{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T18:12:47Z","timestamp":1790619167196,"version":"4.1.0"},"reference-count":74,"publisher":"The Angle Orthodontist (EH Angle Education & Research Foundation)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec id=\"st1\">\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate the impact of rapid maxillary expansion (RME) on the condylar position, disc joint, joint space, and interarticular relationship in growing patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"st2\">\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>A systematic search was performed in nine databases. The clinical studies selected included those with pre- and post-magnetic resonance, conventional computed tomography or cone beam tomography in growing patients. Risk of bias assessment was performed using the Cochrane Collaboration tool for controlled clinical studies and National Heart, Lung, and Blood Institute (NHLBI) Quality Assessment for Before-After Studies With No Control Group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"st3\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Initially, 4303 records were identified. Only eight studies fulfilled the criteria and were included in the qualitative analysis. Of those, two were controlled clinical studies with a risk of uncertain to high bias. The remaining papers had a low to moderate risk of bias. Results showed that RME in children and adolescents promoted the following: remodeling in the head and or condylar branch, changes in condylar position and joint space, maintenance of improved symmetry between the condyles, and no ability to modify the position or shape of the articular disc.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"st4\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>RME in growing patients is able, in the short term, to modify the condyle-fossa relationship but does not change the position or shape of the articular disc. The intercondylar symmetric relationship is maintained or improved. Although the NHLBI score shows low to moderate risk of bias, the clinical relevance of these review findings is limited by Cochrane and Grades of Recommendation, Assessment, Development and Evaluation scores.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2319\/080619-517.1","type":"journal-article","created":{"date-parts":[[2020,2,10]],"date-time":"2020-02-10T10:48:11Z","timestamp":1581331691000},"page":"442-456","source":"Crossref","is-referenced-by-count":18,"title":["Effects of rapid maxillary expansion on temporomandibular joints:"],"prefix":"10.2319","volume":"90","author":[{"given":"Darlyane","family":"Torres","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00e9ssica","family":"Lopes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcela Bara\u00fana","family":"Magno","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucianne","family":"Cople Maia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Normando","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patr\u00edcia Botelho","family":"Le\u00e3o","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1164","reference":[{"key":"i0003-3219-90-3-442-b01","series-title":"Am J Orthod Dentofacial Orthop","first-page":"567","article-title":"Maxillary transverse deficiency","volume":"117;","author":"McNamara","year":"2000","unstructured":"McNamara\n              JA.\n            \n          \n          Maxillary transverse deficiency.\n\t\t\t\t\tAm J Orthod Dentofacial 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Temporomandibular joint evaluation with magnetic resonance imaging in children with functional unilateral posterior crossbite, treated with rapid maxillary expansion.\n\t\t\t\t\tAm J Orthod Dentofacial Orthop.\n\t\t\t\t\t2009;\n\t\t\t\t\t136:\n\t\t\t\t\t207\u2013\n\t\t\t\t\t217."},{"key":"i0003-3219-90-3-442-b25","series-title":"R Dental Press Ortodon Ortop Facial Maring\u00e1","first-page":"161","article-title":"Evaluation with helicoidal computed tomography of rapid maxillary expansion effects in the condylar position of patients with functional posterior crossbite [in Portuguese)","volume":"14","author":"Matta","year":"2009","unstructured":"Matta\n              ENR,\n            \n            \n              Sousa\n              MMG,\n            \n            \n              Sant'anna\n              EF,\n            \n            \n              Silvia\n              SC.\n            \n          \n          Evaluation with helicoidal computed tomography of rapid maxillary expansion effects in the condylar position of patients with functional posterior crossbite [in Portuguese).\n\t\t\t\t\tR Dental Press Ortodon Ortop Facial Maring\u00e1.\n\t\t\t\t\t2009;\n\t\t\t\t\t14:\n\t\t\t\t\t161\u2013\n\t\t\t\t\t169."},{"key":"i0003-3219-90-3-442-b26","series-title":"Angle Orthod","first-page":"1040","article-title":"Condyle fossa relationship associated with functional posterior crossbite, before and after rapidmaxillary expansion","volume":"82","author":"Leonardi","year":"2012","unstructured":"Leonardi\n              R,\n            \n            \n              Caltabiano\n              M,\n            \n            \n              Cavallini\n              C,\n            \n            et al.\n\t\t\t\t\t\n          Condyle fossa relationship associated with functional posterior crossbite, before and after rapidmaxillary expansion.\n\t\t\t\t\tAngle Orthod.\n\t\t\t\t\t2012;\n\t\t\t\t\t82:\n\t\t\t\t\t1040\u2013\n\t\t\t\t\t1046."},{"key":"i0003-3219-90-3-442-b27","series-title":"Am J Orthod Dentofacial Orthop","first-page":"771","article-title":"Columbano Neto J, Jurach EM, Nojima Mda C, Nojima LI. Immediate changes in condylar position after rapid maxillary expansion","volume":"145","author":"Melga\u00e7o","year":"2014","unstructured":"Melga\u00e7o\n              CA,\n            \n          \n          Columbano Neto J, Jurach EM, Nojima Mda C, Nojima LI. Immediate changes in condylar position after rapid maxillary expansion.\n\t\t\t\t\tAm J Orthod Dentofacial Orthop.\n\t\t\t\t\t2014;\n\t\t\t\t\t145:\n\t\t\t\t\t771\u2013\n\t\t\t\t\t779."},{"key":"i0003-3219-90-3-442-b28","series-title":"Int Orthod","first-page":"342","article-title":"Condylar positional changes in rapid maxillary expansion assessed with cone-beam computertomography","volume":"14","author":"McLeod","year":"2016","unstructured":"McLeod\n              L,\n            \n            \n              Hern\u00e1ndez\n              IA,\n            \n            \n              Heo\n              G,\n            \n            \n              Lagrav\u00e8re\n              MO.\n            \n          \n          Condylar positional changes in rapid maxillary expansion assessed with cone-beam computertomography.\n\t\t\t\t\tInt Orthod.\n\t\t\t\t\t2016;\n\t\t\t\t\t14:\n\t\t\t\t\t342\u2013\n\t\t\t\t\t356."},{"key":"i0003-3219-90-3-442-b29","series-title":"J Contemp Dent Pract","first-page":"1189","article-title":"Effect of rapid maxillary expansion on condyle-fossa relationship in growing patients","volume":"19","author":"Ghoussoub","year":"2018","unstructured":"Ghoussoub\n              MS,\n            \n            \n              Garcia\n              R,\n            \n            \n              Sleilaty\n              G,\n            \n            \n              Rifai\n              K.\n            \n          \n          Effect of rapid maxillary expansion on condyle-fossa relationship in growing patients.\n\t\t\t\t\tJ Contemp Dent Pract.\n\t\t\t\t\t2018;\n\t\t\t\t\t19:\n\t\t\t\t\t1189\u2013\n\t\t\t\t\t1198."},{"key":"i0003-3219-90-3-442-b30","series-title":"Int J OralMaxillofac Surg","first-page":"1387","article-title":"Soft tissue assessment before and after mandibular advancement or setback surgery using three-dimensional images: systematic review and meta-analysis","volume":"47","author":"Lisboa","year":"2018","unstructured":"Lisboa\n              CO,\n            \n            \n              Martins\n              MM,\n            \n            \n              Ruellas\n              ACO,\n            \n            \n              Ferreira\n              DMTP,\n            \n            \n              Maia\n              LC,\n            \n            \n              Mattos\n              CT.\n            \n          \n          Soft tissue assessment before and after mandibular advancement or setback surgery using three-dimensional images: systematic review and meta-analysis.\n\t\t\t\t\tInt J OralMaxillofac Surg.\n\t\t\t\t\t2018;\n\t\t\t\t\t47:\n\t\t\t\t\t1387\u2013\n\t\t\t\t\t1397."},{"key":"i0003-3219-90-3-442-b31","series-title":"Angle Orthod","first-page":"1070","article-title":"Rapid maxillary expansion effects in Class II malocclusion: a systematic review","volume":"85","author":"Feres","year":"2015","unstructured":"Feres\n              MF,\n            \n            \n              Raza\n              H,\n            \n            \n              Alhadlaq\n              A,\n            \n            \n              El-Bialy\n              T.\n            \n          \n          Rapid maxillary expansion effects in Class II malocclusion: a systematic review.\n\t\t\t\t\tAngle Orthod.\n\t\t\t\t\t2015;\n\t\t\t\t\t85:\n\t\t\t\t\t1070\u2013\n\t\t\t\t\t1079."},{"key":"i0003-3219-90-3-442-b32","series-title":"Dental Press J Orthod","first-page":"101","article-title":"PowerPoint-based guide to assist in choosing the suitable statistical test","volume":"15","author":"Normando","year":"2010","unstructured":"Normando\n              D,\n            \n            \n              Tj\u00e4derhane\n              L,\n            \n            \n              Quint\u00e3o\n              CCA. 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Res","first-page":"235","article-title":"Temporomandibular joint adaptations following two-phase therapy: an MRI study","volume":"11","author":"Wadhawan","year":"2008","unstructured":"Wadhawan\n              N,\n            \n            \n              Kumar\n              S,\n            \n            \n              Kharbanda\n              OP,\n            \n            \n              Duggal\n              R,\n            \n            \n              Sharma\n              R.\n            \n          \n          Temporomandibular joint adaptations following two-phase therapy: an MRI study.\n\t\t\t\t\tOrthod Craniofac Res.\n\t\t\t\t\t2008;\n\t\t\t\t\t11:\n\t\t\t\t\t235\u2013\n\t\t\t\t\t250."},{"key":"i0003-3219-90-3-442-b35","series-title":"Dentomaxillofac Radiol","first-page":"347","article-title":"Effects of orthodontic treatment with fixed functional orthopaedic appliances on the disccondyle relationship in the temporomandibular joint: a magnetic resonance imaging study (Part 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Orthod.\n\t\t\t\t\t2007;\n\t\t\t\t\t77:\n\t\t\t\t\t442\u2013\n\t\t\t\t\t448."}],"container-title":["The Angle 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systematic review"],"short-title":[],"issued":{"date-parts":[[2020,5]]},"references-count":74,"journal-issue":{"issue":"3"},"URL":"https:\/\/doi.org\/10.2319\/080619-517.1","relation":{},"ISSN":["0003-3219"],"issn-type":[{"value":"0003-3219","type":"print"}],"subject":[],"published":{"date-parts":[[2020,5]]}}}