{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T09:58:36Z","timestamp":1780480716377,"version":"3.54.1"},"reference-count":70,"publisher":"The Angle Orthodontist (EH Angle Education & Research Foundation)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,5]]},"abstract":"ABSTRACT<\/jats:title>\n \n Objectives<\/jats:title>\n To compare the changes of palatal volume and area in patients treated with tooth-tissue-borne palatal expanders (conventional Haas) and miniscrew-supported palatal expanders (modified Haas).<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods<\/jats:title>\n \n The sample included casts of 22 patients treated as part of a clinical study at the Department of Orthodontics, Al-Azhar University, to correct their crossbite malocclusion. Patients were divided equally into two groups upon arrival. The first group, with a mean age of 12 years and 6 months, received the miniscrew-supported palatal expander. The second group, with a mean age of 12 years and 2 months, received the Haas design-palatal expansion appliance. Pre- and post-expansion dental casts were cone beam computed tomography scanned and the slices were constructed into 3D volumes. Fully automated superimposition was done for pre- and post-expansion 3D models. Palatal volume and area were determined, and all measurements were carried out blindly. Paired\n t<\/jats:italic>\n -test was used to assess the mean differences within each group and Welch's\n t<\/jats:italic>\n -test was applied to assess the mean changes between the two groups. Shapiro-Wilk test was used to test for the normality of the data.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n There were no statistical differences in volume changes either within each group or between the groups. Although area changes were statistically significant within each group, the difference between the groups was not significant.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Changes that result from the use of either method to expand the upper arch occur primarily in the shape of the palate, but not in its size.<\/jats:p>\n <\/jats:sec>","DOI":"10.2319\/040922-278.1","type":"journal-article","created":{"date-parts":[[2023,1,31]],"date-time":"2023-01-31T09:27:34Z","timestamp":1675157254000},"page":"282-288","source":"Crossref","is-referenced-by-count":3,"title":["Comparison of palatal volume and surface changes between bone-borne and tooth-tissue-borne maxillary expansion on cone beam computed tomography digital cast models"],"prefix":"10.2319","volume":"93","author":[{"given":"Reham","family":"Abdelsalam","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ludovica","family":"Nucci","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rossella","family":"Carrino","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shereef","family":"Shahen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fatma","family":"Abdelaziz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fady","family":"Fahim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Letizia","family":"Perillo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1164","reference":[{"key":"i0003-3219-93-3-282-b01","series-title":"Angle 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Lee\n K-J,\n \n \n Cha\n J-Y,\n \n \n Tahk\n JH,\n \n \n Choi\n YJ.\n \n \n Skeletal and dentoalveolar changes after miniscrew-assisted rapid palatal expansion in young adults: a cone-beam computed tomography study.\n\t\t\t\t\tKorean J Orthod.\n\t\t\t\t\t2017;47:77\u201386."},{"key":"i0003-3219-93-3-282-b04","series-title":"Am J Orthod Dentofacial Orthop","first-page":"749","article-title":"Periodontal effects of rapid maxillary expansion with tooth-tissue-borne and tooth-borne expanders: a computed tomography evaluation","volume":"129","author":"Garib","year":"2006","unstructured":"Garib\n DG,\n \n \n Henriques\n JF,\n \n \n Janson\n G,\n \n \n De Freitas\n MR,\n \n \n Fernandes\n AY.\n \n \n Periodontal effects of rapid maxillary expansion with tooth-tissue-borne and tooth-borne expanders: a computed tomography evaluation.\n\t\t\t\t\tAm J Orthod Dentofacial Orthop2006;129:749\u2013758."},{"key":"i0003-3219-93-3-282-b05","series-title":"World J Orthod","first-page":"323","article-title":"Application and effectiveness of a mini-implant- and tooth-borne rapid palatal expansion device: the hybrid hyrax","volume":"11","author":"Wilmes","year":"2010","unstructured":"Wilmes\n B,\n \n \n Nienkemper\n M,\n \n \n Drescher\n D.\n \n \n Application and effectiveness of a mini-implant- and tooth-borne rapid palatal expansion device: the hybrid hyrax.\n\t\t\t\t\tWorld J Orthod.\n\t\t\t\t\t2010;11:323\u2013330."},{"key":"i0003-3219-93-3-282-b06","series-title":"Am J Orthod Dentofacial Orthop","first-page":"e1","article-title":"Skeletal effects to the maxilla after rapid maxillary expansion assessed with cone-beam computed tomography","volume":"134","author":"Garrett","year":"2008","unstructured":"Garrett\n BJ,\n \n \n Caruso\n JM,\n \n \n Rungcharassaeng\n K,\n \n \n Farrage\n JR,\n \n \n Kim\n JS,\n \n \n Taylor\n GD.\n \n \n Skeletal effects to the maxilla after rapid maxillary expansion assessed with cone-beam computed 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A systematic review with meta-analysis","volume":"20","author":"Kr\u00fcsi","year":"2019","unstructured":"Kr\u00fcsi\n M,\n \n \n Eliades\n T,\n \n \n Papageorgiou\n SN.\n \n \n Are there benefits from using bone-borne maxillary expansion instead of tooth-borne maxillary expansion? 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analysis","volume":"17","author":"Mathew","year":"2016","unstructured":"Mathew\n A,\n \n \n Nagachandran\n K,\n \n \n Vijayalakshmi\n D.\n \n \n Stress and displacement pattern evaluation using two different palatal expanders in unilateral cleft lip and palate: a three-dimensional finite element analysis.\n\t\t\t\t\tProg Orthod.\n\t\t\t\t\t2016;17:38."},{"key":"i0003-3219-93-3-282-b13","series-title":"Biomed Eng Online","first-page":"49","article-title":"Possibility of reconstruction of dental plaster cast from 3D digital study models","volume":"12","author":"Kasparova","year":"2013","unstructured":"Kasparova\n M,\n \n \n Grafova\n L,\n \n \n Dvorak\n P,\n \n et al.\n\t\t\t\t\t\n Possibility of reconstruction of dental plaster cast from 3D digital study models.\n\t\t\t\t\tBiomed Eng Online.\n\t\t\t\t\t2013;12:49."},{"key":"i0003-3219-93-3-282-b14","series-title":"Am J Orthod Dentofacial Orthop","first-page":"619","article-title":"Assessment of the accuracy and reliability of new 3-dimensional scanning devices","volume":"144","author":"Hayashi","year":"2013","unstructured":"Hayashi\n K,\n \n \n Sachdeva\n AU,\n \n \n Saitoh\n S,\n \n \n Lee\n S-P,\n \n \n Kubota\n T,\n \n \n Mizoguchi\n I.\n \n \n Assessment of the accuracy and reliability of new 3-dimensional scanning devices.\n\t\t\t\t\tAm J Orthod Dentofacial Orthop.\n\t\t\t\t\t2013;144:619\u2013625."},{"key":"i0003-3219-93-3-282-b15","series-title":"Eur J Orthod","first-page":"22","article-title":"Reliability and validity of measurements on digital study models and plaster models","volume":"38","author":"Reuschl","year":"2016","unstructured":"Reuschl\n RP,\n \n \n Heuer\n W,\n \n \n Stiesch\n M,\n \n \n Wenzel\n D,\n \n \n Dittmer\n MP.\n \n \n Reliability and validity of measurements on digital study models and plaster models.\n\t\t\t\t\tEur J Orthod.\n\t\t\t\t\t2016;38:22\u201326."},{"key":"i0003-3219-93-3-282-b16","series-title":"Angle Orthod","first-page":"632","article-title":"Three-dimensional 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influence of anterior crossbite on the palate in deciduous dentition","volume":"20","author":"Kato","year":"2010","unstructured":"Kato\n M,\n \n \n Ito\n M,\n \n \n Niito\n T,\n \n \n Kato\n E,\n \n \n Ishikawa\n H,\n \n \n Daito\n M.\n \n \n Three dimensional measurements of the palate using a semiconductor laser: the influence of anterior crossbite on the palate in deciduous dentition.\n\t\t\t\t\tPediatric Dental Journal.\n\t\t\t\t\t2010;20:40\u201344."},{"key":"i0003-3219-93-3-282-b19","series-title":"Am J Orthod Dentofacial Orthop","first-page":"e135","article-title":"Impaction of maxillary canines and its effect on the position of adjacent teeth and canine development: a cone-beam computed tomography study","volume":"159","author":"Dekel","year":"2021","unstructured":"Dekel\n E,\n \n \n Nucci\n L,\n \n \n Weill\n T,\n \n et al.\n\t\t\t\t\t\n Impaction of maxillary canines and its effect on the position of adjacent teeth and canine development: a cone-beam computed tomography 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mechanotherapy in growing patients","volume":"49","year":"2019","unstructured":"Kim k, Doyle R, Ara\u00fajo E, Behrents R, Oliver D, Thiesen G.\n\t\t\t\t\tLong-term stability of maxillary and mandibular arch dimensions when using rapid palatal expansion and edgewise mechanotherapy in growing patients.\n\t\t\t\t\tKorean J Orthod.\n\t\t\t\t\t2019;49:89\u201396."},{"key":"i0003-3219-93-3-282-b31","series-title":"Am J Orthod Dentofacial Orthop","first-page":"477","article-title":"Three-dimensional computed tomography comparison of the maxillary palatal vault between patients with rapid palatal expansion and orthodontically treated controls","volume":"138","author":"Gohl","year":"2010","unstructured":"Gohl\n E,\n \n \n Nguyen\n M,\n \n \n Enciso\n R.\n \n \n Three-dimensional computed tomography comparison of the maxillary palatal vault between patients with rapid palatal expansion and orthodontically treated controls.\n\t\t\t\t\tAm J Orthod Dentofacial 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Dent Oral Biol and Craniofacial Res.","author":"Alizadeh","year":"2020","unstructured":"Alizadeh\n VS,\n \n \n Nucci\n L,\n \n \n Farahmand\n M,\n \n et al.\n\t\t\t\t\t\n Hard and soft tissue changes in patients with borderline class III malocclusion after maxillary advancement or mandibular setback surgery: a cross-sectional study. Dent Oral Biol and Craniofacial Res.\n 2020;\n\t\t\t\t\t3:3\u20136."},{"key":"i0003-3219-93-3-282-b33","series-title":"Prog Orthod","first-page":"35","article-title":"Three-dimensional assessment of airway volumes in patients with unilateral cleft lip and palate","volume":"22","author":"Kiaee","year":"2021","unstructured":"Kiaee\n B,\n \n \n Nucci\n L,\n \n \n Sarkarat\n F,\n \n et al.\n\t\t\t\t\t\n Three-dimensional assessment of airway volumes in patients with unilateral cleft lip and palate.\n\t\t\t\t\tProg Orthod.\n\t\t\t\t\t2021;22:35."},{"key":"i0003-3219-93-3-282-b34","series-title":"OHDM","first-page":"1124","article-title":"Comparison of measurements made on plaster and CBCT-scanned models","volume":"13","author":"Lee","year":"2014","unstructured":"Lee\n JT,\n \n \n Cangialosi\n TJ.\n \n \n Comparison of measurements made on plaster and CBCT-scanned models.\n\t\t\t\t\tOHDM.\n\t\t\t\t\t2014;13:1124\u20131130."},{"key":"i0003-3219-93-3-282-b35","series-title":"Prog Orthod","first-page":"47","article-title":"United Reference Method for three-dimensional treatment evaluation","volume":"19","author":"Shahen","year":"2018","unstructured":"Shahen\n S,\n \n \n Lagrav\u00e8re\n MO,\n \n \n Carrino\n G,\n \n et al.\n\t\t\t\t\t\n United Reference Method for three-dimensional treatment evaluation.\n\t\t\t\t\tProg Orthod.\n\t\t\t\t\t2018;19:47."}],"container-title":["The Angle Orthodontist"],"original-title":[],"link":[{"URL":"https:\/\/angle-orthodontist.kglmeridian.com\/view\/journals\/angl\/93\/3\/article-p282.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/meridian.allenpress.com\/angle-orthodontist\/article-pdf\/93\/3\/282\/3206803\/i0003-3219-93-3-282.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/angle-orthodontist.kglmeridian.com\/downloadpdf\/journals\/angl\/93\/3\/article-p282.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/angle-orthodontist.kglmeridian.com\/downloadpdf\/journals\/angl\/93\/3\/article-p282.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T14:29:22Z","timestamp":1780064962000},"score":1,"resource":{"primary":{"URL":"https:\/\/angle-orthodontist.kglmeridian.com\/view\/journals\/angl\/93\/3\/article-p282.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5]]},"references-count":70,"journal-issue":{"issue":"3"},"URL":"https:\/\/doi.org\/10.2319\/040922-278.1","relation":{},"ISSN":["1945-7103","0003-3219"],"issn-type":[{"value":"1945-7103","type":"electronic"},{"value":"0003-3219","type":"print"}],"subject":[],"published":{"date-parts":[[2023,5]]}}}