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ACAR, ZEYNEP AHÜ

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ACAR

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ZEYNEP AHÜ

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2009 - 200912010 - 20141
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    Morphologic changes of the nasal cavity induced by rapid maxillary expansion: A study on 3-dimensional computed tomography models
    (MOSBY-ELSEVIER, 2009) ACAR, ZEYNEP AHÜ; Haralambidis, Adam; Ari-Demirkaya, Arzu; Acar, Ahu; Kucukkeles, Nazan; Ates, Mustafa; Ozkaya, Selin
    Introduction: The aim of this study was to evaluate the effect of rapid maxillary expansion on the volume of the nasal cavity by using computed tomography. Methods: The sample consisted of 24 patients (10 boys, 14 girls) in the permanent dentition who had maxillary constriction and bilateral posterior crossbite. Ten patients had skeletal Class I and 14 had Class II relationships. Skeletal maturity was assessed with the modified cervical vertebral maturation method. Computed tomograms were taken before expansion and at the end of the 3-month retention period, after active expansion. The tomograms were analyzed by Mimics software (version 10.11, Materialise Medical Co, Leuven, Belgium) to reconstruct 3-dimensional images and calculate the volume of the nasal cavities before and after expansion. Results and Conclusions: A significant (P = 0.000) average increase of 11.3% in nasal volume was found. Sex, growth, and skeletal relationship did not influence measurements or response to treatment. A significant difference was found in the volume increase between the Class I and Class II patients, but it was attributed to the longer expansion period of the latter. Therefore, rapid maxillary expansion induces a significant average increase of the nasal volume and consequently can increase nasal permeability and establish a predominant nasal respiration pattern. (Am J Orthod Dentofacial Orthop 2009;136:815-21)
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    Surgically assisted rapid maxillary expansion: Cone-beam computed tomography evaluation of different surgical techniques and their effects on the maxillary dentoskeletal complex
    (MOSBY-ELSEVIER, 2014) UĞURLU, FAYSAL; Sygouros, Antonios; Motro, Melih; Ugurlu, Faysal; Acar, Ahu
    Introduction: The aims of this study were to evaluate and compare skeletal, dentoalveolar, dental, and periodontal changes in surgically assisted rapid maxillary expansion (SARME) patients with and without pterygomaxillary disjunction. Methods: The records of 20 patients who underwent SARME in the clinics of the dental school at Marmara University in Turkey were collected and divided into 2 groups of 10 patients each, according to the surgical protocol followed. Cone-beam computed tomography images before the operation and 3 to 6 months after the end of active expansion were analyzed by 20 linear and 7 angular measurements. The reliability of the 3-dimensional analysis was investigated. Results: All transversal measurements in the dentoalveolar and dental levels increased after expansion in both the SARME with pterygomaxillary disjunction and the SARME without pterygomaxillary disjunction groups with no significant differences between them. In the SARME without pterygomaxillary disjunction group, more pronounced buccal alveolar bending and buccal tipping of the posterior teeth were found, but the difference did not reach statistical significance. SARME reduces buccal alveolar width in the premolar region significantly when pterygoid disjunction is not performed. Conclusions: SARME with or without pterygomaxillary disjunction is an effective technique to treat maxillary transverse deficiency in adolescent and adult patients. Pterygomaxillary disjunction is advised in periodontally compromised patients. Cone-beam computed tomography scanning is a reliable method for studying the dentoskeletal effects of SARME.