Table 1. .
Author and Year |
Sample and Age |
Malocclusion Class |
Need for Expansion |
Expander Device |
Activation Protocol |
Measurement Type |
Interest Outcome |
Arat et al. (2008)22 | 18 patients | NA | Unilateral or bilateral posterior crossbite | Haas | Magnetic Resonance Imaging | RME promotes remodeling in the head and / or condylar branch. | |
(9.75–14.8 years) | 2/4 turn/d until overcorrection | •Condylar remodeling | |||||
•At the beginning of the treatment, 6 and 18 weeks after the activations | |||||||
Arat et al. (2008)23 | 18 patients | NA | Unilateral or bilateral posterior crossbite | Haas | 2/4 turn/d until overcorrection | Magnetic Resonance Imaging | RME does not change the position of the articular disc. |
(9.75–14.8 years) | •Positioning of the articular disc | ||||||
•At the beginning of the treatment and 18 weeks after the activations | |||||||
Masi et al. (2009)24 | 30 patients | I, II, or III | FUPC | Haas | 1 turn/d until overcorrection | Magnetic Resonance Imaging | RME does not change the position of the articular disc. |
(6.8–14.2 years) | •Positioning and shape of the articular disc | ||||||
•At the beginning of the treatment, 12 and 18 weeks after the activations | |||||||
Matta et al. (2009)25 | 10 patients | I | FUPC | Haas | 2/4 turn/d until overcorrection | RME altered the condylar position and joint space, promoting greater spatial symmetry between the crossed and non-crossed sides. | |
(7.2–11.2 years) | Conventional tomography | ||||||
•Condylar position and joint space | |||||||
•At the beginning of the treatment and 12 weeks after the activations | |||||||
Leonardi et al. (2012)26 | 39 patients | I | Group 1: 26 patients | Hyrax | 3/4 turn for up to 18 days | Conventional tomography | RME promoted an increase of the joint spaces maintaining the symmetry of the condyle-fossa joint relationship. |
(8.2–11.6 years) | 26 patients | •Conventional tomography | |||||
Maxillary constriction with FUPC | •At the beginning of treatment and at the end of activations | ||||||
Group 2: | |||||||
13 patients | |||||||
Palatine displaced canine without FUPC | |||||||
Melgaço et al. (2014)27 | 34 patients | I | Maxillary constriction without posterior crossbite | Haas and Hyrax | Cone-beam tomography | RME induces a change in condylar position, down and forward symmetrically on both sides, without generating asymmetry. | |
(average age of 12 years and 10 months for girls and 13 years for boys) | 1 full turn on the first day and 2/4 turn in the next 6 days | •Condilar position | |||||
•At the beginning of treatment and 12 weeks after activations | |||||||
Mcleod et al. (2016)28 | 37 patients | NA | Group 1: | Hyrax | 2/4 turn/d until overcorrection | Cone-beam tomography | RME does not alter the condylar position in the glenoid cavity. |
(11–17 years) | 19 patients | •Glenoid fossa and joint space | |||||
Maxillary constriction with FUPC | •At the beginning of treatment and 24 weeks after activations | ||||||
Group 2: | |||||||
18 patients | |||||||
With delayed treatment | |||||||
Ghoussoub et al. (2018)29 | 27 patients | NA | Group 1: | Hyrax | 2/4 turn/d until overcorrection | Cone-beam tomography | RME is effective during growth, widening the interglenoid fossa distance and the lateral positions of the condyles. |
(8–13 years) | 18 patients | •Condyllar position and glenoid fossa | |||||
Maxillary constriction with BPC | •At the beginning of treatment and 24 weeks after activations | ||||||
Group 2: | |||||||
9 patients | |||||||
With delayed treatment |
NA indicates not available; FUPC, functional unilateral posterior crossbite; BPC, bilateral posterior crossbite; RME, rapid maxillary expansion.