{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T22:01:59Z","timestamp":1791237719410,"version":"4.1.0"},"reference-count":50,"publisher":"The Angle Orthodontist (EH Angle Education & Research Foundation)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,5]]},"abstract":"ABSTRACT<\/jats:title>\n \n Objectives<\/jats:title>\n To evaluate the long-term effects of mini-screw\u2013assisted rapid palatal expansion (MARPE), rapid palatal expansion (RPE), and controls on the nasal cavity with cone-beam computed tomography (CBCT).<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods<\/jats:title>\n A total of 180 CBCT scans that were part of a previous randomized trial were evaluated retrospectively for 60 patients at pretreatment (T1), postexpansion (T2), and posttreatment (T3). Patients were randomly assigned into 3 groups: MARPE, RPE, and controls (time period T1 to T3; MARPE: 2 years 8 months; RPE: 2 years 9 months; control: 2 years 7 months). Nasal height, nasal length, nasion\u2013ANS height, ANS\u2013PNS length, pyriform height, and nasal septal deviation angle were measured. The changes in alar width, alar base width, anterior nasal cavity width, posterior nasal cavity width, maxillary intermolar width, and maxillary intercanine width were also evaluated.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n The alar base width, posterior nasal cavity width, anterior nasal cavity width, maxillary intercanine width, and maxillary intermolar width significantly increased (\n P<\/jats:italic>\n < .05), and the nasal septal deviation angle significantly decreased (\n P<\/jats:italic>\n < .05) in both the MARPE and RPE groups as compared with controls in the short term. In the long term, the nasal septal deviation angle was significantly decreased (\n P<\/jats:italic>\n < .05) in the MARPE and RPE groups as compared with controls, and the posterior nasal cavity width was significantly increased (\n P<\/jats:italic>\n < .05) in the MARPE group compared with the RPE group and controls.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n MARPE and RPE led to a significant increase in the nasal cavity and alar base width compared with controls in the short term. In the long term, a significant increase was observed only in the posterior nasal cavity width with MARPE. Both MARPE and RPE led to a minimal decrease in nasal septal deviation angle in comparison with controls.<\/jats:p>\n <\/jats:sec>","DOI":"10.2319\/021221-122.1","type":"journal-article","created":{"date-parts":[[2021,12,29]],"date-time":"2021-12-29T10:44:41Z","timestamp":1640774681000},"page":"315-323","source":"Crossref","is-referenced-by-count":32,"title":["Long-term assessment of conventional and mini-screw\u2013assisted rapid palatal expansion on the nasal cavity"],"prefix":"10.2319","volume":"92","author":[{"given":"Shivam","family":"Mehta","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vaibhav","family":"Gandhi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manuel Lagravere","family":"Vich","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Veerasathpurush","family":"Allareddy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aditya","family":"Tadinada","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sumit","family":"Yadav","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1164","reference":[{"key":"i1945-7103-92-3-315-b01","series-title":"Am J Orthod","first-page":"491","article-title":"Posterior cross-bites in the deciduous and mixed dentitions","volume":"56","author":"Kutin","year":"1969","unstructured":"Kutin\n G,\n \n \n Hawes\n RR.\n \n \n Posterior cross-bites in the deciduous and mixed dentitions.\n\t\t\t\t\tAm J 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Otorhinolaryngol","first-page":"196","article-title":"Rapid maxillary expansion in mouth breathers: a short-term skeletal and soft-tissue effect on the nose","volume":"84","author":"Badreddine","year":"2018","unstructured":"Badreddine\n FR,\n \n \n Fujita\n RR,\n \n \n Alves\n F,\n \n \n Cappellette\n M\n Jr.\n \n \n Rapid maxillary expansion in mouth breathers: a short-term skeletal and soft-tissue effect on the nose.\n\t\t\t\t\tBraz J Otorhinolaryngol.\n\t\t\t\t\t2018;\n\t\t\t\t\t84:\n\t\t\t\t\t196\u2013\n\t\t\t\t\t205."},{"key":"i1945-7103-92-3-315-b10","series-title":"Braz J Otorhinolaryngol","first-page":"478","article-title":"Short-term evaluation of tegumentary changes of the nose in oral breathers undergoing rapid maxillary expansion","volume":"84","author":"Badreddine","year":"2018","unstructured":"Badreddine\n FR,\n \n \n Fujita\n RR,\n \n \n Cappellette\n M\n Jr.\n \n \n Short-term evaluation of tegumentary changes of the nose in oral breathers undergoing rapid maxillary 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deciduous and mixed dentitions.\n\t\t\t\t\tAm J Orthod.\n\t\t\t\t\t1969;\n\t\t\t\t\t56:\n\t\t\t\t\t491\u2013\n\t\t\t\t\t504."},{"key":"i1945-7103-92-3-315-b02","series-title":"Angle Orthod","first-page":"343","article-title":"Treatment timing for rapid maxillary expansion","volume":"71","author":"Baccetti","year":"2001","unstructured":"Baccetti\n T,\n \n \n Franchi\n L,\n \n \n Cameron\n CG,\n \n \n McNamara\n JA\n Jr.\n \n \n Treatment timing for rapid maxillary expansion.\n\t\t\t\t\tAngle Orthod.\n\t\t\t\t\t2001;\n\t\t\t\t\t71:\n\t\t\t\t\t343\u2013\n\t\t\t\t\t350."},{"key":"i1945-7103-92-3-315-b03","series-title":"Angle Orthod","first-page":"713","article-title":"Nonsurgical miniscrew-assisted rapid maxillary expansion results in acceptable stability in young adults","volume":"86","author":"Choi","year":"2016","unstructured":"Choi\n SH,\n \n \n Shi\n KK,\n \n \n Cha\n JY,\n \n \n Park\n YC,\n \n \n Lee\n KJ.\n \n \n Nonsurgical miniscrew-assisted rapid maxillary expansion results in acceptable stability in young adults.\n\t\t\t\t\tAngle Orthod.\n\t\t\t\t\t2016;\n\t\t\t\t\t86:\n\t\t\t\t\t713\u2013\n\t\t\t\t\t720."},{"key":"i1945-7103-92-3-315-b04","series-title":"Angle Orthod","first-page":"253","article-title":"Tooth-borne vs boneborne rapid maxillary expanders in late adolescence","volume":"85","author":"Lin","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 boneborne rapid maxillary expanders in late adolescence.\n\t\t\t\t\tAngle Orthod.\n\t\t\t\t\t2015;\n\t\t\t\t\t85:\n\t\t\t\t\t253\u2013\n\t\t\t\t\t262."},{"key":"i1945-7103-92-3-315-b05","series-title":"Am J Orthod Dentofacial Orthop","first-page":"97","article-title":"Periodontal, dentoalveolar, and skeletal effects of tooth-borne and tooth-bone-borne expansion appliances","volume":"148","author":"Gunyuz Toklu","year":"2015","unstructured":"Gunyuz Toklu\n M,\n \n \n Germec-Cakan\n D,\n \n \n Tozlu\n M.\n \n \n Periodontal, dentoalveolar, and skeletal effects of tooth-borne and tooth-bone-borne expansion appliances.\n\t\t\t\t\tAm J Orthod Dentofacial Orthop.\n\t\t\t\t\t2015;\n\t\t\t\t\t148:\n\t\t\t\t\t97\u2013\n\t\t\t\t\t109."},{"key":"i1945-7103-92-3-315-b06","series-title":"J Appl Oral Sci","first-page":"535","article-title":"Photographic assessment of nasal morphology following rapid maxillary expansion in children","volume":"19","author":"Silva Filho","year":"2011","unstructured":"Silva Filho\n OG,\n \n \n Lara\n TS,\n \n \n Ayub\n PV,\n \n \n Ohashi\n AS,\n \n \n Bertoz\n FA.\n \n \n Photographic assessment of nasal morphology following rapid maxillary expansion in children.\n\t\t\t\t\tJ Appl Oral Sci.\n\t\t\t\t\t2011;\n\t\t\t\t\t19:\n\t\t\t\t\t535\u2013\n\t\t\t\t\t543."},{"key":"i1945-7103-92-3-315-b07","series-title":"Angle Orthod","first-page":"995","article-title":"Changes in soft tissue nasal widths associated with rapid maxillary expansion in prepubertal and postpubertal subjects","volume":"80","author":"Johnson","year":"2010","unstructured":"Johnson\n BM,\n \n \n McNamara\n JA,\n \n \n Bandeen\n RL,\n \n \n Baccetti\n T.\n \n \n Changes in soft tissue nasal widths associated with rapid maxillary expansion in prepubertal and postpubertal subjects.\n\t\t\t\t\tAngle Orthod.\n\t\t\t\t\t2010;\n\t\t\t\t\t80:\n\t\t\t\t\t995\u2013\n\t\t\t\t\t1001."},{"key":"i1945-7103-92-3-315-b08","series-title":"Dental Press J Orthod","first-page":"157","article-title":"Evaluation of immediate soft tissue changes after rapid maxillary expansion","volume":"17","author":"Kim","year":"2012","unstructured":"Kim\n KB,\n \n \n Adams\n D,\n \n \n Araujo\n EA,\n \n \n Behrents\n RG.\n \n \n Evaluation of immediate soft tissue changes after rapid maxillary expansion.\n\t\t\t\t\tDental Press J Orthod.\n\t\t\t\t\t2012;\n\t\t\t\t\t17:\n\t\t\t\t\t157\u2013\n\t\t\t\t\t164."},{"key":"i1945-7103-92-3-315-b09","series-title":"Braz J Otorhinolaryngol","first-page":"196","article-title":"Rapid maxillary expansion in mouth breathers: a short-term skeletal and soft-tissue effect on the nose","volume":"84","author":"Badreddine","year":"2018","unstructured":"Badreddine\n FR,\n \n \n Fujita\n RR,\n \n \n Alves\n F,\n \n \n Cappellette\n M\n Jr.\n \n \n Rapid maxillary expansion in mouth breathers: a short-term skeletal and soft-tissue effect on the nose.\n\t\t\t\t\tBraz J Otorhinolaryngol.\n\t\t\t\t\t2018;\n\t\t\t\t\t84:\n\t\t\t\t\t196\u2013\n\t\t\t\t\t205."},{"key":"i1945-7103-92-3-315-b10","series-title":"Braz J Otorhinolaryngol","first-page":"478","article-title":"Short-term evaluation of tegumentary changes of the nose in oral breathers undergoing rapid maxillary expansion","volume":"84","author":"Badreddine","year":"2018","unstructured":"Badreddine\n FR,\n \n \n Fujita\n RR,\n \n \n Cappellette\n M\n Jr.\n \n \n Short-term evaluation of tegumentary changes of the nose in oral breathers undergoing rapid maxillary 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