127:
second premolars displayed more buccal tipping than the supporting teeth and this could be due to 2nd premolars not being banded to the appliance. Another study performed by
Weissheimer et al., which was a randomized control trial, stated that both the appliances were efficient in correcting a transverse maxillary deficiency. Both the appliances showed pure skeletal expansion which was greater than actual dental expansion. The Hyrax-type expander produced greater orthopedic effects than did the Haas-type expander, but this effect was less than 0.5 mm per side and might not be clinically significant.
74:"hygienic appliance" because it does not lead to irritation of tissues due to the absence of palatal acrylic. The appliance is made mostly of stainless steel and includes bands being placed on maxillary first premolars and first molars. The appliance includes a jackscrew in the middle for patients to turn for expansion purposes. This appliance also has rigid wires extending from appliance to premolars and molars. It is important to note that the tooth-borne expanders can be divided into the Bonded vs. Banded Type of expanders. Hyrax appliance falls under the banded type appliance.
19:
118:
designed in many different ways and same with tissue-borne appliance. The expanding protocol, retention protocol, exact timepoint of when the expansion was measured are some of the factors that can influence the results between different studies. Therefore, when evaluating studies and making conclusions, it is important to keep these confounding factors in mind. Information here may be outdated within 5–10 years as new RCTs, systematic reviews & meta-analysis will be done and they may produce different results then what are stated below.
136:
difference between the bone-borne and tooth-borne expansion devices. Both types of expanders showed similar results and that the greatest changes were seen in the transverse dimension, changes in the vertical and anteroposterior dimensions were negligible. A 2019 review found that both forms of expansion produced similar results.
126:
In 2005 Garib et al., stated in their study that tooth-borne (Hyrax) and tooth tissue-borne (Haas-type) expanders tended to produce similar orthopedic effects. In both methods, RME led to buccal movement of the maxillary posterior teeth, by tipping and bodily translation. They also mentioned that the
64:
Proponents of tissue-borne expansion believe that more bodily movement and less dental tipping is produced when an acrylic palatal coverage is added to the appliance. They believe that forces are dissipated through the mucosa and teeth. One of the disadvantages of this type of appliance is it leading
145:
comparability between studies is difficult. A systematic review done by Zhou et al. stated that slow maxillary expansion was superior to rapid maxillary expansion in expanding molar region of maxillary arch, but no difference was found when comparing their effectiveness in maxillary anterior region.
60:
in 1961. This appliance involves bands placed on maxillary first premolar and first molars on each side. Haas appliance has palatal acrylic that is in contact with palatal mucosa. Inside the acrylic there is a jackscrew that is embedded for patients to make turns to expand the device. In addition to
144:
A study published by
Martina et al. stated that rapid maxillary expansion is not more effective than slow maxillary expansion in expanding the maxilla in patients with posterior crossbite. It is important to keep in mind that different studies use different rapid and slow expansion devices and thus
117:
Many studies have been performed and published regarding the comparison of these two different types of appliance. It is important to note that the discrepancy that exists between different studies that has to do with the type of appliances they used in each category. A tooth-borne appliance can be
73:
Tooth supported expanders allow the forces to be applied directly to the teeth of maxillary arch instead of the tissue. The most common tooth-borne expander is known as the Hyrax (hygienic rapid expander) or
Biedermann appliance. This appliance was developed by Bidermann. Hyrax is also known as the
135:
A study published by Lin et al. in 2015 found that for patients in late adolescence, bone-borne expanders produced greater orthopedic effects and fewer dento-alveolar side effects compared to the hyrax expanders. However, a study published by
Lagravere et al. in 2010, stated that there was no
462:
Weissheimer, André; de
Menezes, Luciane Macedo; Mezomo, Mauricio; Dias, Daniela Marchiori; de Lima, Eduardo Martinelli Santayana; Rizzatto, Susana Maria Deon (2011-09-01). "Immediate effects of rapid maxillary expansion with Haas-type and hyrax-type expanders: a randomized clinical trial".
426:
Garib, Daniela G.; Henriques, José Fernando
Castanha; Janson, Guilherme; Freitas, Marcos Roberto; Coelho, Regis Antonio (2005-07-01). "Rapid maxillary expansion--tooth tissue-borne versus tooth-borne expanders: a computed tomography evaluation of dentoskeletal effects".
89:. Bone-borne expanders fall into two categories, MARPE and palatal distractors. Common types of MARPE include MSE (maxillary skeletal expansion), and DOME (distraction osteogenesis maxillary expansion). MARPE appliances anchor to the palatal vault area of the
557:
Lagravère, Manuel O.; Carey, Jason; Heo, Giseon; Toogood, Roger W.; Major, Paul W. (2010-03-01). "Transverse, vertical, and anteroposterior changes from bone-anchored maxillary expansion vs traditional rapid maxillary expansion: a randomized clinical trial".
656:
Martina, R.; Cioffi, I.; Farella, M.; Leone, P.; Manzo, P.; Matarese, G.; Portelli, M.; Nucera, R.; Cordasco, G. (2012-08-01). "Transverse changes determined by rapid and slow maxillary expansion – a low-dose CT-based randomized controlled trial".
155:
34:
or lower expansion too. In past many years, different types of appliances have been made. These types are: tissue-borne, tooth-borne, slow maxillary expansion, rapid maxillary expansion, and bone-anchored.
30:
in the field of orthodontics. There can be many types of transverse dimension appliances. These appliances can be used to achieve expansion in the maxillary arch; there are devices for
1453:
601:
Khosravi, Mahdieh; Ugolini, Alessandro; Miresmaeili, Amirfarhang; Mirzaei, Hamed; Shahidi-Zandi, Vahid; Soheilifar, Sepideh; Karami, Manoochehr; Mahmoudzadeh, Majid (2019-09-01).
921:
1526:
886:
31:
77:
One of the concerns of this appliance is that due to the forces being applied only to the teeth, there may more dental tipping than skeletal expansion.
1458:
1463:
1157:
876:
881:
49:
1403:
318:
93:
using 4-6 mini-screws (or TADs) which allows for expansion in adults as well as prevents tipping as is common in tooth-borne expanders. Unlike
57:
1101:
94:
1137:
1509:
1504:
992:
334:"Distraction Osteogenesis Maxillary Expansion (DOME) for adult obstructive sleep apnea patients with narrow maxilla and nasal floor"
61:
the acrylic, support wires also extend from the premolars and molars to the appliance to add additional rigidity to the appliance.
767:
1494:
1479:
302:
277:
603:"Tooth-borne versus bone-borne rapid maxillary expansion for transverse maxillary deficiency: A systematic review"
1484:
815:
1238:
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810:
1552:
1489:
1499:
1293:
760:
602:
1408:
1091:
1073:
506:
Lin, Lu; Ahn, Hyo-Won; Kim, Su-Jung; Moon, Sung-Chul; Kim, Seong-Hun; Nelson, Gerald (2014-06-19).
1536:
1086:
1037:
1022:
962:
700:
Zhou, Yang; Long, Hu; Ye, Niansong; Xue, Junjie; Yang, Xin; Liao, Lina; Lai, Wenli (2014-04-01).
381:"Endoscopically-assisted surgical expansion (EASE) for the treatment of obstructive sleep apnea"
1531:
1012:
866:
795:
1573:
1363:
753:
1413:
1057:
1047:
1007:
942:
906:
901:
18:
8:
1263:
1223:
1213:
1096:
947:
97:(SARPE), due to the absence of LeFort 1 osteotomy significant expansion of not only the
1448:
1388:
1383:
1017:
805:
638:
534:
507:
408:
361:
312:
26:
This article lists different types of expanders that are available for the process of
1438:
1373:
1358:
1353:
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1208:
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1106:
967:
731:
723:
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622:
583:
575:
539:
488:
480:
444:
436:
400:
365:
353:
298:
273:
48:
Tissue supported expanders allow the forces to be applied directly to the tissues of
27:
412:
1428:
1418:
1278:
1258:
1253:
1183:
1178:
1152:
1052:
1027:
987:
713:
666:
614:
567:
529:
519:
472:
392:
345:
109:
can be achieved, which can be very effective in treating obstructive sleep apnea.
1423:
1398:
1378:
1368:
1218:
1132:
1127:
916:
835:
790:
618:
571:
476:
396:
349:
52:
instead of teeth. The most common type of tissue-borne expander is known as the
1348:
1308:
1303:
1298:
1243:
1228:
1002:
937:
1567:
1433:
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1323:
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952:
896:
840:
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678:
626:
579:
484:
440:
1203:
380:
333:
1443:
1333:
1268:
1248:
1188:
1173:
977:
957:
911:
825:
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776:
735:
686:
634:
587:
543:
492:
448:
404:
357:
106:
1393:
1343:
1318:
1233:
891:
718:
701:
524:
508:"Tooth-borne vs bone-borne rapid maxillary expanders in late adolescence"
702:"The effectiveness of non-surgical maxillary expansion: a meta-analysis"
85:
Bone supported expanders allow the forces to be applied directly to the
1313:
1081:
1032:
982:
972:
293:
Padmakumar, Vinayak; Hegde, Amitha; Shetty, Rajmohan Y. (2015-01-01).
1042:
871:
856:
1147:
1142:
861:
600:
102:
98:
90:
86:
745:
461:
1527:
American
Journal of Orthodontics and Dentofacial Orthopedics
560:
American
Journal of Orthodontics and Dentofacial Orthopedics
465:
American
Journal of Orthodontics and Dentofacial Orthopedics
425:
332:
Yoon, A.; Guilleminault, C.; Zaghi, S.; Liu, S. Y. (2020).
655:
331:
121:
556:
130:
292:
378:
1565:
112:
761:
699:
505:
272:. Chicago: Quintessence Publishing Co., Inc.
181:Double-hinged expander (Alt-RAMEC Technique)
379:Li, K.; Quo, S.; Guilleminault, C. (2019).
139:
95:Surgically Assisted Rapid Palatal Expansion
768:
754:
317:: CS1 maint: location missing publisher (
1510:Society for Orthodontic Dental Technology
1505:Italian Academy of Orthodontic Technology
993:List of orthodontic functional appliances
717:
533:
523:
659:Orthodontics & Craniofacial Research
43:
22:Upper and lower jaw functional expanders
17:
68:
1566:
122:Tissue-borne vs. tooth-borne expansion
80:
1495:Canadian Association of Orthodontists
1480:American Association of Orthodontists
749:
267:
38:
566:(3): 304.e1–12, discussion 304–305.
148:
131:Tooth-borne vs. bone-borne expansion
56:. This appliance was popularized by
13:
14:
1585:
65:to irritation of palatal mucosa.
775:
706:European Journal of Orthodontics
671:10.1111/j.1601-6343.2012.01543.x
693:
649:
268:Timms, Donald J. (1986-07-01).
1485:American Board of Orthodontics
594:
550:
499:
455:
419:
372:
325:
286:
261:
1:
1239:Harold Chapman (Orthodontist)
922:Temperomandibular dysfunction
254:
190:Fan-shaped maxillary expander
113:Comparison of different types
831:Standard anatomical position
811:Failure of eruption of teeth
7:
1553:Angle School of Orthodontia
1490:British Orthodontic Society
816:Little's Irregularity Index
619:10.1016/j.ortho.2019.06.003
572:10.1016/j.ajodo.2009.09.016
477:10.1016/j.ajodo.2010.07.025
397:10.1016/j.sleep.2018.09.008
350:10.1016/j.sleep.2019.06.002
10:
1590:
1500:Indian Orthodontic Society
1294:John Hooper (Orthodontist)
607:International Orthodontics
1545:
1519:
1472:
1166:
1115:
1066:
998:List of palatal expanders
930:
849:
783:
295:Rapid Maxillary Expansion
270:Rapid Maxillary Expansion
229:Reverse loop palatal arch
1409:Frederick Lester Stanton
1092:Intrusion (orthodontics)
1074:Anchorage (orthodontics)
205:Hilgers palatal expander
193:Fixed-fan gear appliance
140:Rapid vs. slow expansion
1537:Journal of Orthodontics
1087:Interproximal reduction
1023:Palatal lift prosthesis
244:Transpalatal arch (TPA)
214:Lower Schwarz appliance
199:Goshgarian palatal arch
178:Derichsweiler appliance
1532:The Angle Orthodontist
1013:Orthodontic technology
887:Bimaxillary Protrusion
796:Cephalometric analysis
512:The Angle Orthodontist
429:The Angle Orthodontist
226:Rapid palatal expander
23:
1364:Frederick Bogue Noyes
241:Super screw appliance
217:Niti palatal expander
44:Tissue-borne expander
21:
1414:Earl Emanuel Shepard
1167:Notable contributors
1078:Cantilever mechanics
1058:Twin Block Appliance
1048:Self-ligating braces
907:Condylar hyperplasia
902:Maxillary hypoplasia
525:10.2319/030514-156.1
69:Tooth-borne expander
32:mandibular expansion
1264:John Nutting Farrar
1224:Charles J. Burstone
1214:Holly Broadbent Sr.
1097:Molar distalization
948:Activator appliance
235:Slim gear appliance
81:Bone-borne expander
1449:Robert M. Ricketts
1389:Alfred Paul Rogers
1384:Robert M. Ricketts
1018:Orthodontic spacer
806:Dentition analysis
719:10.1093/ejo/cjt044
211:Issacson appliance
184:Dresden-distractor
169:Butterfly expander
166:Bionator appliance
39:Types of expanders
24:
1561:
1560:
1439:Edmund H. Wuerpel
1374:Herbert A. Pullen
1359:Dean Harold Noyes
1354:George Northcroft
1329:James A. McNamara
1284:Charles A. Hawley
1209:Charles B. Bolton
1194:Hans Peter Bimler
1107:Serial extraction
968:Frankel appliance
232:Skeletal expander
220:Porter W expander
196:Frankel appliance
149:List of expanders
28:palatal expansion
1581:
1429:Charles H. Tweed
1419:Cecil C. Steiner
1279:Thomas M. Graber
1259:William B. Downs
1254:Terry Dischinger
1184:Clifford Ballard
1179:Spencer Atkinson
1053:Splint activator
1028:Palatal expander
988:Herbst Appliance
770:
763:
756:
747:
746:
740:
739:
721:
697:
691:
690:
653:
647:
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598:
592:
591:
554:
548:
547:
537:
527:
503:
497:
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459:
453:
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423:
417:
416:
376:
370:
369:
329:
323:
322:
316:
308:
290:
284:
283:
265:
175:Crozat appliance
163:Arnold appliance
1589:
1588:
1584:
1583:
1582:
1580:
1579:
1578:
1564:
1563:
1562:
1557:
1541:
1515:
1468:
1464:C. Philip Adams
1424:David L. Turpin
1399:Everett Shapiro
1379:Earl W. Renfroe
1369:Albin Oppenheim
1219:Allan G. Brodie
1162:
1158:Dental elastics
1133:Stainless steel
1128:Nickel titanium
1111:
1062:
926:
917:Mouth breathing
877:Dental crowding
845:
836:Tooth ankylosis
791:Bolton analysis
779:
774:
744:
743:
698:
694:
654:
650:
599:
595:
555:
551:
504:
500:
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456:
424:
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377:
373:
330:
326:
310:
309:
305:
297:. SaarbrĂĽcken.
291:
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266:
262:
257:
187:Expansion screw
151:
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133:
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5:
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1401:
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1356:
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1349:Ravindra Nanda
1346:
1341:
1336:
1331:
1326:
1321:
1316:
1311:
1309:Albert Ketcham
1306:
1304:Harold Kesling
1301:
1299:Joseph Jarabak
1296:
1291:
1286:
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1276:
1271:
1266:
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1256:
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1246:
1244:David Di Biase
1241:
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1229:Peter Buschang
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1060:
1055:
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1030:
1025:
1020:
1015:
1010:
1005:
1003:Lingual braces
1000:
995:
990:
985:
980:
975:
970:
965:
960:
955:
950:
945:
940:
938:ACCO appliance
934:
932:
928:
927:
925:
924:
919:
914:
909:
904:
899:
894:
889:
884:
882:Dental spacing
879:
874:
869:
864:
859:
853:
851:
847:
846:
844:
843:
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833:
828:
823:
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803:
798:
793:
787:
785:
781:
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773:
772:
765:
758:
750:
742:
741:
712:(2): 233–242.
692:
665:(3): 159–168.
648:
613:(3): 425–436.
593:
549:
518:(2): 253–262.
498:
471:(3): 366–376.
454:
435:(4): 548–557.
418:
385:Sleep Medicine
371:
338:Sleep Medicine
324:
303:
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278:
259:
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208:Hyrax expander
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114:
111:
82:
79:
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54:Haas Appliance
50:palatal mucosa
45:
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40:
37:
9:
6:
4:
3:
2:
1586:
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1473:Organizations
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1459:Häns Pancherz
1457:
1455:
1454:Kevin O'Brien
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1437:
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1434:Katherine Vig
1432:
1430:
1427:
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1407:
1405:
1404:L. F. Andrews
1402:
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1339:Robert Moyers
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1324:Benno Lischer
1322:
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1300:
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1289:Reed Holdaway
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1274:Sheldon Friel
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1207:
1205:
1202:
1200:
1199:Samir Bishara
1197:
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1123:Beta-titanium
1121:
1120:
1118:
1114:
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1098:
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1016:
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897:Retrognathism
895:
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875:
873:
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868:
865:
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848:
842:
841:Tongue thrust
839:
837:
834:
832:
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202:Haas expander
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172:Coffin spring
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1574:Orthodontics
1444:Won-Sik Yang
1334:Birte Melsen
1269:Rolf Frankel
1249:Jean Delaire
1189:Raymond Begg
1174:Edward Angle
997:
978:Lingual arch
958:Damon system
912:Overeruption
826:Scissor bite
821:Malocclusion
801:Cephalometry
777:Orthodontics
709:
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160:UxL Expander
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107:nasal cavity
84:
76:
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63:
53:
47:
25:
15:
1546:Institution
1394:Ronald Roth
1344:Hayes Nance
1319:Craven Kurz
1234:Calvin Case
892:Prognathism
344:: 172–176.
58:Andrew Haas
1314:Juri Kurol
1204:Arne Björk
1082:Fiberotomy
1067:Procedures
1033:Quad helix
983:Lip bumper
973:Invisalign
931:Appliances
850:Conditions
255:References
238:Spring jet
223:Quad helix
1512:(Germany)
1153:Composite
1116:Materials
1043:SureSmile
872:Crossbite
867:Open bite
784:Diagnosis
728:1460-2210
679:1601-6343
643:195828787
627:1761-7227
580:1097-6752
485:1097-6752
441:0003-3219
391:: 53–59.
366:196555256
313:cite book
154:MICRO2/4
1568:Category
1520:Journals
1138:TiMolium
1038:Retainer
1008:Headgear
963:Elastics
943:Archwire
857:Overbite
736:23828862
687:22812438
635:31280998
588:20197161
544:25490552
493:21889081
449:16097223
413:53218014
405:30393018
358:31606311
1148:Ceramic
1143:Elgiloy
862:Overjet
535:8631879
250:Y plate
103:pharynx
99:maxilla
91:maxilla
87:maxilla
953:Braces
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247:W arch
1102:SARPE
639:S2CID
409:S2CID
362:S2CID
732:PMID
724:ISSN
683:PMID
675:ISSN
631:PMID
623:ISSN
584:PMID
576:ISSN
540:PMID
489:PMID
481:ISSN
445:PMID
437:ISSN
401:PMID
354:PMID
319:link
299:ISBN
274:ISBN
105:and
714:doi
667:doi
615:doi
568:doi
564:137
530:PMC
520:doi
473:doi
469:140
393:doi
346:doi
156:AWS
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315:}}
311:{{
769:e
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