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Effect of treatment of transverse maxillary deficiency using rapid palatal expansion on oral health-related quality of life in children: complementary results for a controlled clinical trial.
Marañón-Vásquez, Guido Artemio; de Andrade, Ana Carolina Dias Viana; Maia, Lucianne Cople; Dos Santos, Rogério Lacerda; Tanaka, Orlando Motohiro; Paranhos, Luiz Renato; Oliveira, Dauro Douglas; Pithon, Matheus Melo.
Afiliação
  • Marañón-Vásquez GA; Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Federal University of Rio de Janeiro, Rodolpho Paulo Rocco, 325 - Cidade Universitária da Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, 21941-617, Brazil. guido_amv@hotmail.com.
  • de Andrade ACDV; Department of Health II, School of Medicine, Southwest Bahia State University, Av. José Moreira Sobrinho, s/n, Jequiezinho, Jequié, BA, 45206190, Brazil.
  • Maia LC; Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Federal University of Rio de Janeiro, Rodolpho Paulo Rocco, 325 - Cidade Universitária da Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, 21941-617, Brazil.
  • Dos Santos RL; School of Dentistry, Federal University of Juiz de Fora, Rua. São Paulo, 745 - Centro, Gov., Valadares, MG, 35010-180, Brazil.
  • Tanaka OM; School of Life Sciences, Pontifical Catholic University of Paraná, Rua. Imac. Conceição, 1155 - Bloco 3 - 1º andar - Prado Velho, Bloco 9, Curitiba, PR, 80215- 182, Brazil.
  • Paranhos LR; Department of Preventive and Social Dentistry, Federal University of Uberlândia, Av. Pará, 1720 - Anexo B - Bairro Umuarama, Uberlândia, MG, 38405-320, Brazil.
  • Oliveira DD; School of Life Sciences, Pontifical Catholic University of Minas Gerais, Av. D. José Gaspar, 500 - Prédio 46 - Sala 101 - Coração Eucarístico, Belo Horizonte, MG, 30535901, Brazil.
  • Pithon MM; Department of Health I, School of Dentistry, Southwest Bahia State University, Av. José Moreira Sobrinho, s/n, Jequiezinho, Jequié, BA, 45206190, Brazil. matheuspithon@gmail.com.
Clin Oral Investig ; 28(10): 525, 2024 Sep 13.
Article em En | MEDLINE | ID: mdl-39269644
ABSTRACT

OBJECTIVE:

To evaluate the effect of rapid palatal expansion (RPE) using Haas-type expanders on children's oral health-related quality of life (OHRQOL) and compare said effect with that previously reported for the use of Hyrax-type expanders. MATERIALS AND

METHODS:

Forty participants aged 8-10 years with transverse maxillary deficiency were treated using Haas appliances. OHRQOL was measured using the CPQ8 - 10 before RPE, during RPE (T1), at the end of RPE (T2), and 1 month after appliance removal (T3). Generalized mixed models were fitted to assess the effect of the Haas-type expander compared to previously collected data (a nontreated and a Hyrax-type expander-treated group).

RESULTS:

RPE with Haas-type appliances had a negative impact on overall OHRQOL at T1 and T2 (P = 0.001), and a positive impact at T3 (P = 0.001). The Haas-type expander had a significantly greater negative impact on OHRQOL than the Hyrax-type appliance during RPE. At T1, overall scores using the Haas-type expander were 1.08 times the scores using the Hyrax-type expander (i.e., 8% increase; 95% CI, 1.01-1.17; P = 0.033). Patients using the Haas appliance had 1.24 times the scores of those using Hyrax-type devices for the oral symptoms domain at T1 (i.e., 24% increase; 95% CI, 1.06-1.46; P = 0.009).

CONCLUSIONS:

Correction of the transverse maxillary deficiency by RPE using the Haas appliance in children 8-10 years improves OHRQOL. The Haas- and Hyrax-type devices temporarily worsen OHRQOL during treatment, however, the negative impact is less with the Hyrax-type expander than with the Haas-type expander, because it causes fewer negative oral symptoms. CLINICAL RELEVANCE From a patient-centered perspective, the use of the Hyrax over the Haas appliance may be suggested as it causes less negative oral symptoms during use.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Qualidade de Vida / Técnica de Expansão Palatina Limite: Child / Female / Humans / Male Idioma: En Revista: Clin Oral Investig Assunto da revista: ODONTOLOGIA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Alemanha
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Qualidade de Vida / Técnica de Expansão Palatina Limite: Child / Female / Humans / Male Idioma: En Revista: Clin Oral Investig Assunto da revista: ODONTOLOGIA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Alemanha