{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T22:01:48Z","timestamp":1791237708173,"version":"4.1.0"},"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":[[2012,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To test the hypothesis that there were no differences in the skeletal and dental effects of banded vs bonded expanders when evaluated using cone beam computed tomography (CBCT).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>\n                      The experimental sample consisted of 23 patients: 13 (seven male, six female; mean age \u200a=\u200a 12.6 \u00b11.8\u00a0years) and 10 (five male, five female; mean age \u200a=\u200a 13.5 \u00b1 2.1\u00a0years) treated with banded and bonded maxillary expanders, respectively. CBCT images were taken at T1 (pretreatment) and T2 (immediately after expansion) to evaluate the changes in the naso-maxillary complex. Relationships between and within groups were assessed using analysis of variance. If the results were significant, post hoc\n                      <jats:italic>t<\/jats:italic>\n                      -tests were used to determine where the significant differences occurred.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Regardless of the appliance, the maxilla was expanded equally at the level of the canines and first and second premolars. At the level of the first molars, more dental tipping and alveolar bending were evident in the banded expander group. Both appliances equally increased the skeletal and soft tissue dimensions of the nasal cavity and maxillary sinus volume. The posterior airway volume did not significantly change with either method of expansion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The hypothesis was rejected. Both appliances expanded the maxilla similarly. However, in the banded group, more dental tipping and alveolar bending occurred at the level of the first molars. Maxillary expansion affected the palatal suture and demonstrated anterior and posterior skeletal widening of the nasal cavity, with corresponding soft tissue changes and increased airway volume.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2319\/072211-464.1","type":"journal-article","created":{"date-parts":[[2011,10,27]],"date-time":"2011-10-27T15:11:36Z","timestamp":1319728296000},"page":"448-457","source":"Crossref","is-referenced-by-count":79,"title":["Cone beam computed tomography evaluation of changes in the naso-maxillary complex associated with two types of maxillary expanders"],"prefix":"10.2319","volume":"82","author":[{"given":"Valmy","family":"Pangrazio-Kulbersh","sequence":"first","affiliation":[{"name":"Professor, Department of Orthodontics, University of Detroit Mercy, Detroit, Mich"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Wine","sequence":"additional","affiliation":[{"name":"Private Practice, Department of Orthodontics, University of Detroit Mercy, Mich"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariana","family":"Haughey","sequence":"additional","affiliation":[{"name":"Assistant Professor, Department of Orthodontics, University of Detroit Mercy, Detroit, Mich"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brynn","family":"Pajtas","sequence":"additional","affiliation":[{"name":"Private Practice, Department of Orthodontics, University of Detroit Mercy, Mich"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Kaczynski","sequence":"additional","affiliation":[{"name":"Assistant Professor, Department of Orthodontics, University of Detrait Meng, Mich"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1164","reference":[{"key":"i0003-3219-82-3-448-b01","series-title":"Am J Orthod Dentofacial Orthop","first-page":"8.e1","article-title":"Skeletal effects to the maxilla after rapid maxillary expansion assessed with cone-beam computed tomography.","volume":"134","author":"Garrett, B. 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The analysis of maxillary sinus aeration according to aging process; volume assessment by 3-dimensional reconstruction by high resolutional CT scanning.Otolaryngol Head Neck Surg2005. 132:429\u2013434."},{"key":"i0003-3219-82-3-448-b25","series-title":"Int J Pediatr Otorhinolaryngol","first-page":"103","article-title":"Changes of maxillary sinus volume and bony thickness of the paranasal sinuses in longstanding pediatric chronic rhinosinusitis.","volume":"72","author":"Kim, H. Y.","year":"2008","unstructured":"Kim, H. Y., M. B.Kim, H. J.Dhong, et al. Changes of maxillary sinus volume and bony thickness of the paranasal sinuses in longstanding pediatric chronic rhinosinusitis.Int J Pediatr Otorhinolaryngol2008. 72:103\u2013108."},{"key":"i0003-3219-82-3-448-b26","series-title":"J Can Dent Assoc","first-page":"75","article-title":"Clinical applications of cone-beam computed tomography in dental practice.","volume":"72","author":"Scarfe, W. C.","year":"2006","unstructured":"Scarfe, W. C., A. G.Farman, and P.Sukovic. Clinical applications of cone-beam computed tomography in dental practice.J Can Dent Assoc2006. 72:75\u201380."},{"key":"i0003-3219-82-3-448-b27","series-title":"Am J Orthod Dentofacial Orthop","first-page":"354","article-title":"Three-dimensional assessment of morphologic changes in the maxilla: a comparison of 2 kinds of palatal expanders.","volume":"126","author":"Oliveria, N. L.","year":"2004","unstructured":"Oliveria, N. L., A. C.Da Silveira, B.Kusnoto, and G.Viana. Three-dimensional assessment of morphologic changes in the maxilla: a comparison of 2 kinds of palatal expanders.Am J Orthod Dentofacial Orthop2004. 126:354\u2013362."},{"key":"i0003-3219-82-3-448-b28","series-title":"J Orthod","first-page":"282","article-title":"Three-dimensional cone beam computerized tomography in orthodontics.","volume":"32","author":"Kau, C. H.","year":"2005","unstructured":"Kau, C. H., S.Richmond, J. M.Palomo, and M. G.Hans. Three-dimensional cone beam computerized tomography in orthodontics.J Orthod2005. 32:282\u2013293."},{"key":"i0003-3219-82-3-448-b29","series-title":"Trans Eur Orthod Soc","first-page":"131","article-title":"Mid-palatal expansion studied by the implant method over a seven-year period.","volume":"40","author":"Krebs, A.","year":"1964","unstructured":"Krebs, A.\n          \n          Mid-palatal expansion studied by the implant method over a seven-year period.\n          Trans Eur Orthod Soc\n          1964. 40:131\u2013142."},{"key":"i0003-3219-82-3-448-b30","series-title":"Am J Orthod","first-page":"41","article-title":"Skeletal and dental changes accompanying rapid midpalatal suture opening.","volume":"58","author":"Wertz, R. A.","year":"1970","unstructured":"Wertz, R. 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High-resolution multislice computerized tomography with multiplanar and 3-dimensional reformation imaging in rapid palatal expansion.Am J Orthod Dentofacial Orthop2007. 131:776\u2013781."},{"key":"i0003-3219-82-3-448-b32","series-title":"J Oral Maxillofac Surg","first-page":"363","article-title":"Three-dimensional computed tomographic analysis of airway anatomy.","volume":"68","author":"Abramson, Z.","year":"2010","unstructured":"Abramson, Z., S.Susarla, J.Tagoni, and L.Kaban. Three-dimensional computed tomographic analysis of airway anatomy.J Oral Maxillofac Surg2010. 68:363\u2013371."},{"key":"i0003-3219-82-3-448-b33","series-title":"Am J Orthod Dentofacial Orthop","first-page":"370","article-title":"Relationship between rapid maxillary expansion and nasal cavity size and airway resistance: short and long term effects.","volume":"134","author":"De Felippe, N. L. O.","year":"2008","unstructured":"De Felippe, N. L. O., A. C.Da Silveira, G.Viana, B.Kusnoto, B.Smith, and C. A.Evans. 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R.Farrage, J. S.Kim, and G. D.Taylor. Skeletal effects to the maxilla after rapid maxillary expansion assessed with cone-beam computed tomography.Am J Orthod Dentofacial Orthop2008. 134:8.e1\u20138.e11."},{"key":"i0003-3219-82-3-448-b02","series-title":"Angle Orthod","first-page":"200","article-title":"The treatment of maxillary deficiency by opening of the mid-palatal suture.","volume":"65","author":"Haas, A. J.","year":"1965","unstructured":"Haas, A. J.\n          \n          The treatment of maxillary deficiency by opening of the mid-palatal suture.\n          Angle Orthod\n          1965. 65:200\u2013217."},{"key":"i0003-3219-82-3-448-b03","series-title":"Angle Orthod","first-page":"189","article-title":"Long term posttreatment evaluation of rapid palatal expansion.","volume":"50","author":"Haas, A. J.","year":"1980","unstructured":"Haas, A. 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Morphologic changes of the palate after rapid maxillary expansion: a 3-dimensional computed tomography evaluation.Am J Orthod Dentofacial Orthop2008. 1:117\u2013124."},{"key":"i0003-3219-82-3-448-b10","series-title":"Am J Orthod Dentofacial Orthop","first-page":"563","article-title":"Photographic analysis of facial changes associated with maxillary expansion.","volume":"116","author":"Berger, J. L.","year":"1999","unstructured":"Berger, J. L., V.Pangrazio-Kulbersh, B. W.Thomas, and R.Kaczynski. Photographic analysis of facial changes associated with maxillary expansion.Am J Orthod Dentofacial Orthop1999. 116:563\u2013571."},{"key":"i0003-3219-82-3-448-b11","series-title":"Am J Orthod Dentofacial Orthop","first-page":"e304","article-title":"Transverse, vertical and anteroposterior changes from bone-anchored maxillary expansion vs. traditional rapid maxillary expansion: a randomized clinical trial.","volume":"137","author":"Lagravere, M.","year":"2010","unstructured":"Lagravere, M., J.Carey, G.Heo, et al. Transverse, vertical and anteroposterior changes from bone-anchored maxillary expansion vs. traditional rapid maxillary expansion: a randomized clinical trial.Am J Orthod Dentofacial Orthop2010. 137:e304\u2013e312."},{"key":"i0003-3219-82-3-448-b12","series-title":"Orthodontic and Orthopedic Treatment in the Mixed Dentition","author":"McNamara\n              Jr, J. A.","year":"1993","unstructured":"McNamara\n              Jr, J. A. and W. L.Brudon. 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