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Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie

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01-11-2021 | Digital Volume Tomography | Original Article

Influence of surgically assisted rapid maxillary expansion on the interdental papilla height of maxillary central incisors

Authors: Stéphanie Noverraz, Yannick Noverraz, Tong Xi, Jan Schols

Published in: Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie | Issue 6/2021

Abstract

Purpose

To evaluate the influence of orthodontic treatment with surgically assisted rapid maxillary expansion (SARME) on the interdental papilla height of maxillary central incisors.

Methods

In this retrospective study, patients who completed orthodontic treatment including SARME at the Radboud University Medical Center Orthodontic Department before December 2019 were included. Frontal intraoral photographs taken before (T1) and after completion of treatment (T2) were examined to determine the papilla height between the maxillary central incisors using the Jemt classification. The difference between the Jemt classification at T1 and T2 (∆Jemt) was defined as the primary outcome variable. Secondary outcome variables were gender, age, treatment duration, type of expansion appliance, maximal central diastema during expansion, pretreatment overlapping between the central incisors, gingival biotype, crown morphology and the distance between the bone crest and incisal contact point. Kappa statistics and paired t‑tests were used to determine reliability of the measurements. Pearson’s Χ² test and independent t‑tests were used to compare the variables between the groups of patients with and without papillary recession. Finally, multiple logistic regression analysis was performed.

Results

In all, 93 patients fulfilled the inclusion criteria and were included in the study. The Jemt score worsened for 30 patients (32%) between T1 and T2, indicating the occurrence of papillary recession. Incisal overlapping, crown morphology, small width to length ratio, increasing age and an increasing distance between crestal bone and the incisal contact point were factors associated with papillary recession.

Conclusion

After orthodontic treatment including SARME, one third of patients exhibited recession of papilla height of the maxillary central incisors.

Aguilar-Duran L, Mir-Mari J, Figueiredo R, Valmaseda-Castellon E (2020) Is measurement of the gingival biotype reliable? Agreement among different assessment methods. Med Oral Patol Oral Cir Bucal 25:e144–e149. https://doi.org/10.4317/medoral.23280CrossRefPubMed

Alanko OM, Svedstrom-Oristo AL, Tuomisto MT (2010) Patients’ perceptions of orthognathic treatment, well-being, and psychological or psychiatric status: a systematic review. Acta Odontol Scand 68:249–260. https://doi.org/10.3109/00016357.2010.494618CrossRefPubMed

Altug Atac AT, Karasu HA, Aytac D (2006) Surgically assisted rapid maxillary expansion compared with orthopedic rapid maxillary expansion. Angle Orthod 76:353–359. https://doi.org/0003-3219(2006)076[0353:SARMEC]2.0.CO;2PubMed

An SS, Choi YJ, Kim JY, Chung CJ, Kim KH (2018) Risk factors associated with open gingival embrasures after orthodontic treatment. Angle Orthod 88:267–274. https://doi.org/10.2319/061917-399.12CrossRefPubMedPubMedCentral

Batra P, Daing A, Azam I, Miglani R, Bhardwaj A (2018) Impact of altered gingival characteristics on smile esthetics: Laypersons’ perspectives by Q sort methodology. Am J Orthod Dentofacial Orthop 154:82–90.e2. https://doi.org/10.1016/j.ajodo.2017.12.010CrossRefPubMed

Bennett ME, Tulloch JF, Vig KW, Phillips CL (2001) Measuring orthodontic treatment satisfaction: questionnaire development and preliminary validation. J Public Health Dent 61:155–160. https://doi.org/10.1111/j.1752-7325.2001.tb03383.xCrossRefPubMedPubMedCentral

Burke S, Burch JG, Tetz JA (1994) Incidence and size of pretreatment overlap and posttreatment gingival embrasure space between maxillary central incisors. Am J Orthod Dentofacial Orthop 105:506–511. https://doi.org/10.1016/S0889-5406(94)70013-3CrossRefPubMed

Chang LC (2012) Factors associated with the interdental papilla height between two maxillary central incisors: a radiographic study. J Periodontol 83:43–49. https://doi.org/10.1902/jop.2011.100574CrossRefPubMed

Chen MC, Liao YF, Chan CP, Ku YC, Pan WL, Tu YK (2010) Factors influencing the presence of interproximal dental papillae between maxillary anterior teeth. J Periodontol 81:318–324. https://doi.org/10.1902/jop.2009.090361CrossRefPubMed

10.

Cheng HC, Cheng PC (2017) Factors affecting smile esthetics in adults with different types of anterior overjet malocclusion. Korean J Orthod 47:31–38. https://doi.org/10.4041/kjod.2017.47.1.31CrossRefPubMed

11.

Chow YC, Eber RM, Tsao YP, Shotwell JL, Wang HL (2010) Factors associated with the appearance of gingival papillae. J Clin Periodontol 37:719–727. https://doi.org/10.1111/j.1600-051X.2010.01594.xCrossRefPubMed

12.

Deng X, Wang YJ, Deng F, Liu PL, Wu Y (2018) Psychological well-being, dental esthetics, and psychosocial impacts in adolescent orthodontic patients: a prospective longitudinal study. Am J Orthod Dentofacial Orthop 153:87–96.e2. https://doi.org/10.1016/j.ajodo.2017.05.028CrossRefPubMed

13.

Feu D, de Oliveira BH, de Oliveira Almeida MA, Kiyak HA, Miguel JA (2010) Oral health-related quality of life and orthodontic treatment seeking. Am J Orthod Dentofacial Orthop 138:152–159. https://doi.org/10.1016/j.ajodo.2008.09.033CrossRefPubMed

14.

Gurgel Jde A, Malmstrom MF, Pinzan-Vercelino CR (2012) Ossification of the midpalatal suture after surgically assisted rapid maxillary expansion. Eur J Orthod 34:39–43. https://doi.org/10.1093/ejo/cjq153CrossRefPubMed

15.

Hlaing TT, Compston JE (2014) Biochemical markers of bone turnover—uses and limitations. Ann Clin Biochem 51:189–202. https://doi.org/10.1177/0004563213515190CrossRefPubMed

16.

Hochman MN, Chu SJ, da Silva BP, Tarnow DP (2019) Layperson’s esthetic preference to the presence or absence of the interdental papillae in the low smile line: a web-based study. J Esthet Restor Dent 31:113–117. https://doi.org/10.1111/jerd.12478CrossRefPubMed

17.

Hochman MN, Chu SJ, Tarnow DP (2012) Maxillary anterior papilla display during smiling: a clinical study of the interdental smile line. Int J Periodontics Restorative Dent 32:375–383PubMed

18.

Ioannou AL, Koidou VP, Kamintzi GI, Hinrichs JE, Kotsakis GA, Romanos GE (2015) Risk indicators of papillary recession in the anterior maxilla. J Esthet Restor Dent 27:367–373. https://doi.org/10.1111/jerd.12164CrossRefPubMed

19.

Jemt T (1997) Regeneration of gingival papillae after single-implant treatment. Int J Periodontics Restorative Dent 17:326–333PubMed

20.

Joshi K, Baiju CS, Khashu H, Bansal S, Maheswari IB (2017) Clinical assessment of interdental papilla competency parameters in the esthetic zone. J Esthet Restor Dent 29:270–275. https://doi.org/10.1111/jerd.12307CrossRefPubMed

21.

Kandasamy S, Goonewardene M, Tennant M (2007) Changes in interdental papillae heights following alignment of anterior teeth. Aust Orthod J 23:16–23PubMed

22.

Kim JH, Cho YJ, Lee JY, Kim SJ, Choi JI (2013) An analysis on the factors responsible for relative position of interproximal papilla in healthy subjects. J Periodontal Implant Sci 43:160–167. https://doi.org/10.5051/jpis.2013.43.4.160CrossRefPubMedPubMedCentral

23.

Kolte AP, Kolte RA, Agrawal AA, Shrirao T, Mankar K (2017) Association between central papilla recession and gingival and interdental smile line. Quintessence Int. https://doi.org/10.3290/j.qi.a39375CrossRefPubMed

24.

Kurt G, Altug AT, Turker G, Kilic B, Kilic E, Alkan A (2017) Effects of surgical and nonsurgical rapid maxillary expansion on palatal structures. J Craniofac Surg 28:775–780. https://doi.org/10.1097/SCS.0000000000003468CrossRefPubMed

25.

Kurth JR, Kokich VG (2001) Open gingival embrasures after orthodontic treatment in adults: prevalence and etiology. Am J Orthod Dentofacial Orthop 120:116–123. https://doi.org/10.1067/mod.2001.114831CrossRefPubMed

26.

Petrick S, Hothan T, Hietschold V, Schneider M, Harzer W, Tausche E (2011) Bone density of the midpalatal suture 7 months after surgically assisted rapid palatal expansion in adults. Am J Orthod Dentofacial Orthop 139:S109–116. https://doi.org/10.1016/j.ajodo.2009.12.031CrossRefPubMed

27.

Silvola AS, Varimo M, Tolvanen M, Rusanen J, Lahti S, Pirttiniemi P (2014) Dental esthetics and quality of life in adults with severe malocclusion before and after treatment. Angle Orthod 84:594–599. https://doi.org/10.2319/060213-417.1CrossRefPubMed

28.

Singh VP, Uppoor AS, Nayak DG, Shah D (2013) Black triangle dilemma and its management in esthetic dentistry. Dent Res J (Isfahan) 10:296–301

29.

Sriphadungporn C, Chamnannidiadha N (2017) Perception of smile esthetics by laypeople of different ages. Prog Orthod 18:8. https://doi.org/10.1186/s40510-017-0162-4CrossRefPubMedPubMedCentral

30.

Tarnow DP, Magner AW, Fletcher P (1992) The effect of the distance from the contact point to the crest of bone on the presence or absence of the interproximal dental papilla. J Periodontol 63:995–996. https://doi.org/10.1902/jop.1992.63.12.995CrossRefPubMed

31.

Tosun H, Kaya B (2020) Effect of maxillary incisors, lower lip, and gingival display relationship on smile attractiveness. Am J Orthod Dentofacial Orthop 157:340–347. https://doi.org/10.1016/j.ajodo.2019.04.030CrossRefPubMed

32.

Van der Geld P, Oosterveld P, Kuijpers-Jagtman AM (2008) Age-related changes of the dental aesthetic zone at rest and during spontaneous smiling and speech. Eur J Orthod 30:366–373. https://doi.org/10.1093/ejo/cjn009CrossRefPubMed

33.

Yi J, Lu W, Xiao J, Li X, Li Y, Zhao Z (2019) Effect of conventional combined orthodontic-surgical treatment on oral health-related quality of life: a systematic review and meta-analysis. Am J Orthod Dentofacial Orthop 156:29–43.e5. https://doi.org/10.1016/j.ajodo.2019.03.008CrossRefPubMed

Title: Influence of surgically assisted rapid maxillary expansion on the interdental papilla height of maxillary central incisors
Authors: Stéphanie Noverraz
Yannick Noverraz
Tong Xi
Jan Schols
Publication date: 01-11-2021
Publisher: Springer Medizin
Keywords: Digital Volume Tomography
Digital Volume Tomography
Published in: Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie / Issue 6/2021
Print ISSN: 1434-5293
Electronic ISSN: 1615-6714
DOI: https://doi.org/10.1007/s00056-020-00274-y

At a glance: The STEP trials

Springer Medicine

Influence of surgically assisted rapid maxillary expansion on the interdental papilla height of maxillary central incisors

Abstract

Purpose

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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