{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T10:22:00Z","timestamp":1790763720314,"version":"4.1.0"},"reference-count":56,"publisher":"The Angle Orthodontist (EH Angle Education & Research Foundation)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2018,11]]},"abstract":"ABSTRACT<\/jats:title>\n \n Objectives:<\/jats:title>\n To evaluate and compare the dental and skeletal changes with conventional and miniscrew-supported maxillary expansion appliances in adolescents.<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods:<\/jats:title>\n \n Forty patients were divided into two groups, with one group receiving a tooth-borne expander and the other group receiving an expander supported by four miniscrews (bone-borne). Multiplanar coronal and axial slices obtained from cone-beam computed tomography images were used to measure the changes in transverse skeletal widths, buccal bone thickness, tooth inclination, and root length. Paired\n t<\/jats:italic>\n -tests and independent-sample\n t<\/jats:italic>\n -tests were used to compare the two expansion methods.\n <\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n Bone-borne expansion increased the maxillary suture opening more than 2.5 times than tooth-borne expansion both anteriorly and posteriorly. Between the maxillary first premolars, sutural expansion accounted for 28% and 70% of the total transverse width increase in the tooth-borne and bone-borne expander groups, respectively. Similarly, 26% and 68% of the total expansion was of skeletal nature in the tooth-borne and bone-borne expander groups between the maxillary first molars. The pattern of expansion was variable, with most of the patients in both groups demonstrating a triangular-shaped sutural opening that was wider anteriorly. Subjects in the conventional group experienced significantly more buccal bone reduction and greater buccal inclination of the teeth. No significant differences were observed for root length measurements between the two groups.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Use of bone-borne expansion in the adolescent population increased the extent of skeletal changes in the range of 1.5 to 2.8 times that of tooth-borne expansion and did not result in any dental side effects.<\/jats:p>\n <\/jats:sec>","DOI":"10.2319\/011518-42.1","type":"journal-article","created":{"date-parts":[[2018,8,13]],"date-time":"2018-08-13T09:28:58Z","timestamp":1534152538000},"page":"702-709","source":"Crossref","is-referenced-by-count":88,"title":["Evaluation of miniscrew-supported rapid maxillary expansion in adolescents: A prospective randomized clinical trial"],"prefix":"10.2319","volume":"88","author":[{"given":"Tugce","family":"Celenk-Koca","sequence":"first","affiliation":[{"name":"Private practice, Rotterdam, Netherlands."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aslihan Ertan","family":"Erdinc","sequence":"additional","affiliation":[{"name":"Professor, Department of Orthodontics, Faculty of Dentistry, Ege University, Izmir, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Serpil","family":"Hazar","sequence":"additional","affiliation":[{"name":"Private practice, Rotterdam, Netherlands."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lacey","family":"Harris","sequence":"additional","affiliation":[{"name":"Assistant Professor, Department of Orthodontics, School of Dentistry, The University of Texas Health Science Center at Houston, Houston, Tex."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeryl D.","family":"English","sequence":"additional","affiliation":[{"name":"Professor and Chair, Department of Orthodontics, School of Dentistry, The University of Texas Health Science Center at Houston, Houston, Tex."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sercan","family":"Akyalcin","sequence":"additional","affiliation":[{"name":"Associate Professor and Graduate Program Director, Department of Orthodontics, School of Dental Medicine, Tufts University, Boston, Mass."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1164","reference":[{"key":"i0003-3219-88-6-702-b01","series-title":"J Orofac Orthop","first-page":"148","article-title":"Skeletally-anchored rapid maxillary expansion using the Dresden Distractor","volume":"68","author":"Hansen \n L,","year":"2007","unstructured":"Hansen \n L, \n \n \n Tausche \n E, \n \n \n Hietschold \n V, \n \n \n Hotan \n T, \n \n \n Lagrav\u00e8re \n M, \n \n \n Harzer \n W. \n \n \n Skeletally-anchored rapid maxillary expansion using the Dresden Distractor. J Orofac Orthop. 2007;68:148\u2013158."},{"key":"i0003-3219-88-6-702-b02","series-title":"Angle Orthod","first-page":"1074","article-title":"Three-dimensional analysis of effects of rapid maxillary expansion on facial sutures and bones","volume":"83","author":"Bazargani \n F,","year":"2013","unstructured":"Bazargani \n F, \n \n \n Feldmann \n I, \n \n \n Bondemark \n L. \n \n \n Three-dimensional analysis of effects of rapid maxillary expansion on facial sutures and bones. Angle Orthod. 2013;83:1074\u20131082."},{"key":"i0003-3219-88-6-702-b03","series-title":"Angle Orthod","first-page":"548","article-title":"Rapid maxillary expansion\u2014tooth tissue-borne versus tooth-borne expanders: a computed tomography evaluation of dentoskeletal effects","volume":"75","author":"Garib \n DG,","year":"2005","unstructured":"Garib \n DG, \n \n \n Henriques \n JF, \n \n \n Janson \n G, \n \n \n Freitas \n MR, \n \n \n Coelho \n RA. \n \n \n Rapid maxillary expansion\u2014tooth tissue-borne versus tooth-borne expanders: a computed tomography evaluation of dentoskeletal effects. Angle Orthod. 2005;75:548\u2013557."},{"key":"i0003-3219-88-6-702-b04","series-title":"Am J Orthod Dentofacial Orthop","first-page":"428.e1","article-title":"Factors affecting buccal bone changes of maxillary posterior teeth after rapid maxillary expansion","volume":"132","author":"Rungcharassaeng \n K,","year":"2007","unstructured":"Rungcharassaeng \n K, \n \n \n Caruso \n JM, \n \n \n Kan \n JY, \n \n \n Kim \n J, \n \n \n Taylor \n G. \n \n \n Factors affecting buccal bone changes of maxillary posterior teeth after rapid maxillary expansion. 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Am J Orthod Dentofacial Orthop. 2010;137:S79\u2013S85."},{"key":"i0003-3219-88-6-702-b06","series-title":"Angle Orthod","first-page":"448","article-title":"Cone beam computed tomography evaluation of changes in the naso-maxillary complex associated with two types of maxillary expanders","volume":"82","author":"Pangrazio-Kulbersh \n V,","year":"2012","unstructured":"Pangrazio-Kulbersh \n V, \n \n \n Wine \n P, \n \n \n Haughey \n M, \n \n \n Pajtas \n B, \n \n \n Kaczynski \n R. \n \n \n Cone beam computed tomography evaluation of changes in the naso-maxillary complex associated with two types of maxillary expanders. Angle Orthod. 2012;82:448\u2013457."},{"key":"i0003-3219-88-6-702-b07","series-title":"Imaging Sci Dent","first-page":"85","article-title":"A cone-beam computed tomography evaluation of buccal bone thickness following maxillary expansion","volume":"43","author":"Akyalcin \n S,","year":"2013","unstructured":"Akyalcin \n S, \n \n \n Schaefer \n JS, \n \n \n English \n JD, \n \n \n Stephens \n CR, \n \n \n Winkelmann \n S. \n \n \n A cone-beam computed tomography evaluation of buccal bone thickness following maxillary expansion. Imaging Sci Dent. 2013;43:85\u201390."},{"key":"i0003-3219-88-6-702-b08","series-title":"Angle Orthod","first-page":"110","article-title":"de Deus Haughey M, Kulbersh R, Wine P, Kaczynski R. CBCT assessment of alveolar buccal bone level after RME","volume":"83","author":"Pangrazio-Kulbersh \n V,","year":"2013","unstructured":"Pangrazio-Kulbersh \n V, \n \n \n Jezdimir \n B, \n \n \n de Deus Haughey M, Kulbersh R, Wine P, Kaczynski R. CBCT assessment of alveolar buccal bone level after RME. Angle Orthod. 2013;83:110\u2013116."},{"key":"i0003-3219-88-6-702-b09","series-title":"Am J Orthod Dentofacial Orthop","first-page":"633","article-title":"Andriani Jda S, Ribeiro GL, Locks A, Correa M, Correa LR. Three-dimensional assessment of buccal alveolar bone after rapid and slow maxillary expansion: a clinical trial study","volume":"143","author":"Brunetto \n M,","year":"2013","unstructured":"Brunetto \n M, \n \n \n Andriani Jda S, Ribeiro GL, Locks A, Correa M, Correa LR. Three-dimensional assessment of buccal alveolar bone after rapid and slow maxillary expansion: a clinical trial study. Am J Orthod Dentofacial Orthop. 2013;143:633\u2013644."},{"key":"i0003-3219-88-6-702-b10","series-title":"Angle Orthod","first-page":"488","article-title":"Evaluation of root resorption following rapid maxillary expansion using cone-beam computed tomography","volume":"82","author":"Baysal \n A,","year":"2012","unstructured":"Baysal \n A, \n \n \n Karadede \n I, \n \n \n Hekimoglu \n S, \n \n et al. \n Evaluation of root resorption following rapid maxillary expansion using cone-beam computed tomography. Angle Orthod. 2012;82:488\u2013494."},{"issue":"suppl 1","key":"i0003-3219-88-6-702-b11","series-title":"Orthod Craniofac Res","first-page":"117","article-title":"Evaluation of three-dimensional root surface changes and resorption following rapid maxillary expansion: a cone beam computed tomography investigation","volume":"18","author":"Akyalcin \n S,","year":"2015","unstructured":"Akyalcin \n S, \n \n \n Alexander \n SP, \n \n \n Silva \n RM, \n \n \n English \n JD. \n \n \n Evaluation of three-dimensional root surface changes and resorption following rapid maxillary expansion: a cone beam computed tomography investigation. Orthod Craniofac Res. 2015;18(suppl 1):117\u2013126."},{"issue":"3","key":"i0003-3219-88-6-702-b12","series-title":"PLoS One","first-page":"e0150135","article-title":"Using micro-computed tomography to evaluate the dynamics of orthodontically induced root resorption repair in a rat model","volume":"11","author":"Xu \n X,","year":"2016","unstructured":"Xu \n X, \n \n \n Zhou \n J, \n \n \n Yang \n F, \n \n \n Wei \n S, \n \n \n Dai \n H. \n \n \n Using micro-computed tomography to evaluate the dynamics of orthodontically induced root resorption repair in a rat model. PLoS One. 2016;11(3):e0150135."},{"key":"i0003-3219-88-6-702-b13","series-title":"Am J Orthod Dentofac Orthop","first-page":"304","article-title":"Transverse, vertical, and anteroposterior changes from bone-anchored maxillary expansion vs. traditional rapid maxillary expansion: a randomized clinical trial","volume":"137","author":"Lagrav\u00e9re \n MO,","year":"2010","unstructured":"Lagrav\u00e9re \n MO, \n \n \n Carey \n J, \n \n \n Heo \n G, \n \n \n Toogood \n RW, \n \n \n Major \n PW. \n \n \n Transverse, vertical, and anteroposterior changes from bone-anchored maxillary expansion vs. traditional rapid maxillary expansion: a randomized clinical trial. 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Am J Orthod Dentofacial Orthop. 2015;148:599\u2013607."},{"key":"i0003-3219-88-6-702-b15","series-title":"Angle Orthod","first-page":"253","article-title":"Tooth-borne vs bone-borne rapid maxillary expanders in late adolescence","volume":"85","author":"Lin \n L,","year":"2015","unstructured":"Lin \n L, \n \n \n Ahn \n HW, \n \n \n Kim \n SJ, \n \n \n Moon \n SC, \n \n \n Kim \n SH, \n \n \n Nelson \n G. \n \n \n Tooth-borne vs bone-borne rapid maxillary expanders in late adolescence. Angle Orthod. 2015;85:253\u2013262."},{"key":"i0003-3219-88-6-702-b16","series-title":"Angle Orthod","first-page":"241","article-title":"Dentoskeletal effects of a temporary skeletal anchorage device\u2013supported rapid maxillary expansion appliance (TSADRME): a pilot study","volume":"86","author":"Vassar \n JW,","year":"2016","unstructured":"Vassar \n JW, \n \n \n Karydis \n A, \n \n \n Trojan \n T, \n \n \n Fisher \n J. \n \n \n Dentoskeletal effects of a temporary skeletal anchorage device\u2013supported rapid maxillary expansion appliance (TSADRME): a pilot study. Angle Orthod. 2016;86:241\u2013249."},{"key":"i0003-3219-88-6-702-b17","series-title":"Mosby's Orthodontic Review. 2nd ed","author":"English \n JD,","unstructured":"English \n JD, \n \n \n Akyalcin \n S, \n \n \n Peltomaki \n T, \n \n \n Litschel \n K. \n \n \n Mosby's Orthodontic Review. 2nd ed. St Louis, Mo: Mosby."},{"key":"i0003-3219-88-6-702-b18","series-title":"Am J Orthod","first-page":"367","article-title":"Midpalatal suture opening: a normative study","volume":"71","author":"Wertz \n R,","year":"1977","unstructured":"Wertz \n R, \n \n \n Dreskin \n M. \n \n \n Midpalatal suture opening: a normative study. Am J Orthod. 1977;71:367\u2013381."},{"key":"i0003-3219-88-6-702-b19","series-title":"Angle Orthod","first-page":"73","article-title":"Rapid expansion of the maxillary dental arch and nasal cavity by opening the midpalatal suture","volume":"31","author":"Haas \n AJ.","year":"1961","unstructured":"Haas \n AJ. \n \n \n Rapid expansion of the maxillary dental arch and nasal cavity by opening the midpalatal suture. Angle Orthod. 1961;31:73\u201390."},{"key":"i0003-3219-88-6-702-b20","series-title":"J Orofac Orthop","first-page":"148","article-title":"Skeletally-anchored rapid maxillary expansion using the Dresden Distractor","volume":"68","author":"Hansen \n L,","year":"2007","unstructured":"Hansen \n L, \n \n \n Tausche \n E, \n \n \n Hietschold \n V, \n \n \n Hotan \n T, \n \n \n Lagrav\u00e9re \n M, \n \n \n Harzer \n W. \n \n \n Skeletally-anchored rapid maxillary expansion using the Dresden Distractor. J Orofac Orthop. 2007;68:148\u2013158."},{"key":"i0003-3219-88-6-702-b21","series-title":"Am J Orthod Dentofac Orthop","first-page":"S92","article-title":"Three-dimensional evaluation of surgically assisted implant bone-borne rapid maxillary expansion: a pilot study","volume":"131","author":"Tausche \n E,","year":"2007","unstructured":"Tausche \n E, \n \n \n Hansen \n L, \n \n \n Hietschold \n V, \n \n \n Lagrav\u00e8re \n MO, \n \n \n Harzer \n W. \n \n \n Three-dimensional evaluation of surgically assisted implant bone-borne rapid maxillary expansion: a pilot study. 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Am J Orthod Dentofac Orthop. 2006;129:749\u2013758."},{"key":"i0003-3219-88-6-702-b23","series-title":"Angle Orthod","first-page":"151","article-title":"Biological reaction of alveolar bone to orthodontic tooth movement","volume":"69","author":"Melsen \n B.","year":"1999","unstructured":"Melsen \n B. \n \n \n Biological reaction of alveolar bone to orthodontic tooth movement. Angle Orthod. 1999;69:151\u2013158."},{"key":"i0003-3219-88-6-702-b24","series-title":"Am J Orthod Dentofac Orthop","first-page":"117","article-title":"Morphologic changes of the palate after rapid maxillary expansion: a 3-dimensional computed tomography evaluation","volume":"134","author":"Phatouros \n A,","year":"2008","unstructured":"Phatouros \n A, \n \n \n Goonewardene \n MS. \n \n \n Morphologic changes of the palate after rapid maxillary expansion: a 3-dimensional computed tomography evaluation. 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Am J Orthod. 1982;81:108\u2013115."},{"key":"i0003-3219-88-6-702-b27","series-title":"Angle Orthod","first-page":"46","article-title":"Evaluation and comparison of root resorption between tooth-borne and tooth-tissue borne rapid maxillary expansion appliances: a CBCT study","volume":"86","author":"Dindaro\u011flu \n F,","year":"2016","unstructured":"Dindaro\u011flu \n F, \n \n \n Do\u011fan \n S. \n \n \n Evaluation and comparison of root resorption between tooth-borne and tooth-tissue borne rapid maxillary expansion appliances: a CBCT study. Angle Orthod. 2016;86:46\u201352."},{"key":"i0003-3219-88-6-702-b28","series-title":"Eur J Orthod","first-page":"264","article-title":"Surface resorption following two forms of rapid maxillary expansion","volume":"13","author":"Odenrick \n L,","year":"1991","unstructured":"Odenrick \n L, \n \n \n Karlander \n EL, \n \n \n Pierce \n A, \n \n \n Kretschmar \n U. \n \n \n Surface resorption following two forms of rapid maxillary expansion. Eur J Orthod. 1991;13:264\u2013270."},{"key":"i0003-3219-88-6-702-b01","series-title":"J Orofac Orthop","first-page":"148","article-title":"Skeletally-anchored rapid maxillary expansion using the Dresden Distractor","volume":"68","author":"Hansen \n L,","year":"2007","unstructured":"Hansen \n L, \n \n \n Tausche \n E, \n \n \n Hietschold \n V, \n \n \n Hotan \n T, \n \n \n Lagrav\u00e8re \n M, \n \n \n Harzer \n W. \n \n \n Skeletally-anchored rapid maxillary expansion using the Dresden Distractor. J Orofac Orthop. 2007;68:148\u2013158."},{"key":"i0003-3219-88-6-702-b02","series-title":"Angle Orthod","first-page":"1074","article-title":"Three-dimensional analysis of effects of rapid maxillary expansion on facial sutures and bones","volume":"83","author":"Bazargani \n F,","year":"2013","unstructured":"Bazargani \n F, \n \n \n Feldmann \n I, \n \n \n Bondemark \n L. \n \n \n Three-dimensional analysis of effects of rapid maxillary expansion on facial sutures and bones. Angle Orthod. 2013;83:1074\u20131082."},{"key":"i0003-3219-88-6-702-b03","series-title":"Angle Orthod","first-page":"548","article-title":"Rapid maxillary expansion\u2014tooth tissue-borne versus tooth-borne expanders: a computed tomography evaluation of dentoskeletal effects","volume":"75","author":"Garib \n DG,","year":"2005","unstructured":"Garib \n DG, \n \n \n Henriques \n JF, \n \n \n Janson \n G, \n \n \n Freitas \n MR, \n \n \n Coelho \n RA. \n \n \n Rapid maxillary expansion\u2014tooth tissue-borne versus tooth-borne expanders: a computed tomography evaluation of dentoskeletal effects. Angle Orthod. 2005;75:548\u2013557."},{"key":"i0003-3219-88-6-702-b04","series-title":"Am J Orthod Dentofacial Orthop","first-page":"428.e1","article-title":"Factors affecting buccal bone changes of maxillary posterior teeth after rapid maxillary expansion","volume":"132","author":"Rungcharassaeng \n K,","year":"2007","unstructured":"Rungcharassaeng \n K, \n \n \n Caruso \n JM, \n \n \n Kan \n JY, \n \n \n Kim \n J, \n \n \n Taylor \n G. \n \n \n Factors affecting buccal bone changes of maxillary posterior teeth after rapid maxillary expansion. 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Angle Orthod. 2012;82:448\u2013457."},{"key":"i0003-3219-88-6-702-b07","series-title":"Imaging Sci Dent","first-page":"85","article-title":"A cone-beam computed tomography evaluation of buccal bone thickness following maxillary expansion","volume":"43","author":"Akyalcin \n S,","year":"2013","unstructured":"Akyalcin \n S, \n \n \n Schaefer \n JS, \n \n \n English \n JD, \n \n \n Stephens \n CR, \n \n \n Winkelmann \n S. \n \n \n A cone-beam computed tomography evaluation of buccal bone thickness following maxillary expansion. Imaging Sci Dent. 2013;43:85\u201390."},{"key":"i0003-3219-88-6-702-b08","series-title":"Angle Orthod","first-page":"110","article-title":"de Deus Haughey M, Kulbersh R, Wine P, Kaczynski R. CBCT assessment of alveolar buccal bone level after RME","volume":"83","author":"Pangrazio-Kulbersh \n V,","year":"2013","unstructured":"Pangrazio-Kulbersh \n V, \n \n \n Jezdimir \n B, \n \n \n de Deus Haughey M, Kulbersh R, Wine P, Kaczynski R. CBCT assessment of alveolar buccal bone level after RME. Angle Orthod. 2013;83:110\u2013116."},{"key":"i0003-3219-88-6-702-b09","series-title":"Am J Orthod Dentofacial Orthop","first-page":"633","article-title":"Andriani Jda S, Ribeiro GL, Locks A, Correa M, Correa LR. Three-dimensional assessment of buccal alveolar bone after rapid and slow maxillary expansion: a clinical trial study","volume":"143","author":"Brunetto \n M,","year":"2013","unstructured":"Brunetto \n M, \n \n \n Andriani Jda S, Ribeiro GL, Locks A, Correa M, Correa LR. Three-dimensional assessment of buccal alveolar bone after rapid and slow maxillary expansion: a clinical trial study. Am J Orthod Dentofacial Orthop. 2013;143:633\u2013644."},{"key":"i0003-3219-88-6-702-b10","series-title":"Angle Orthod","first-page":"488","article-title":"Evaluation of root resorption following rapid maxillary expansion using cone-beam computed tomography","volume":"82","author":"Baysal \n A,","year":"2012","unstructured":"Baysal \n A, \n \n \n Karadede \n I, \n \n \n Hekimoglu \n S, \n \n et al. \n Evaluation of root resorption following rapid maxillary expansion using cone-beam computed tomography. Angle Orthod. 2012;82:488\u2013494."},{"issue":"suppl 1","key":"i0003-3219-88-6-702-b11","series-title":"Orthod Craniofac Res","first-page":"117","article-title":"Evaluation of three-dimensional root surface changes and resorption following rapid maxillary expansion: a cone beam computed tomography investigation","volume":"18","author":"Akyalcin \n S,","year":"2015","unstructured":"Akyalcin \n S, \n \n \n Alexander \n SP, \n \n \n Silva \n RM, \n \n \n English \n JD. \n \n \n Evaluation of three-dimensional root surface changes and resorption following rapid maxillary expansion: a cone beam computed tomography investigation. Orthod Craniofac Res. 2015;18(suppl 1):117\u2013126."},{"issue":"3","key":"i0003-3219-88-6-702-b12","series-title":"PLoS One","first-page":"e0150135","article-title":"Using micro-computed tomography to evaluate the dynamics of orthodontically induced root resorption repair in a rat model","volume":"11","author":"Xu \n X,","year":"2016","unstructured":"Xu \n X, \n \n \n Zhou \n J, \n \n \n Yang \n F, \n \n \n Wei \n S, \n \n \n Dai \n H. \n \n \n Using micro-computed tomography to evaluate the dynamics of orthodontically induced root resorption repair in a rat model. 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