Evaluation of mechanical properties of three different screws for rapid maxillary expansion

BackgroundThe aim of this in vitro study was the evaluation of the mechanical properties the screws for rapid maxillary expansion (RME).MethodsThree commercially available screws for RME were tested: Leone A2620; Dentaurum Hyrax; Forestadent Palatal Split Screw. All expansion screws were 10 mm in size. For the evaluation of mechanical properties, the screws for RME were adjusted using the same maxillary dental model. An Instron 3365 testing machine with a load cell of 5 kN recorded the forces released by the screws at different amounts of activation (1, 5, 10, 15 and 20 quarters of a turn). Each type of screw was tested 10 times. Comparisons between the forces released by the different types of screws at different amounts of activation were carried out by means of analysis of Kruskal-Wallis test with post-hoc test di Tukey (P < 0.05).ResultsThe results of this study showed that all 3 expansion devices were able to develop forces that could produce a separation of the palatine processes. The Hyrax and A2620 expanders developed force values over 20 kg and the Palatal Split screws about 16 kg. Both the A2620 and Hyrax expanders showed significantly greater amounts of forces at all the different amounts of activations with respect to the Palatal Split screw.ConclusionsAll tested devices showed the capability of developing expansion forces (16-20 kg) adequate for RME. The A2620 and Hyrax expanders showed a greater level of rigidity than the Palatal Split screw.

[1]  E. Liou,et al.  A New Protocol for Maxillary Protraction in Cleft Patients: Repetitive Weekly Protocol of Alternate Rapid Maxillary Expansions and Constrictions , 2005, The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association.

[2]  A. J. Haas THE TREATMENT OF MAXILLARY DEFICIENCY BY OPENING THE MIDPALATAL SUTURE. , 1965, The Angle orthodontist.

[3]  R. Isaacson,et al.  FORCES PRODUCED BY RAPID MAXILLARY EXPANSION. 3. FORCES PRESENT DURING RETENTION. , 1965, The Angle orthodontist.

[4]  E. Liou Effective maxillary orthopedic protraction for growing Class III patients: a clinical application simulates distraction osteogenesis. , 2005, Progress in orthodontics.

[5]  R. Wertz Skeletal and dental changes accompanying rapid midpalatal suture opening. , 1970, American journal of orthodontics.

[6]  Roberta Lione,et al.  Treatment and posttreatment skeletal effects of rapid maxillary expansion investigated with low-dose computed tomography in growing subjects. , 2008, American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics.

[7]  A. J. Haas,et al.  Long-term posttreatment evaluation of rapid palatal expansion. , 1980, The Angle orthodontist.

[8]  A. J. Haas,et al.  Rapid Expansion Of The Maxillary Dental Arch And Nasal Cavity By Opening The Midpalatal Suture , 2009 .

[9]  Robert J. Isaacson,et al.  Forces Produced By Rapid Maxillary Expansion , 2009 .

[10]  M. Spyropoulos,et al.  Changes in cheek pressure following rapid maxillary expansion. , 1994, European journal of orthodontics.

[11]  A. J. Haas,et al.  Palatal expansion: just the beginning of dentofacial orthopedics. , 1970, American journal of orthodontics.

[12]  P. Major,et al.  Meta-analysis of immediate changes with rapid maxillary expansion treatment. , 2006, Journal of the American Dental Association.

[13]  M. Payer,et al.  Rapid maxillary expansion screws on the test bench--a pilot study. , 2011, European journal of orthodontics.

[14]  S E Bishara,et al.  Maxillary expansion: clinical implications. , 1987, American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics.

[15]  Roberta Lione,et al.  Treatment and posttreatment skeletal effects of rapid maxillary expansion studied with low-dose computed tomography in growing subjects. , 2008, American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics.

[16]  Jacob Cohen,et al.  A power primer. , 1992, Psychological bulletin.

[17]  L. Franchi,et al.  Early Alt-RAMEC and facial mask protocol in class III malocclusion. , 2011, Journal of clinical orthodontics : JCO.

[18]  B. Melsen A histological study of the influence of sutural morphology and skeletal maturation on rapid palatal expansion in children. , 1972, Transactions. European Orthodontic Society.

[19]  Zimring Jf,et al.  FORCES PRODUCED BY RAPID MAXILLARY EXPANSION. 3. FORCES PRESENT DURING RETENTION. , 1965 .