Effect of Maxillary Expansion on the Maxillary Arch Width in Patients with Bilateral Cleft Palate: A Review

Omar H Alkadhi; Lamis Hejab Alotaibi; Rowaida R Alrashoud; Mohammed Hamad Almutairi; Huda Ali Al Matar; Sreekanth Kumar Mallineni

doi:10.3390/children10050762

Effect of Maxillary Expansion on the Maxillary Arch Width in Patients with Bilateral Cleft Palate: A Review

Children (Basel). 2023 Apr 23;10(5):762. doi: 10.3390/children10050762.

Authors

Omar H Alkadhi¹, Lamis Hejab Alotaibi², Rowaida R Alrashoud³, Mohammed Hamad Almutairi⁴, Huda Ali Al Matar⁵, Sreekanth Kumar Mallineni^{6

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Affiliations

¹ Preventive Dentistry Department, College of Dentistry, Riyadh Elm University (REU), Riyadh 13244, Saudi Arabia.
² Department of Preventive Dental Science, College of Dentistry, Majmaah University, Al Majmaah 11952, Saudi Arabia.
³ College of Dentistry, Riyadh Elm University (REU), Riyadh 13244, Saudi Arabia.
⁴ General Dentist, College of Dentistry, Prince Sattam bin Abdulaziz University, Al-Kharj 16278, Saudi Arabia.
⁵ General Dentist, Ministry of Health, Dammam 32242, Saudi Arabia.
⁶ Pediatric Dentistry, Dr. Sulaiman Al Habib Hospital, Ar Rayyan, Riyadh 14212, Saudi Arabia.
⁷ Center for Transdisciplinary Research (CFTR), Saveetha Dental College, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai 600077, India.
⁸ Division for Globalization Initiative, Liaison Center for Innovative Dentistry Graduate School of Dentistry, Tohoku University, Sendai 980-8575, Japan.

Abstract

Objectives: To perform a comprehensive review of the literature to compare the effects of slow maxillary expansion (SME) and rapid maxillary expansion (RME) on maxillary arch width in patients with bilateral cleft palate.

Methods: The databases include Medline, PubMed, Cochrane (CENTRAL) and (CDSR), OpenGrey, and ClinicalTrials.gov were searched for relevant studies that met the eligibility criteria published before or on 31 October 2022. The search was confined to the English language. The selection of eligible studies and collection of data were performed independently. Risk of bias assessment was conducted using the Cochrane Risk of Bias tool 2.0.

Results: Two randomized controlled trials were available based on the search in the published literature. Both studies compared arch width between SME and RME in cleft palate patients and digitals casts and three-dimensional images used for the evaluation. A moderate risk of bias was evident in the available studies.

Conclusions: Both SME and RME can achieve similar amounts of maxillary expansion in patients with bilateral cleft palate.

Keywords: cleft palate; maxillary arch width; rapid maxillary expansion; slow maxillary expansion.

Publication types

Review

Grants and funding

This research received no external funding.