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O objetivo desta revisão integrativa é responder à seguinte questão: Quais são as evidências científicas recentes sobre as técnicas de expansão palatina, como : expansão rápida da maxila, expansão lenta da maxila, expansão palatina cirurgicamente assistida e expansão palatina assistida por mini-implantes, quanto à sua eficácia clínica, correção de discrepâncias transversais e impacto funcional e estético? Como metodologia foi realizada uma pesquisa nas bases de dados PubMed, Lilacs e Cochrane Library, utilizando critérios de inclusão e que avaliaram as diferentes técnicas de expansão palatina e os seus resultados terapêuticos, assim como fatores como a idade do paciente, o estado das suturas palatinas e a abordagem terapêutica empregue. A pesquisa incluiu artigos publicados nos últimos 10 anos. Através destes estudos pôde-se concluir que a expansão rápida da maxila é amplamente utilizada em pacientes jovens, devido à sua capacidade de promover uma expansão óssea eficaz, antes da fusão completa da sutura palatina. A expansão lenta da maxila é indicada para casos menos graves de compressão em dentição mista. Em adultos a expansão palatina cirurgicamente assistida demonstrou ser um método eficiente quando ocorre fusão de sutura, enquanto expansão palatina assistida por mini-implantes surge como uma alternativa minimamente invasiva promissora. Os resultados sugerem que a escolha da técnica depende de múltiplos fatores, e todos eles têm benefícios clínicos específicos.
The objective of this integrative review is to answer the following question: What is the recent scientific evidence on palatal expansion techniques, such as: rapid maxillary expansion, slow maxillary expansion, surgically assisted palatal expansion, and miniimplant- assisted palatal expansion, regarding their clinical efficacy, correction of transverse discrepancies, and functional and aesthetic impact? As a methodology, a search was carried out in the PubMed, Lilacs and Cochrane Library databases, using inclusion criteria and evaluating the different techniques of palatal expansion and their therapeutic results, as well as factors such as the patient's age, the state of the palatine sutures and the therapeutic approach employed. The search included articles published in the last 10 years. Through these studies, it was possible to conclude that rapid maxillary expansion is widely used in young patients, due to its ability to promote effective bone expansion, before complete fusion of palatal suture. Slow maxillary expansion is indicated for less severe cases of compression in mixed dentition. In adults, surgically assisted palatal expansion has been shown to be an efficient method when suture fusion occurs, while palatal expansion assisted by mini-implants emerges as a promising minimally invasive alternative. The results suggest that the choice of technique depends on multiple factors, and all of them have specific clinical benefits.
The objective of this integrative review is to answer the following question: What is the recent scientific evidence on palatal expansion techniques, such as: rapid maxillary expansion, slow maxillary expansion, surgically assisted palatal expansion, and miniimplant- assisted palatal expansion, regarding their clinical efficacy, correction of transverse discrepancies, and functional and aesthetic impact? As a methodology, a search was carried out in the PubMed, Lilacs and Cochrane Library databases, using inclusion criteria and evaluating the different techniques of palatal expansion and their therapeutic results, as well as factors such as the patient's age, the state of the palatine sutures and the therapeutic approach employed. The search included articles published in the last 10 years. Through these studies, it was possible to conclude that rapid maxillary expansion is widely used in young patients, due to its ability to promote effective bone expansion, before complete fusion of palatal suture. Slow maxillary expansion is indicated for less severe cases of compression in mixed dentition. In adults, surgically assisted palatal expansion has been shown to be an efficient method when suture fusion occurs, while palatal expansion assisted by mini-implants emerges as a promising minimally invasive alternative. The results suggest that the choice of technique depends on multiple factors, and all of them have specific clinical benefits.
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Expansão palatina rápida Expansão palatina lenta MARPE SARPE: Rapid palatal expansion Slow palatal expansion SARPE