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Comparison between rapid and slow palatal expansion: evaluation of selected periodontal indices

OBJECTIVES: The aim of this pilot study was to evaluate the periodontal effects during rapid palatal expansion (RPE) or slow palatal expansion (SPE) and to compare them by means of some clinical indices, in order to establish the possible differences and advantages of one of these treatments in peri...

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Autores principales: Mummolo, Stefano, Marchetti, Enrico, Albani, Francesca, Campanella, Vincenzo, Pugliese, Filippo, Di Martino, Salvatore, Tecco, Simona, Marzo, Giuseppe
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4158002/
https://www.ncbi.nlm.nih.gov/pubmed/25128278
http://dx.doi.org/10.1186/1746-160X-10-30
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author Mummolo, Stefano
Marchetti, Enrico
Albani, Francesca
Campanella, Vincenzo
Pugliese, Filippo
Di Martino, Salvatore
Tecco, Simona
Marzo, Giuseppe
author_facet Mummolo, Stefano
Marchetti, Enrico
Albani, Francesca
Campanella, Vincenzo
Pugliese, Filippo
Di Martino, Salvatore
Tecco, Simona
Marzo, Giuseppe
author_sort Mummolo, Stefano
collection PubMed
description OBJECTIVES: The aim of this pilot study was to evaluate the periodontal effects during rapid palatal expansion (RPE) or slow palatal expansion (SPE) and to compare them by means of some clinical indices, in order to establish the possible differences and advantages of one of these treatments in periodontal terms. METHODS: 10 patients (aged 6 to 7 years; average age 6.3 years) were submitted to RPE treatment and other 10 patients (aged 6 to 8 years, average age 6.3 years) to SPE treatment. They were treated with the Haas expander. The selected clinical indices (plaque index, PI; papillary bleeding index, PBI; probing pocket depth, PPD) were collected three times during the treatment (t(0), detected 7 days after the periodontal prophylaxis, at the beginning of the active orthodontic therapy; t(1), detected during the active therapy; t(2), detected after retention). All measurements were performed by the same examiner. The protocol was approved by the ethics committee. RESULTS: The effects of the prophylaxis were excellent to control inflammation and dental plaque before the beginning of the orthodontic-orthopaedic treatment, as in both the two groups, the PI and the PBI values were equal to 0. In the group receiving slow expansion, the PPD remained unchanged from t(0) to t(1), while it significantly increased from t(0) to t(1) in the group of rapid expansion. At t(2) the values of the two groups returned to be overlapping. CONCLUSIONS: Both rapid and slow expansion treatments present potential irritation effect (increase of PI index and PBI index) on the periodontium, suggested by the significant increase of PI and PBI from t(0) to t(1) in both the two groups; therefore prophylaxis and periodic controls are very important. There are no long-term benefits that might be referred unequivocally to one of the two treatments in terms of periodontal consequences, as demonstrated by the lack of significant differences between the two groups at t(2).
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spelling pubmed-41580022014-09-09 Comparison between rapid and slow palatal expansion: evaluation of selected periodontal indices Mummolo, Stefano Marchetti, Enrico Albani, Francesca Campanella, Vincenzo Pugliese, Filippo Di Martino, Salvatore Tecco, Simona Marzo, Giuseppe Head Face Med Research OBJECTIVES: The aim of this pilot study was to evaluate the periodontal effects during rapid palatal expansion (RPE) or slow palatal expansion (SPE) and to compare them by means of some clinical indices, in order to establish the possible differences and advantages of one of these treatments in periodontal terms. METHODS: 10 patients (aged 6 to 7 years; average age 6.3 years) were submitted to RPE treatment and other 10 patients (aged 6 to 8 years, average age 6.3 years) to SPE treatment. They were treated with the Haas expander. The selected clinical indices (plaque index, PI; papillary bleeding index, PBI; probing pocket depth, PPD) were collected three times during the treatment (t(0), detected 7 days after the periodontal prophylaxis, at the beginning of the active orthodontic therapy; t(1), detected during the active therapy; t(2), detected after retention). All measurements were performed by the same examiner. The protocol was approved by the ethics committee. RESULTS: The effects of the prophylaxis were excellent to control inflammation and dental plaque before the beginning of the orthodontic-orthopaedic treatment, as in both the two groups, the PI and the PBI values were equal to 0. In the group receiving slow expansion, the PPD remained unchanged from t(0) to t(1), while it significantly increased from t(0) to t(1) in the group of rapid expansion. At t(2) the values of the two groups returned to be overlapping. CONCLUSIONS: Both rapid and slow expansion treatments present potential irritation effect (increase of PI index and PBI index) on the periodontium, suggested by the significant increase of PI and PBI from t(0) to t(1) in both the two groups; therefore prophylaxis and periodic controls are very important. There are no long-term benefits that might be referred unequivocally to one of the two treatments in terms of periodontal consequences, as demonstrated by the lack of significant differences between the two groups at t(2). BioMed Central 2014-08-15 /pmc/articles/PMC4158002/ /pubmed/25128278 http://dx.doi.org/10.1186/1746-160X-10-30 Text en Copyright © 2014 Mummolo et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/4.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research
Mummolo, Stefano
Marchetti, Enrico
Albani, Francesca
Campanella, Vincenzo
Pugliese, Filippo
Di Martino, Salvatore
Tecco, Simona
Marzo, Giuseppe
Comparison between rapid and slow palatal expansion: evaluation of selected periodontal indices
title Comparison between rapid and slow palatal expansion: evaluation of selected periodontal indices
title_full Comparison between rapid and slow palatal expansion: evaluation of selected periodontal indices
title_fullStr Comparison between rapid and slow palatal expansion: evaluation of selected periodontal indices
title_full_unstemmed Comparison between rapid and slow palatal expansion: evaluation of selected periodontal indices
title_short Comparison between rapid and slow palatal expansion: evaluation of selected periodontal indices
title_sort comparison between rapid and slow palatal expansion: evaluation of selected periodontal indices
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4158002/
https://www.ncbi.nlm.nih.gov/pubmed/25128278
http://dx.doi.org/10.1186/1746-160X-10-30
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