"key":"R3","unstructured":"Proffit WR. Contemporary orthodontics. Mosby, St. Louis, 1986; pp.\n 437."},{"key":"R4","doi-asserted-by":"crossref","unstructured":"McNamara JA Jr, Lione R, Franchi L, et al. The role of rapid\n maxillary expansion in thepromotion of oral and general health. Prog Orthod.\n 2015; 16: 33.","DOI":"10.1186\/s40510-015-0105-x"},{"key":"R5","doi-asserted-by":"crossref","unstructured":"Bin Dakhil N, Bin Salamah F. The diagnosis methods and management\n modalities of maxillary transverse discrepancy. Cureus 2021; 13:\n e20482.","DOI":"10.7759\/cureus.20482"},{"key":"R6","doi-asserted-by":"crossref","unstructured":"Nemes B, R\u00f3zsa NK, Rad\u00f3 ZsS, et al. Skeletal anchorage combined\n orthodontic treatment of temporomandibular disorder. [\u00c1llkapocs\u00edz\u00fcleti\n diszfunkci\u00f3 kezel\u00e9se skeletalis horgonylattal kombin\u00e1lt fogszab\u00e1lyoz\u00e1ssal.] Orv\n Hetil. 2024; 165: 1472\u20131477. [Hungarian]","DOI":"10.1556\/650.2024.33119"},{"key":"R7","doi-asserted-by":"crossref","unstructured":"Kiss G, P\u00e1cz M, Kiss P.. Craniomandibular disorder\/dysfunction.\n Characteristics and disorders of the masticatory organ. [Craniomandibularis\n diszfunkci\u00f3. A r\u00e1g\u00f3szerv saj\u00e1toss\u00e1gai \u00e9s m\u0171k\u00f6d\u00e9si zavarai.] Orv Hetil. 2015;\n 156: 122\u2013134. [Hungarian]","DOI":"10.1556\/OH.2015.30073"},{"key":"R8","doi-asserted-by":"crossref","unstructured":"Andrews LF. The 6-elements orthodontic philosophy: treatment goals,\n classification, and rules for treating. Am J Orthod Dentofacial Orthop. 2015;\n 148: 883\u2013887.","DOI":"10.1016\/j.ajodo.2015.09.011"},{"key":"R9","doi-asserted-by":"crossref","unstructured":"Adolphs N, Haberl EJ, Liu W, et al. Virtual planning for\n craniomaxillofacial surgery \u2013 7 years of experience. J Craniomaxillofac Surg.\n 2014; 42: e289\u2013e295.","DOI":"10.1016\/j.jcms.2013.10.008"},{"key":"R10","doi-asserted-by":"crossref","unstructured":"Haas OL Jr, Becker OE, de Oliveira RB. Computer-aided planning in\n orthognathic surgery \u2013 systematic review. Int J Oral Maxillofac Surg. 2014; 44:\n 329\u2013342.","DOI":"10.1016\/j.ijom.2014.10.025"},{"key":"R11","doi-asserted-by":"crossref","unstructured":"Hsu SS, Gateno J, Bell RB, et al. Accuracy of a computer-aided\n surgical simulation protocol for orthognathic surgery: a prospective multicenter\n study. J Oral Maxillofac Surg. 2013; 71: 128\u2013142.","DOI":"10.1016\/j.joms.2012.03.027"},{"key":"R12","doi-asserted-by":"crossref","unstructured":"Sun Y, Luebbers HT, Agbaje JO, et al. Accuracy of upper jaw\n positioning with intermediate splint fabrication after virtual planning in\n bimaxillary orthognathic surgery. J Craniofac Surg. 2013; 24:\n 1871\u20131876.","DOI":"10.1097\/SCS.0b013e31829a80d9"},{"key":"R13","doi-asserted-by":"crossref","unstructured":"Swennen GR, Mollemans W, De Clercq C, et al. A cone-beam computed\n tomography triple scan procedure to obtain a three-dimensional augmented virtual\n skull model appropriate for orthognathic surgery planning. J Craniofac Surg.\n 2009; 20: 297\u2013307.","DOI":"10.1097\/SCS.0b013e3181996803"},{"key":"R14","doi-asserted-by":"crossref","unstructured":"Zinser MJ, Mischkowski RA, Dreiseidler T, et al. Computer-assisted\n orthognathic surgery: waferless maxillary positioning, versatility, and accuracy\n of an image-guided visualisation display. Br J Oral Maxillofac Surg. 2013; 51:\n 827\u2013833.","DOI":"10.1016\/j.bjoms.2013.06.014"},{"key":"R15","doi-asserted-by":"crossref","unstructured":"Hicks EP. Slow maxillary expansion. A clinical study of the skeletal\n versus dental response to low-magnitude force. Am J Orthod. 1978; 73:\n 121\u2013141.","DOI":"10.1016\/0002-9416(78)90183-5"},{"key":"R16","doi-asserted-by":"crossref","unstructured":"Donohue VE, Marshman LA, Winchester LJ. A clinical comparison of the\n quadhelix appliance and the nickel titanium (tandem loop) palatal expander: a\n preliminary, prospective investigation. Eur J Orthod. 2004; 26:\n 411\u2013420.","DOI":"10.1093\/ejo\/26.4.411"},{"key":"R17","unstructured":"Lanteri C, Beretta M, Lanteri V, et al. The leaf expander for\n non-compliance treatment in the mixed dentition. J Clin Orthod. 2016; 50:\n 552\u2013560."},{"key":"R18","doi-asserted-by":"crossref","unstructured":"Bishara SE, Staley RN. Maxillary expansion: clinical implications.\n Am J Orthod Dentofacial Orthop. 1987; 91: 3\u201314.","DOI":"10.1016\/0889-5406(87)90202-2"},{"key":"R19","unstructured":"Lagravere MO, Major PW, Flores-Mir C. Long-term skeletal changes\n with rapid maxillary expansion: a systematic review. Angle Orthod. 2005; 75:\n 1046\u20131052."},{"key":"R20","unstructured":"Proffit WR, Field HW Jr, Larson B, et al. Contemporary orthodontics.\n 6th ed. Elsevier\/Mosby, St. Louis, 2018; pp. 433."},{"key":"R21","doi-asserted-by":"crossref","unstructured":"Juh\u00e1sz F, Mohammadreza A, Nemes B, et al. Treatment options for\n transverse maxillary constriction. [Transzverz\u00e1lis maxilla-sz\u0171k\u00fclet kezel\u00e9s\u00e9nek\n lehet\u0151s\u00e9gei.] Fogorv Szle. 2017; 110: 117\u2013121. [Hungarian]","DOI":"10.33891\/FSZ.110.4.117-121"},{"key":"R22","doi-asserted-by":"crossref","unstructured":"Frank D, Rill L, Kolarovszki B, et al. Classical and modern methods\n for the assessment of skeletal maturation and pubertal growth spurt. [Klasszikus\n \u00e9s modern vizsg\u00e1l\u00f3m\u00f3dszerek a csont\u00e9retts\u00e9gi kor \u00e9s a pubert\u00e1skori n\u00f6veked\u00e9si\n cs\u00facs meghat\u00e1roz\u00e1s\u00e1ra.] Orv Hetil. 2018; 159: 1423\u20131432.\n [Hungarian]","DOI":"10.1556\/650.2018.31151"},{"key":"R23","doi-asserted-by":"crossref","unstructured":"Darawsheh AF, Kolarovszki B, Hong DH, et al. Applicability of\n fractal analysis for quantitative evaluation of midpalatal suture maturation. J\n Clin Med. 2023; 12: 4189.","DOI":"10.3390\/jcm12134189"},{"key":"R24","doi-asserted-by":"crossref","unstructured":"Bortolotti F, Solidoro L, Bartolucci ML, et al. Skeletal and dental\n effects of surgically assisted rapid palatal expansion: a systematic review of\n randomized controlled trials. Eur J Orthod. 2020; 42: 434\u2013440.","DOI":"10.1093\/ejo\/cjz057"},{"key":"R25","unstructured":"Shahrokh CB, Bell RB, Husain AK. Current therapy in oral and\n maxillofacial surgery. Saunders, Philadelphia, 2011; pp\n 146\u2013149."},{"key":"R26","unstructured":"Wilmes B, Nienkemper M, Drescher D. Application and effectiveness of\n a mini-implant- and tooth-borne rapid palatal expansion device: the Hybrid\n Hyrax. World J Orthod. 2010; 11: 323\u2013330."},{"key":"R27","doi-asserted-by":"crossref","unstructured":"Carlson C, Sung J, McComb RW, et al. Microimplant-assisted rapid\n palatal expansion appliance to orthopedically correct transverse maxillary\n deficiency in an adult. Am J Orthod Dentofacial Orthop. 2016; 149:\n 716\u2013728.","DOI":"10.1016\/j.ajodo.2015.04.043"},{"key":"R28","doi-asserted-by":"crossref","unstructured":"Zong C, Tang B, Hua F, et al. Skeletal and dentoalveolar changes in\n the transverse dimension using microimplant-assisted rapid palatal expansion\n (MARPE) appliances. Semin Orthod. 2019; 25: 46\u201359.","DOI":"10.1053\/j.sodo.2019.02.006"},{"key":"R29","doi-asserted-by":"crossref","unstructured":"Oh H, Park J, Lagravere-Vich M. Comparison of traditional RPE with\n two types of micro-implant assisted RPE: CBCT study. Semin Orthod. 2019; 25:\n 60\u201368.","DOI":"10.1053\/j.sodo.2019.02.007"},{"key":"R30","doi-asserted-by":"crossref","unstructured":"Cantarella D, Dominguez-Mompell R, Moschik C, et al. Midfacial\n changes in the coronal plane induced by microimplant-supported skeletal\n expander, studied with cone-beam computed tomography images. Am J Orthod\n Dentofacial Orthop. 2018; 154: 337\u2013345.","DOI":"10.1016\/j.ajodo.2017.11.033"},{"key":"R31","doi-asserted-by":"crossref","unstructured":"Song KT, Park JH, Moon W, et al. Three-dimensional changes of the\n zygomaticomaxillary complex after mini-implant assisted rapid maxillary\n expansion. Am J Orthod Dentofacial Orthop. 2019; 156: 653\u2013662.","DOI":"10.1016\/j.ajodo.2018.11.019"},{"key":"R32","doi-asserted-by":"crossref","unstructured":"Moon HW, Kim MJ, Ahn HW, et al. Molar inclination and surrounding\n alveolar bone change relative to the design of bone-borne maxillary expanders. A\n CBCT study. Angle Orthod. 2020; 90: 13\u201322.","DOI":"10.2319\/050619-316.1"},{"key":"R33","doi-asserted-by":"crossref","unstructured":"Harzer W, Schneider M, Gedrange T. Rapid maxillary expansion with\n palatal anchorage of the Hyrax expansion screw \u2013 pilot study with case\n presentation. J Orofac Orthop. 2004; 65: 419\u2013424.","DOI":"10.1007\/s00056-004-0346-7"},{"key":"R34","doi-asserted-by":"crossref","unstructured":"Walter A, Wendl B, Ploder O, et al. Stability determinants of\n bone-borne force-transmitting components in three RME hybrid expanders. An in\n vitro study. Eur J Orthod. 2017; 39: 76\u201384.","DOI":"10.1093\/ejo\/cjw016"},{"key":"R35","unstructured":"Winsauer H, Vlachojannis J, Winsauer C, et al. A bone-borne\n appliance for rapid maxillary expansion. J Clin Orthod. 2013; 47:\n 375\u2013388."},{"key":"R36","doi-asserted-by":"crossref","unstructured":"Winsauer H, Vlachojannis C, Bumann A, et al. Paramedian vertical\n palatal bone height for mini-implant insertion: a systematic review. Eur J\n Orthod. 2014; 36: 541\u2013549.","DOI":"10.1093\/ejo\/cjs068"},{"key":"R37","doi-asserted-by":"crossref","unstructured":"Melsen B, Melsen F. The postnatal development of the palatomaxillary\n region studied on human autopsy material. Am J Orthod. 1982; 82:\n 329\u2013342.","DOI":"10.1016\/0002-9416(82)90467-5"},{"key":"R38","doi-asserted-by":"crossref","unstructured":"Provatidis CG, Georgiopoulos B, Kotinas A, et al. Evaluation of\n craniofacial effects during rapid maxillary expansion through combined in\n vivo\/in vitro and finite element studies. Eur J Orthod. 2008; 30:\n 437\u2013448.","DOI":"10.1093\/ejo\/cjn046"},{"key":"R39","doi-asserted-by":"crossref","unstructured":"Ponna P, Tarraf NE, Dalci K, et al. Dentoskeletal effects of\n mini-screw assisted, non-surgical palatal expansion in adults using a modified\n force-controlled polycyclic protocol: a single-centre retrospective study.\n Erratum. Eur J Orthod. 2024; 46: cjae013.","DOI":"10.1093\/ejo\/cjad080"},{"key":"R40","doi-asserted-by":"crossref","unstructured":"Ponna P, Tarraf NE, Dalci K, et al. Dentoskeletal effects of\n mini-screw assisted, non-surgical palatal expansion in adults using a modified\n force-controlled polycyclic protocol: a single-centre retrospective study. Eur J\n Orthod. 2024; 46: cjad080.","DOI":"10.1093\/ejo\/cjad080"},{"key":"R41","doi-asserted-by":"crossref","unstructured":"Lee HK, Bayome M, Ahn CS, et al. Stress distribution and\n displacement by different bone-borne palatal expanders with micro-implants: a\n three-dimensional finite-element analysis. Eur J Orthod. 2014; 36:\n 531\u2013540.","DOI":"10.1093\/ejo\/cjs063"}],"container-title":["Orvosi Hetilap"],"original-title":[],"link":[{"URL":"https:\/\/www.akjournals.com\/view\/journals\/650\/166\/30\/article-p1195.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.akjournals.com\/downloadpdf\/journals\/650\/166\/30\/article-p1195.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/www.akjournals.com\/downloadpdf\/journals\/650\/166\/30\/article-p1195.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T15:13:41Z","timestamp":1785424421000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.akjournals.com\/view\/journals\/650\/166\/30\/article-p1195.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,27]]},"references-count":41,"journal-issue":{"issue":"30"},"URL":"https:\/\/doi.org\/10.1556\/650.2025.33350","relation":{},"ISSN":["0030-6002","1788-6120"],"issn-type":[{"value":"0030-6002","type":"print"},{"value":"1788-6120","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7,27]]}}}