{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T22:13:31Z","timestamp":1791238411003,"version":"4.1.0"},"reference-count":21,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,1]]},"abstract":"\n Objective:<\/jats:title>\n Connections between craniocervical posture (CCP) and changes in teeth position have already been demonstrated; however, the defined pathway of relationship is still not clear. The aim of this study was to evaluate CCP modifications after rapid maxillary expansion therapy using rapid palatal expansion therapy (REP)\/McNamara appliances.<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods:<\/jats:title>\n A consecutive series of 35 subjects, aged between 6 and 14 years, with no prior history of orthodontic treatment, and requiring skeletal expansion of the upper arch, were selected and analyzed. All patients were treated with REP or Mcnamara appliance: the active phase of 15 days and retaining phase of 6 months. Cephalometric analysis was carried out before (T0) and after (T1) orthodontic therapy evaluating changes in the craniofacial area and those related to CCP. The obtained data were statistically analyzed for the pre-post changes.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n No statistically significant difference emerged indicating a modification in the CCP measured at T0 and T1 (\n P<\/jats:italic>\n > 0.05). Patients treated with the McNamara appliance, compared to those treated with REP, showed a higher value of the angle OPT ^ Ver (\n P<\/jats:italic>\n = 0.021), and a lower measure of the angles CVT^EVT (\n P<\/jats:italic>\n = 0.035) and EVT^Ver (\n P<\/jats:italic>\n = 0.023). Furthermore, patients treated with REP showed a higher hyoid angle value than those treated with McNamara (\n P<\/jats:italic>\n = 0.047).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n This study did not reveal any relationship between the application of palatal expansion therapy and changes in CCP.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/jos.jos_128_21","type":"journal-article","created":{"date-parts":[[2022,5,4]],"date-time":"2022-05-04T01:34:30Z","timestamp":1651628070000},"page":"13","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":5,"title":["Cranio-cervical posture and rapid palatal expansion therapy"],"prefix":"10.4103","volume":"11","author":[{"given":"Emanuela","family":"Serritella","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandra","family":"Impellizzeri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ludovica","family":"Musone","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adriana Assunta","family":"De Stefano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Galluccio","family":"Gabriella","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-13-20240830","doi-asserted-by":"crossref","first-page":"15","DOI":"10.2334\/josnusd.46.15","article-title":"Investigation of natural head posture in different head types","volume":"46","author":"Akcam","year":"2004","journal-title":"J Oral Sci"},{"key":"R2-13-20240830","first-page":"317","article-title":"Prevalence of craniomandibular disorders in orthodontic pediatric population and possible interactions with anxiety and stress","volume":"19","author":"Romani","year":"2018","journal-title":"Eur J Paediatr Dent"},{"key":"R3-13-20240830","doi-asserted-by":"crossref","first-page":"e1","DOI":"10.1016\/j.ajodo.2010.10.021","article-title":"Cervical vertebral column morphology related to craniofacial morphology and head posture in preorthodontic children with Class II malocclusion and horizontal maxillary overjet","volume":"140","author":"Arntsen","year":"2011","journal-title":"Am J Orthod Dentofacial Orthop"},{"key":"R4-13-20240830","doi-asserted-by":"crossref","first-page":"144","DOI":"10.1179\/2151090315Y.0000000009","article-title":"Craniofacial asymmetry in non-syndromic orthodontic subjects: Clinical and postural evaluation","volume":"34","author":"Castellano","year":"2016","journal-title":"Cranio"},{"key":"R5-13-20240830","doi-asserted-by":"crossref","first-page":"283","DOI":"10.1080\/08869634.2016.1235254","article-title":"Relationship between craniocervical orientation and center of force of occlusion in adults","volume":"35","author":"Westersund","year":"2017","journal-title":"Cranio"},{"key":"R6-13-20240830","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1016\/j.ajodo.2014.09.015","article-title":"Influence of temporomandibular joint disc displacement on craniocervical posture and hyoid bone position","volume":"147","author":"An","year":"2015","journal-title":"Am J Orthod Dentofacial Orthop"},{"key":"R7-13-20240830","first-page":"e272","article-title":"Assessment of masticatory and cervical muscles\u2019 thickness by ultrasonography in patients with facial asymmetry","volume":"170","author":"Impellizzeri","year":"2019","journal-title":"Clin Ter"},{"key":"R8-13-20240830","doi-asserted-by":"crossref","first-page":"334","DOI":"10.2319\/052912-450.1","article-title":"Long-term skeletal and dental effects and treatment timing for functional appliances in Class II malocclusion","volume":"83","author":"Franchi","year":"2013","journal-title":"Angle Orthod"},{"key":"R9-13-20240830","doi-asserted-by":"crossref","first-page":"20","DOI":"10.2174\/1874210601408010020","article-title":"Evaluation of cervical posture following rapid maxillary expansion: A review of literature","volume":"8","author":"Ortu","year":"2014","journal-title":"Open Dent J"},{"key":"R10-13-20240830","doi-asserted-by":"crossref","first-page":"102","DOI":"10.2319\/031014-172.1","article-title":"Effect of rapid maxillary expansion on monosymptomatic primary nocturnal enuresis","volume":"85","author":"Al-Taai","year":"2015","journal-title":"Angle Orthod"},{"key":"R11-13-20240830","doi-asserted-by":"crossref","first-page":"651","DOI":"10.1093\/ejo\/cju100","article-title":"Effects of rapid maxillary expansion on the midpalatal suture: A systematic review","volume":"37","author":"Liu","year":"2015","journal-title":"Eur J Orthod"},{"key":"R12-13-20240830","doi-asserted-by":"crossref","first-page":"126","DOI":"10.1093\/ejo\/cji064","article-title":"Changes in natural head position observed immediately and one year after rapid maxillary expansion","volume":"28","author":"McGuinness","year":"2006","journal-title":"Eur J Orthod"},{"key":"R13-13-20240830","doi-asserted-by":"crossref","first-page":"19A","DOI":"10.1067\/mod.2003.69","article-title":"The cervical vertebral maturation method: Some need for clarification","volume":"123","author":"Baccetti","year":"2003","journal-title":"Am J Orthod Dentofacial Orthop"},{"key":"R14-13-20240830","doi-asserted-by":"crossref","first-page":"812","DOI":"10.1016\/0002-9416(48)90015-3","article-title":"Variations in facial relationships; Their significance in treatment and prognosis","volume":"34","author":"Downs","year":"1948","journal-title":"Am J Orthod"},{"key":"R15-13-20240830","doi-asserted-by":"crossref","first-page":"417","DOI":"10.1002\/ajpa.1330440306","article-title":"Head posture and craniofacial morphology","volume":"44","author":"Solow","year":"1976","journal-title":"Am J Phys Anthropol"},{"key":"R16-13-20240830","doi-asserted-by":"crossref","first-page":"254","DOI":"10.1093\/ejo\/9.1.254","article-title":"The relationship between craniofacial morphology, head posture and spinal curvature in 8, 11 and 15-year-old children","volume":"9","author":"Hellsing","year":"1987","journal-title":"Eur J Orthod"},{"key":"R17-13-20240830","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1080\/07345410.1983.11677834","article-title":"Biomechanical relationship of the cranial, cervical, and hyoid regions","volume":"1","author":"Rocabado","year":"1983","journal-title":"J Craniomandibular Pract"},{"key":"R18-13-20240830","doi-asserted-by":"crossref","first-page":"850","DOI":"10.2319\/112410-686.1","article-title":"Rapid maxillary expansion effects on dynamic measurement of natural head position","volume":"81","author":"Yagci","year":"2011","journal-title":"Angle Orthod"},{"key":"R19-13-20240830","first-page":"CD005520","article-title":"Oral appliances and functional orthopaedic appliances for obstructive sleep apnoea in children","volume":"10","author":"Carvalho","year":"2016","journal-title":"Cochrane Database Syst Rev"},{"key":"R20-13-20240830","first-page":"13","article-title":"Cranio-cervical posture and hyoid-mandibular-pharyngeal equilibrium in the presence of factors related to respiratory dysfunction","volume":"31","author":"Beugre","year":"2008","journal-title":"Odontostomatol Trop"},{"key":"R21-13-20240830","first-page":"171","article-title":"Changes in head posture after rapid maxillary expansion in mouth-breathing girls: A controlled study","volume":"75","author":"Tecco","year":"2005","journal-title":"Angle Orthod"}],"container-title":["Journal of Orthodontic Science"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jos.jos_128_21","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:53:37Z","timestamp":1787756017000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jos.jos_128_21"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1]]},"references-count":21,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.4103\/jos.jos_128_21","relation":{},"ISSN":["2278-1897"],"issn-type":[{"value":"2278-1897","type":"print"}],"subject":[],"published":{"date-parts":[[2022,1]]}}}