0485 Rapid Maxillary Expansion Comparing Two vs. Four-Band Appliances
M. DAVIDOVITCH, O. SARNE, A.D. VARDIMON, and S. EFSTATHIOU, Tel-Aviv University, Ramat Aviv - Tel Aviv, Israel

OBJECTIVES:Comparisson of skeletal and dental responses to two types of RME devices. METHODS:28 subjects ranging from 8-20 years of age suffering from maxillary transverse deficiency were randomly assigned to either the 2-or4-band RME treatment group. Radiographic and dental cast measurements were gathered at baseline (T0), at initiation (T1) and completion (T2) of RME therapy, and one year post-expansion (T3). RESULTS:At T2, the suture expansion was 2.5 greater, and arch perimeter 6 fold larger in the 4-band than the 2-band group. Suture area increased 3 times more in the 4-band group, however, a 6-fold greater increase in dental expansion was found in the 2-band group (T2). At T3, re-mineralization reduced the achieved suture opening by 75% while 95-99% of the dental reaction was maintained. The 2-band group demonstrated a significant inverse age-dependant correlation (r = -0.795), and lack of effect beyond age 12, while the 4-band group was found to be age-independent. Conclusions: the 4-band RPE is indicated when an anteriorly convering arch form occurs together with severe anterior crowding, while the 2-band RPE may be more appropriate in the mixed dentition when mild crowding occurs with posterior constriction.

Seq #48 - Craniofacial Biology
2:00 PM-3:30 PM, Saturday, 28 August 2004 Crowne Plaza Hotel SEDIR BALCONY V

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