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Comparison of mini-screw-assisted rapid maxillary expansion in adolescents with different body mass indices: a prospective clinical study


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Figure 1

Mini-screw-assisted rapid maxillary expansion.
Mini-screw-assisted rapid maxillary expansion.

Figure 2

(1) SNA, (2) SNB, (3) ANB, (4) gonial angle, (5) SN/GoMe, (6) FMA, (7) FMIA, (8) IMPA, (9) U1/SN, (10) nasolabial angle, (11) Z angle.
(1) SNA, (2) SNB, (3) ANB, (4) gonial angle, (5) SN/GoMe, (6) FMA, (7) FMIA, (8) IMPA, (9) U1/SN, (10) nasolabial angle, (11) Z angle.

Figure 3

(1) Wits appraisal, (2) total anterior facial height, (3) lower anterior facial height, (4) U6/PP, (5) L6/MP.
(1) Wits appraisal, (2) total anterior facial height, (3) lower anterior facial height, (4) U6/PP, (5) L6/MP.

Figure 4

(1) Bizygomatic width, (2) lateronasal width, (3) maxillomandibulare width, (4) maxillare width.
(1) Bizygomatic width, (2) lateronasal width, (3) maxillomandibulare width, (4) maxillare width.

Figure 5

(1) Intercanine width, (2) palatal area, (3) intermolar width.
(1) Intercanine width, (2) palatal area, (3) intermolar width.

Figure 6

(1) Intercanine width, (2) intermolar width.
(1) Intercanine width, (2) intermolar width.

Comparison of initial (T0) lateral cephalometric between groups.

Parameters Normal weightMean (SD) Overweight obeseMean (SD) P Value
Lateral cephalometric variables
  SNA (°) 80.16 (4.40) 80.49 (4.62) 0.872a
  SNB (°) 76.79 (4.17) 77.33 (3.24) 0.750a
  ANB (°) 3.37 (1.62) 3.15 (3.18) 0.848a
  Gonial angle (°) 129.21 (6.28) 127.91 (8.13) 0.694a
  SN_GoMe (°) 37.23 (4.32) 37.02 (3.81) 0.909a
  FMA (°) 28.85 (5.47) 25.37 (5.33) 0.167a
  FMIA (°) 61.05 (6.93) 62.53 (7.85) 0.660a
  IMPA (°) 90.11 (4.67) 92.12 (7.83) 0.495a
  U1/SN (°) 100.71 (7.52) 102.76 (3.57) 0.446a
  Nasolabial angle (°) 113.74 (8.41) 106.87 (14.43) 0.210a
  Z angle (°) 87.47 (5.72) 93.41 (7.15) 0.055a
  Wits (mm) −0.84 (2.89) −0.89 (4.33) 0.976a
  Total anterior facial height (mm) 108.61 (4.80) 112.43 (5.05) 0.100a
  Lower anterior facial height (mm) 61.45 (4.23) 64.22 (4.48) 0.172a
  U6/PP (mm) 20.54 (1.92) 22.25 (1.73) 0.051a
  L6/PP (mm) 26.90 (1.87) 27.73 (1.53) 0.292a

P-A cephalometric variables
  Bizygomatic width (mm) 116.06 (4.38) 116.70 (3.78) 0.731a
  Lateronasal width (mm) 29.50 (2.39) 27.96 (2.68) 0.212b
  Maxillomandibulare width (mm) 76.04 (4.39) 75.03 (5.20) 0.645a
  Maxillary width (mm) 58.19 (4.75) 57.67 (3.46) 0.783a

3D model measurement
  Upper intercanine width (mm) 31.46(2.27) 32.81 (2.36) 0.207b
  Upper intermolar width (mm) 48.44 (3.15) 48.72 (2.98) 0.840a
  Palatal area (mm2) 1302.67 (147.84) 1271.10 (120.52) 0.607a
  Lower intercanine width (mm) 25.39 (2.61) 26.16 (1.57) 0.436a
  Lower intermolar width (mm) 47.08 (2.82) 47.07 (2.83) 0.995a

Changes (T1-T0) in Normal weight and overweight-obese groups.

Normal weight Overweight obese


Parameters T0Mean (SD) T1Mean (SD) P Value T0Mean (SD) T1Mean (SD) P Value
Lateral cephalometric variables
  SNA (°) 80.16 (4.40) 80.67 (4.10) 0.258a 80.49 (4.62) 80.53 (4.37) 0.912 a
  SNB (°) 76.79 (4.17) 76.48 (4.29) 0.285b 77.33 (3.24) 77.48 (3.31) 0.630a
  ANB (°) 3.37 (1.62) 4.18 (1.62) 0.024a 3.15 (3.18) 3.07 (2.90) 0.756b
  Gonial angle (°) 129.21 (6.28) 128.90 (7.09) 0.763a 127.91 (8.13) 129.04 (8.11) 0.040a
  SN_GoMe (°) 37.23 (4.32) 38.10 (4.32) 0.080a 37.02 (3.81) 37.43 (4.23) 0.429a
  FMA (°) 28.85 (5.47) 29.77 (6.60) 0.351a 25.37 (5.33) 25.01 (4.97) 0.417a
  FMIA (°) 61.05 (6.93) 60.49 (8.70) 0.624a 62.53 (7.85) 63.35 (5.96) 0.386b
  IMPA (°) 90.11 (4.67) 89.74 (3.57) 0.679a 92.12 (7.83) 91.64 (6.11) 0.542a
  U1/SN (°) 100.71 (7.52) 101.60 (8.68) 0.486a 102.76 (3.57) 102.80 (2.16) 0.973b
  Nasolabial angle (°) 113.74 (8.41) 112.44 (10.30) 0.530a 106.87 (14.43) 110.96 (12.44) 0.003a
  Z angle (°) 87.47 (5.72) 84.29 (8.00) 0.045a 93.41 (7.15) 93.61 (5.88) 0.826a
  Wits (mm) −0.84 (2.89) 0.03 (1.2.89) 0.022a −0.89 (4.33) −1.30 (4.27) 0.184a
  Total anterior facial height (mm) 108.61 (4.80) 110.15 (5.12) 0.005a 112.43 (5.05) 113.50 (4.22) 0.096a
  Lower anterior facial height (mm) 61.45 (4.23) 63.09 (4.76) 0.004a 64.22 (4.48) 64.88 (4.14) 0.188a
  U6/PP (mm) 20.54 (1.92) 20.11 (2.59) 0.259a 22.25 (1.73) 21.96 (2.40) 0.439a
  L6/PP (mm) 26.90 (1.87) 27.06 (2.14) 0.630a 27.73 (1.53) 27.97 (1.34) 0.254a

P-A cephalometric variables
  Bizygomatic width (mm) 116.06 (4.38) 116.59 (3.85) 0.239a 116.70 (3.78) 117.26 (3.21) 0.059a
  Lateronasal width (mm) 29.50 (2.39) 29.94 (2.18) 0.182b 27.96 (2.68) 29.68 (2.25) <0.001a
  Maxillomandibulare width (mm) 76.04 (4.39) 75.64 (3.61) 0.497a 75.03 (5.20) 76.03 (4.38) 0.136a
  Maxillary width (mm) 58.19 (4.75) 59.02 (3.58) 0.266a 57.67 (3.46) 59.99 (3.57) 0.002a

3D model measurements
  Upper intercanine width (mm) 31.46 (2.27) 35.05 (2.49) <0.001a 32.81 (2.36) 35.65 (2.08) <0.001a
  Upper intermolar width (mm) 48.44 (3.15) 54.05 (2.06) <0.001a 48.72 (2.98) 54.46 (2.70) <0.001a
  Palatal area (mm2) 1302.67 (147.84) 1570.21 (167.13) 0.001a 1271.10 (120.52) 1640.73 (139.00) <0.001a
  Lower intercanine width (mm) 25.39 (2.61) 25.78 (2.43) 0.156a 26.16 (1.57) 26.67 (1.60) 0.097b
  Lower intermolar width (mm) 47.08 (2.82) 47.30 (2.83) 0.621a 47.07 (2.83) 47.14 (3.41) 0.851a

Comparison of evaluated parameter changes (T1–T0) between groups.

Parameters Normal weightMean (SD) Overweight obeseMean (SD) P Value
Lateral cephalometric variables
  SNA (°) 0.51 (1.33) 0.04 (1.11) 0.403a
  SNB (°) −0.31 (0.86) 0.15 (0.95) 0.272a
  ANB (°) 0.81 (0.94) −0.08 (0.79) 0.068b
  Gonial angle (°) −0.31 (3.16) 1.13 (1.49) 0.208a
  SN_GoMe (°) 0.87 (1.39) 0.41 (1.57) 0.497a
  FMA (°) 0.92 (2.96) −0.36 (1.34) 0.112b
  FMIA (°) −0.56 (3.49) 0.82 (2.74) 0.339a
  IMPA (°) −0.37 (2.73) −0.48 (2.39) 0.925a
  U1/SN (°) 0.89 (3.87) 0.04 (3.59) 0.617a
  Nasolabial angle (°) −1.30 (6.29) 4.09 (3.28) 0.027a
  Z angle (°) −3.18 (4.31) 0.20 (2.79) 0.052a
  Wits (mm) 0.87 (1.00) −0.41 (0.90) 0.008a
  Total anterior facial height (mm) 1.54 (1.34) 1.10 (1.87) 0.344a
  Lower anterior facial height (mm) 1.64 (1.37) 0.66 (1.47) 0.111a
  U6/PP (mm) −0.43 (1.13) −0.29 (1.13) 0.785a
  L6/PP (mm) 0.16 (1.01) 0.24 (0.62) 0.834a

P-A cephalometric variables
  Bizygomatic width (mm) 0.53 (1.33) 0.56 (0.82) 0.940b
  Lateronasal width (mm) 0.44 (1.08) 1.72 (0.97) 0.012a
  Maxillomandibulare width (mm) −0.40 (1.79) 1.00 (1.93) 0.110a
  Maxillary width (mm) 0.83 (2.21) 2.32 (1.70) 0.112b

3D model measurements
  Upper intercanine width (mm) 3.59 (1.50) 2.85 (1.33) 0.255a
  Upper intermolar width (mm) 5.61 (2.46) 5.74 (0.92) 0.877a
  Palatal area (mm2) 267.53 (152.39) 369.63 (112.09) 0.105a
  Lower intercanine width (mm) 0.39 (0.79) 0.52 (0.88) 0.733a
  Lower intermolar width (mm) 0.22 (1.36) 0.07 (1.12) 0.789a
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