uu.seUppsala University Publications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Rapid maxillary expansion in therapy-resistant enuretic children: An orthodontic perspective.
Senior Consultant, Postgraduate Dental Education Center, Department of Orthodontics, Örebro, Sweden.
Senior Consultant, Public Dental Service, Uppsala County Council, Department of Orthodontics, Uppsala, Sweden.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health.ORCID iD: 0000-0002-4590-4957
2016 (English)In: Angle orthodontist, ISSN 0003-3219, E-ISSN 1945-7103, Vol. 86, no 3, 481-486 p.Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE:   To evaluate whether rapid maxillary expansion (RME) could reduce the frequency of nocturnal enuresis (NE) in children and whether a placebo effect could be ruled out.

METHODS:   Thirty-four subjects, 29 boys and five girls with mean age of 10.7 ± 1.8 years suffering from primary NE, were recruited. All subjects were nonresponders to the first-line antienuretic treatment and therefore were classified as "therapy resistant." To rule out a placebo effect of the RME appliance, all children were first treated with a passive appliance for 4 weeks. Rhinomanometry (RM), acoustic rhinometry (AR), polysomnographic registration, and study casts were made at different time points.

RESULTS:   One child experienced severe discomfort from the RME appliance and immediately withdrew from the study. Following RME, the long-term cure rate after 1 year was 60%. The RM and AR measurements at baseline and directly after RME showed a significant increase in nasal volume and nasal airflow, and there was a statistically significant correlation between reduction in enuresis and increase in nasal volume. Six months postretention, a 100% relapse of the dental overexpansion could be noted.

CONCLUSIONS:   RME has a curative effect in some children with NE, which could be connected to the positive influence of RME on the sleep architecture. Normal transverse occlusion does not seem to be a contraindication for moderate maxillary expansion in attempts to cure NE in children.

Place, publisher, year, edition, pages
2016. Vol. 86, no 3, 481-486 p.
National Category
Dentistry
Identifiers
URN: urn:nbn:se:uu:diva-270366DOI: 10.2319/051515-329.1ISI: 000375243400019PubMedID: 26270462OAI: oai:DiVA.org:uu-270366DiVA: diva2:889626
Available from: 2015-12-27 Created: 2015-12-27 Last updated: 2017-12-01

Open Access in DiVA

No full text

Other links

Publisher's full textPubMed

Authority records BETA

Nevéus, Tryggve

Search in DiVA

By author/editor
Nevéus, Tryggve
By organisation
Department of Women's and Children's Health
In the same journal
Angle orthodontist
Dentistry

Search outside of DiVA

GoogleGoogle Scholar

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 233 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf