Kiliç Nihat, Oktay Hüsamettin
Department of Orthodontics, Faculty of Dentistry, Atatürk University, Erzurum, Turkey.
Int J Pediatr Otorhinolaryngol. 2008 Nov;72(11):1595-601. doi: 10.1016/j.ijporl.2008.07.014. Epub 2008 Sep 11.
Rapid maxillary expansion (RME) is a dentofacial orthopedic treatment procedure which has been routinely used in young patients. Main goal of RME is to correct the existing posterior crossbite and to widen the maxilla and maxillary dental arch. However, a concomitant and contributing benefit of this procedure is an improvement on nasal airway which facilitates nasal respiration. RME brings about not only an increase in nasopharyngeal airway dimensions and an improvement in nasal respiration but also a decrease in naso-respiratory problems of the patients having maxillary constriction and mouth breathing. The purpose of this article is to review the effects of RME on naso-respiratory and breathing problems caused by maxillary constriction and mouth breathing in growing children.
Although orthodontic treatment is carried out to correct dental and skeletal discrepancies, some authors showed that treatment outcomes of RME could also effective on naso-respiratory and sleep-disordered breathing problems of the growing children. However, it must be kept in mind that this respect of RME was evaluated in a little number of studies and had a low-level of evidence.
快速上颌扩弓(RME)是一种常用于年轻患者的牙颌面正畸治疗方法。RME的主要目标是纠正现有的后牙反合,扩大上颌骨和上颌牙弓。然而,该方法的一个附带且有益的效果是改善鼻气道,促进鼻呼吸。RME不仅能增加鼻咽气道尺寸、改善鼻呼吸,还能减少上颌狭窄和口呼吸患者的鼻呼吸问题。本文旨在综述RME对生长发育期儿童因上颌狭窄和口呼吸引起的鼻呼吸及呼吸问题的影响。
尽管正畸治疗旨在纠正牙齿和骨骼差异,但一些作者表明,RME的治疗效果对生长发育期儿童的鼻呼吸和睡眠呼吸障碍问题也有效。然而,必须牢记的是,RME在这方面的研究数量较少,证据水平较低。