A clinical comparison of the quadhelix appliance and the nickel titanium (tandem loop) palatal expander: a preliminary, prospective investigation

European Journal of Orthodontics
V E DonohueL J Winchester

Abstract

Maxillary expansion using either a quadhelix appliance (Qx) or a nickel titanium palatal expander (Nt) was prospectively compared in 28 consecutive new patients (19 female, nine male) presenting with posterior buccal segment crossbites. Study models taken at each activation were measured to determine the mean maxillary expansion efficacy (Emax) and the mean expansion rate (m(max)) across the first molars and first premolars. Patient discomfort was assessed using visual analogue scores, and cost-effectiveness was also considered. Neither Emax nor m(max) differed significantly between Qx and Nt across either the first molars or the first premolars. However, both Emax and m(max) were significantly greater across the first molars than across the first premolars only with Qx (Emax: 8.4 +/- 0.7 mm versus 5.1 +/- 0.6 mm, P = 0.001; m(max): 0.09 +/- 0.005 mm/day versus 0.05 +/- 0.006 mm/day, P = 0.0001). In addition, greater variance was apparent in m(max) with Nt than with Qx across both the first molars and the first premolars. Overall, Qx and Nt elicited similar discomfort. However, significantly less was reported with Nt on days 6 (P = 0.04) and 7 (P= 0.03) following the second 'activation'. These preliminary results suggest that Q...Continue Reading

Citations

Sep 25, 2018·Journal of the Indian Society of Pedodontics and Preventive Dentistry·Khyaati Vinod GidwaniVini Mehta
Dec 12, 2018·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Ana TorresStephen Yen

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