Long-term Skeletal Changes with Rapid Maxillary Expansion:
|
|
- Bethany Bell
- 5 years ago
- Views:
Transcription
1 Review Article Long-term Skeletl Chnges with Rpid Mxillry Expnsion: A Systemtic Review Mnuel O. Lgrvere ; Pul W. Mjor b ; Crlos Flores-Mir c Abstrct: The objective ws to evlute long-term trnsverse, nteroposterior nd verticl skeletl chnges fter rpid mxillry expnsion (RME). The dt were clinicl trils tht ssessed skeletl chnges through cephlometric nlysis. No surgicl or other simultneous tretment during the evlution period ws ccepted. Electronic dtbses (PubMed, Medline, Medline In- Process & Other Non-Indexed Cittions, Cochrne Dtbse of Systemtic Reviews, ASP Journl Club, DARE, CCTR, Embse, Web of Sciences nd Lilcs) were serched with the help of senior Helth Sciences librrin. Abstrcts tht ppered to fulfill the initil selection criteri were selected by consensus. The originl rticles were then retrieved. A methodologicl checklist ws used to evlute the qulity of the selected rticles. Their references were lso hnd-serched for possible missing rticles. Articles without n dequte control group to fctor out growth chnges were excluded. Only three rticles (one mesuring trnsverse nd two nteroposterior nd verticl chnges) mesured RME stbility fter ctive expnsion, ll of them hd some methodologicl flws, which limit the ttinble conclusions. An individul nlysis of these rticles ws mde. Long-term trnsverse skeletl mxillry increse is pproximtely 25% of the totl dentl expnsion for prepubertl dolescents. Better long-term outcomes re expected in trnsverse chnges becuse of RME in less skeletlly mture ptients. RME ppers not to produce cliniclly significnt nteroposterior or verticl chnges in the position of the mxill nd mndible. The conclusions from this systemtic review should be considered with cution becuse only secondry level of evidence ws found. Long-term rndomized clinicl trils re needed. (Angle Orthod 2005;75: ) Key Words: Rpid mxillry expnsion; Skeletl chnges; Rpid pltl expnsion INTRODUCTION When skeletl constricted mxillry rch is dignosed, orthopedic skeletl expnsion involving sep PhD Student, Orthodontic Grdute Progrm, Fculty of Medicine nd Dentistry, University of Albert, Edmonton, Cnd. b Professor, Director of the Orthodontic Grdute Progrm, Fculty of Medicine nd Dentistry, University of Albert, Edmonton, Cnd. c Postdoctorl Fellow, Orthodontic Grdute Progrm, Fculty of Medicine nd Dentistry, University of Albert, Edmonton, Cnd. Corresponding uthor: Crlos Flores-Mir, DDS, MSc, Cert Orth, PhD, Fculty of Medicine nd Dentistry, Room 4051A, Dentistry/Phrmcy Centre, University of Albert, Edmonton, Albert, Cnd T6G 2N8 (e-mil: crlosflores@ulbert.c) Accepted: September Submitted: June by The EH Angle Eduction nd Reserch Foundtion, Inc. rtion of the midpltl suture is the tretment of choice. Three tretment lterntives re vilble for this purpose: rpid mxillry expnsion (RME), slow mxillry expnsion (SME), nd surgicl-ssisted RME (SARME). Both SME nd RME re indicted for growing ptients, wheres SARME is the lterntive selected for nongrowing dolescent nd young dult ptients. Even though RME tretments were reported to bring cliniclly stble results, 1 others reported relpse fter expnsion ws ttined. 2 Yers lter, other studies demonstrted tht the ttined chnges were produced primrily in the underlying structures nd, therefore, stble results were expected. 3,4 Although, SME nd RME were reported to bring similr results, 5 theoreticlly RME delivers forces rnging from 15 to 50 N wheres the SME incorportes forces tht only rech 10 N of mgnitude. Becuse RME tretments exert greter force on prmxillry 1046
2 LONG-TERM SKELETAL CHANGES WITH RME structures, chnges in skeletl structures other thn in the mxill re more fesible. Some disdvntges hve been reported in RME including: bite opening, 6 relpse, 7,8 microtrum of the TMJ nd the midpltl suture, 7,8 nd root resorption. 7,8 Becuse direct reltionship hs been reported between incresed resistnce to skeletl expnsion nd incresed ptient ge, the use of SME in dolescents my be questioned becuse it my not offer enough expnsion force to seprte the midpltl suture in young dults. 9 Even in young children, no scientific evidence in fvor or ginst is vilble. 10 Severl disdvntges for SME re minor mxillry nd mndibulr plne chnges, 11 poor fit, frcture or loss of the pplince, 12 nd pltl irrittion. 12 SARME tretment hs been successful in splitting the pltine suture nd thus widening the mxill in young dults. 13 However, this surgicl procedure is costly nd requires outptient surgery or hospitliztion with ttendnt morbidity nd loss of work time. Other complictions reported with the SARME re tissue irrittion, hemorrhge, infection, pin, unilterl or symmetric expnsion, periodontl problems, nd relpse. 14 For these resons, creful cost-effectiveness nlysis should be mde by ptients nd orthodontists before undergoing the procedure. 13 From this literture review, RME ppers s the tretment of choice in growing dolescents. Previous reports on RME skeletl nd dentl effects re contrdictory becuse of vrible study designs, smple sizes, nd reserch pproches. 15,16 Two met-nlyses regrding the trnsverse dentl effects of RME hve been published. 15,17 One systemtic review 18 bout the long-term dentl effects of RME hs been published, but to dte there re no systemtic reviews regrding long-term skeletl effects. The purpose of this systemtic review is to evlute long-term (minimum of one-yer postctive tretment) trnsverse, nteroposterior, nd verticl skeletl chnges obtined fter RME. MATERIALS AND METHODS The following inclusion criteri were chosen to initilly select the pproprite rticles from the published bstrcts: humn clinicl trils; mesurements mde from fcil rdiogrphs (nteroposterior nd lterl cephlogrms); no surgicl or other simultneous tretment tht could ffect RME effect during the evlution period. A computerized serch ws then conducted using Medline (from 1966 to week 1 of September 2004), Medline In-Process & Other Non-Indexed Cittions (from week 1 of September 2004 to week 2 of September 2004), Lilcs (from 1982 to September 2004), 1047 PubMed (1966 to week 2 of September 2004), Embse (from 1988 to week 37 of 2004), web of science (1945 to week 2 of September 2004) nd ll EBM reviews (Cochrne Dtbse of Systemtic Reviews, ASP Journl Club, DARE nd CCTR) (to the third qurter of 2004) dtbses for skeletl chnges in RME. Terms used in this literture serch were rpid pltl expnsion or RME, bone nd bones or skeletl chnges. The selection of these terms were mde with the help of senior librrin specilized in Helth Sciences dtbses. No ttempts were mde t this stge to identify studies tht did not use dequte control groups to fctor out growth chnges. It ws considered improbble tht the bstrcts would necessrily report enough informtion regrding control groups, which would potentilly exclude some rticles. Eligibility of potentil studies ws determined by reding the title nd bstrcts of ech rticle identified by ech serch engine. Two reserchers selected the rticles to be collected on the bsis of the bstrct informtion. An interexminer greement of (interexminer Kpp) ws obtined. Any discrepncies were settled through discussion. All the rticles tht ppered to meet the inclusion criteri on the bsis of their bstrcts were selected nd collected. In ddition, the ctul rticles were lso obtined from bstrcts in which not enough relevnt informtion ws stted. The finl selection ws independently completed by three reserchers reding the complete rticles nd their results were compred. An interexminer greement of (interexminer Kpp) ws obtined. Use of n dequte control group to fctor out growth chnges ws considered necessry t this stge. Any discrepncies were settled through discussion. Reference lists of the selected rticles were hndserched for dditionl relevnt publictions tht my hve been missed in the dtbse serches. In cses where specific dt ws necessry for the discussion, nd ws not specified in the rticle, efforts were mde to contct the uthors to obtin the required extr informtion. RESULTS The serch results nd the finl number of bstrcts selected ccording to the initil selection criteri from the vrious dtbses re provided in Tble 1. Compring the dtbse results, Medline obtined the gretest diversity of finlly selected bstrcts (78.6%), wheres the other dtbses obtined significntly fewer finlly selected bstrcts ( 33.3%). The different dtbses repeted most of the bstrcts, except Lilcs, which included only Ltin-Americn public-
3 1048 LAGRAVERE, MAJOR, FLORES-MIR TABLE 1. PubMed Medline Serch Results from Different Dtbses Dtbse Keywords Results Selected Medline In-Process & Other Non-Indexed Cittions Embse All EBM reviews (Cochrne Dtbse of Systemtic Reviews, ASP Journl Club, DARE nd CCTR) Web of Science Lilcs (1) Rpid mxillry expnsion nd skeletl chnges; (2) rpid pltl expnsion nd skeletl chnges; (3) #1 OR #2 expn$.mp; (2) limit to humn; (3) skeletl chnges.mp; (4) 1 nd 2 nd 3 expn$.mp; (2) limit to humn; (3) skeletl chnges.mp; (4) 1 nd 2 nd 3 expn$.mp; (2) limit to humn; (3) skeletl chnges.mp; (4) 1 nd 2 nd 3 expn$.mp; (2) limit to humn; (3) skeletl chnges.mp; (4) 1 nd 2 nd 3 (1) TS (rpid mxillry expnsion); (2) TS (rpid pltl expnsion); (3) TS (skeletl chnges); (4) #1 OR #2; (5) #3 AND #4 DocType Article; Lnguge All lnguges; Dtbse(s) SCI- EXPANDED, SSCI, A&HCI (1) Rpid mxillry expnsion; (2) Rpid pltl expnsion; (3) #1 OR #2 Percentges do not dd up to 100% s the sme reference could be found in severl dtbses. Percentge of Totl Selected Abstrcts (42) TABLE 2. Studies tht Fulfilled Initil Selection Criteri but Were Lter Rejected Authors Bhtt nd Jcob 19 Linder-Aronson nd Lindgren 20 d Silv et l 21 d Silv et l 22 Velzquez et l 23 Asnz et l 24 Sndikcioglu nd Hzr 9 Akky et l 6 Memikoglu nd Iseri 25 Ursi et l 26 Brmnte nd Almeid 27 Frnchi et l 28 Cozz et l 29 Cross et l 30 Reson(s) for Rejection No control group nd no error of method No control group, no error of method nd pplince design No control group, no error of method nd no retention period No control group, no error of method nd no retention period No control group No control group nd no error of method No control group No control group nd no retention period No control group No control group nd no error of method No control group, no error of method nd pplince design Dtbse repetition Only short-term chnges Only short-term chnges Error of method, mgnitude of the mesurement error; retention period, specified retention period nd type; pplince design, pplince modified significntly compred to RME trditionl design; dtbse repetition, sme dt used in different study; short-term chnges, only immedite chnges (fter expnsion phse) were reported. tions nd ccounted for significnt percentge (21.4%) of the finlly selected bstrcts. From the 42 studies tht on the bsis of the bstrcts seemed to be potentilly useful, only 17 studies ctully fulfilled the initil selection criteri fter reding the complete rticle. Mnul serching of the references from these 42 studies did not revel ny study tht hd not ppered in the electronic serch. At the finl stge of rticle selection, eleven 5,12,19 27 of the 17 rticles were rejected becuse of the lck of n dequte control group, one 28 becuse it used the sme dtbse s nother selected study nd two 29,30 becuse they only evluted short-term (six nd three months fter insertion of pplince, respectively) skeletl chnges. Lck of reported mesurement error 19 22,24,26,27 or use of unconventionl cephlometric nlysis 28 were lso found in some studies (Tble 2). Finlly, only three rticles tht met ll the inclusion criteri remined. A summry of the smple size, retention period, rdiogrphs, nd pplince used is given in Tble 3. A methodologicl qulity checklist ws developed to evlute the selected rticles (Tble 4),
4 LONG-TERM SKELETAL CHANGES WITH RME 1049 TABLE 3. Studies Finlly Included Authors Smple Control Method Error Reported Rdiogrphs Chng et l 6 18 femle nd seven mle (11.8 yers) seven femle nd 16 mle (11.8 yers) Yes Lt Cephs Bccetti et l femles nd 17 mles (grouped ccording nine femles nd 11 mles (grouped c- Yes PA Cephs to skeletl ge) cording to skeletl ge) Grib et l mles nd 14 femles (13.6 yers; yers) 13 mles nd 13 femles (pired ccording to ge with tretment group) Yes Lt Cephs TABLE 4. Methodologicl Score for the Clinicl Trils I. Study Design (9 ) A. Objective: objective clerly formulted ( ) B. Popultion: described ( ) C. Selection criteri: clerly described ( ); dequte ( ) D. Smple size: considered dequte ( ); estimted before collection of dt ( ) E. Bseline chrcteristics: similr bseline chrcteristics ( ) F. Timing: prospective ( ) G. Rndomiztion: stted ( ) II. Study Mesurements (5 ) H. Mesurement method: pproprite to the objective ( ) I. Blind mesurement: blinding (exminer, sttisticin ) J. Relibility: described ( ), dequte level of greement ( ) III. Sttisticl Anlysis (6 ) K. Dropouts: dropouts included in dt nlysis ( ) L. Sttisticl nlysis: pproprite for dt ( ); combined subgroup nlysis ( ) M. Confounders: confounders included in nlysis ( ) N. Sttisticl significnce level: P vlue stted ( ); confidence intervls ( ) Mximum number of s 20. nd the ppliction of the methodologicl qulity checklist is provided in Tble 5. A flow digrm of the literture serch ppers in Tble 6. From the three finl rticles, one mesured trnsverse chnges, two nteroposterior chnges, nd two verticl chnges. All the three rticles mesured long-term RME stbility (more thn five yers fter finishing full ctive tretment). Trnsverse chnges The only sttisticlly significnt difference in skeletl width increse for ptients before nd fter pek pubertl growth spurt ws lteronsl width ( 1.5 mm). For the erly-treted group, the mxillry width increse ws significnt (three mm) but not for the ltetreted group (0.9 mm). The uthors concluded tht ptients treted before compred with fter pubertl pek exhibit cliniclly significnt nd more effective long-term chnges t the skeletl level in both mxillry nd circummxillry structures. 31 Anteroposterior chnges There ws no significnt difference except for the position of A point, which ws more retruded in the RME-treted group ( 1.05 when compred with control group). No significnt chnges were lso found for the nteroposterior position of the mxill nd mndible. 6 When compred with the control group, they found tht the mxill nd mndible presented similr chnges in both groups. No sttisticlly significnt chnges were found concerning the nteroposterior position of the mxill nd mndible. 32 Verticl chnges Any sttisticlly significnt short-term differences were found in skeletl verticl cephlometric vribles. The mndibulr plne ngle reduction between pretretment nd long-term follow-up ( 0.85 ) ws less for the RME thn the two comprison groups ( 2.52 in group treted with full fixed pplinces nd 2.21 for control group). 6 A sttisticlly significnt long-term difference ws present in the SN-PP (0.8 ) nd SN-Gn (0.8 ) ngles when compring the tretment group with the control TABLE 5. Methodologicl Score of Selected Articles Articles A B C D E F G H I J K L M N Totl no. of Checks Percentge of The Totl Chng et l Grib et l Bccetti et l A M: methodologicl criteri in Appendix 1;, fulfilled stisfctorily the methodologicl criteri (1 check point);, fulfilled prtilly the methodologicl criteri (0.5 check point);, did not fulfill the methodologicl criteri (0 check point).
5 1050 LAGRAVERE, MAJOR, FLORES-MIR TABLE 6. Flow Digrm of the Literture Serch Electronic serch 188 bstrcts Selection criteri on 188 bstrcts excluded 146 Selection criteri on 42 ppers Mnul serch 0 ppers excluded 25 Potentilly pproprited to be included 0 ppers Potentilly pproprited to be included 17 ppers 17 ppers excluded 11 lck of control group 6 ppers excluded 1 repetition of smple 5 ppers finlly selected group. No significnt chnge ws found for the verticl mesurements between the end of ctive tretment nd the follow-up. 32 DISCUSSION Much informtion bout RME hs been published, but the conclusions hve been contrdictory. Two met-nlyses 15,17 nd one systemtic review 16 nlyzed only RME dentl chnges. These met-nlyses nd systemtic review concluded tht tril results for dentl chnges were inconclusive nd recommendtions for clinicl prctice could not be supported. However, one previous systemtic review 18 found tht long-term trnsversl chnges were cliniclly significnt. No previous systemtic review or met-nlysis hs been published regrding the long-term skeletl effects of RME. Even though there re considerble number of studies deling with skeletl chnges with RME procedures, the mjority of reports bout RME skeletl chnges were excluded becuse of the bsence of control group to fctor out the norml growth chnges tht could hve hppened during the expnsion nd retention periods. Also, some of them did not provide the error of methods. Knowledge of the mesurement error is essentil in judging the clinicl significnce of ny reported sttisticlly significnt findings. Finlly, methodologicl fctors such s different postctive tretment evlution periods nd differences in the lndmrks evluted between the two studies tht met the inclusion criteri nd evluted skeletl nteroposterior nd verticl chnges prevented use of met-nlysis. The individul significnt differences found were sttisticlly significnt not cliniclly significnt, nd therefore, met-nlysis would not hve dded significntly to our knowledge bout long-term skeletl chnges fter RME. Although three studies stisfied the finl inclusion criteri for this systemtic review, conclusions should be mde nd evluted with cution. The finlly selected studies presented methodologicl issues such s lck of description of sttisticl estimtion process for the smple size, dropouts, nd intr- nd interexminer relibility. Although ssessing study qulity is subjective nd dependent on dequte reporting in the journl rticles, 33 it gives comprtive ide of the methodologicl qulity of the studies. Within the limittions of the qulity score list used, scores for the finlly selected studies were limited. Long-term rndomized clinicl trils re required to obtin sound clinicl conclusions bout the effectiveness of RME t the skeletl level. Also, these studies filed to give the higher level of scientific evidence, which is only ttinble through the use of rndomized clinicl trils. 34 In the bsence of the highest level of evidence, clinicins hve to mke decisions bsed on lower levels of evidence. Nonrndomized controlled trils, such s the ones found, represent only the second level of evidence nd re prone to confounding nd selection bis. 35 Therefore, creful nlysis of their results tht considers their limittions is required. Differences were found for the trnsverse mxillry skeletl chnges ccording to the mturtion stge of the subjects. For the lteronsl width ( 1.5 mm), the expnsion effects were significnt for both groups. On the other hnd, the mxillry width increse ws only significnt (three mm) for the erly-treted group but not for the lte-treted group. The uthors concluded tht ptients treted before pubertl pek growth exhibit cliniclly significnt nd more effective long-term chnges t the skeletl level in both mxillry nd circummxillry structures. 31 Therefore, mxillry skeletl width increse ppers to be pproximtely 20% of the totl pplince ctivtion in prepubertl dolescents but not significnt for postpubertl dolescents.
6 LONG-TERM SKELETAL CHANGES WITH RME Concerning nteroposterior chnges in the mxill nd mndible, no significnt ltertions were found in ny of the studies reviewed. 6,32 After the posttretment nd postretention, the mxill nd mndible of the treted groups presented similr behvior to the ones of the control group, ie, the differences presented no sttisticl or clinicl significnce. Short-term nd long-term verticl skeletl chnges ssocited with RME pper to be restricted to the mxill. The mgnitude of chnge reported by Grib et l 32 ws smll nd, in view of the rnge of mesurement error, hs little, if ny, clinicl significnce. The long-term chnges in mndibulr plne ngle reported by Chng et l 6 re lso of little, if ny, clinicl significnce. Scientific evidence lone does not utomticlly dictte the selection of the tretment. A combintion of vlues from the ptient nd professionl (clinicl, personl, nd socil) should determine whether the intervention benefits re worth the costs. 36 Therefore, the ppliction of evidence into clinicl prctice hs to be relted to professionl expertise nd ptient vlue needs. As in ny usul clinicl environment, clinicins will need to rely on their clinicl experience, the opinion of experts, nd the presented limited evidence concerning RME skeletl short- nd long-term results. CONCLUSIONS The following conclusions for this systemtic review should be considered with cution becuse only secondry level of evidence ws found. Long-term prospective rndomized clinicl trils re needed to support these findings: Long-term stbility of trnsverse skeletl mxillry increse is better in skeletlly less mture individuls (prepubertl growth pek) thn skeletlly more mture (pubertl nd postpubertl growth pek) individuls. The clinicl significnce of long-term mxillry expnsion in skeletlly more mture groups is questionble. Long-term trnsverse skeletl mxillry increse is pproximtely 25% of the totl pplince djustment (dentl expnsion) in prepubertl dolescents but not significnt for postpubertl dolescents. RME did not produce significnt nteroposterior or verticl chnges in the position of the mxill nd mndible. ACKNOWLEDGMENT Specil thnks to Lind Sele for her professionl ssistnce in the dtbse serch. REFERENCES Hs AJ. Pltl expnsion: just the beginning of dentofcil orthopedics. Am J Orthod. 1970;57: Timms DJ. An occlusl nlysis of lterl mxillry expnsion with midpltl suture opening. Dent Prct Dent Rec. 1968;18: Hs AJ. Long-term posttretment evlution of rpid pltl expnsion. Angle Orthod. 1980;50: Pvlin D, Vukicevic D. Mechnicl rections of fcil skeleton to mxillry expnsion determined by lser hologrphy. Am J Orthod. 1984;85: Akky S, Lorenzon S, Ucem TT. A comprison of sgittl nd verticl effects between bonded rpid nd slow mxillry expnsion procedures. Eur J Orthod. 1999;21: Chng JY, McNmr JA Jr, Herberger TA. A longitudinl study of skeletl side effects induced by rpid mxillry expnsion. Am J Orthod Dentofcil Orthop. 1997;112: Drendeliler MA, Strhm C, Joho JP. Light mxillry expnsion forces with the mgnetic expnsion device. A preliminry investigtion. Eur J Orthod. 1994;16: Akky S, Lorenzon S, Ucem TT. Comprison of dentl rch nd rch perimeter chnges between bonded rpid nd slow mxillry expnsion procedures. Eur J Orthod. 1998;20: Bell RA. A review of mxillry expnsion in reltion to rte of expnsion nd ptient s ge. Am J Orthod. 1982;81: Lgrvere MO, Mjor PW, Flores-Mir C. Skeletl nd dentl chnges with fixed slow mxillry expnsion tretment: systemtic review. J Am Dent Assoc. 2005; In press. 11. Hicks EP. Slow mxillry expnsion. A clinicl study of the skeletl versus dentl response to low-mgnitude force. Am J Orthod. 1978;73: Sndikcioglu M, Hzr S. Skeletl nd dentl chnges fter mxillry expnsion in the mixed dentition. Am J Orthod Dentofcil Orthop. 1997;111: Hndelmn CS. Nonsurgicl rpid mxillry lveolr expnsion in dults: clinicl evlution. Angle Orthod. 1997;67: Lnign DT, Mintz SM. Complictions of surgiclly ssisted rpid pltl expnsion: review of the literture nd report of cse. J Orl Mxillofc Surg. 2002;60: Schiffmn PH, Tuncy OC. Mxillry expnsion: met nlysis. Clin Orthod Res. 2001;4: Petren S, Bondemrk L, Soderfeldt B. A systemtic review concerning erly orthodontic tretment of unilterl posterior crossbite. Angle Orthod. 2003;73: Hrrison JE, Ashby D. Orthodontic tretment for posterior crossbites. Cochrne Dtbse Syst Rev CD Lgrvere MO, Mjor PW, Flores-Mir C. Long term dentl rch chnges fter rpid mxillry expnsion tretment: systemtic review. Angle Orthod. 2005;75: Bhtt AK, Jcob PP. Skeletl nd dentl chnges in rpid mxillry expnsion. J Indin Orthod Soc. 1978;10: Linder-Aronson S, Lindgren J. The skeletl nd dentl effects of rpid mxillry expnsion. Br J Orthod. 1979;6: d Silv Filho OG, Bos MC, Cpelozz Filho L. Rpid mxillry expnsion in the primry nd mixed dentitions: cephlometric evlution. Am J Orthod Dentofcil Orthop. 1991;100: d Silv Filho OG, Montes LA, Torelly LF. Rpid mxillry expnsion in the deciduous nd mixed dentition evluted
7 1052 LAGRAVERE, MAJOR, FLORES-MIR through posteronterior cephlometric nlysis. Am J Orthod Dentofcil Orthop. 1995;107: Velzquez P, Benito E, Brvo LA. Rpid mxillry expnsion. A study of the long-term effects. Am J Orthod Dentofcil Orthop. 1996;109: Asnz S, Cisneros GJ, Nieberg LG. Comprison of Hyrx nd bonded expnsion pplinces. Angle Orthod. 1997;67: Memikoglu TU, Iseri H. Effects of bonded rpid mxillry expnsion pplince during orthodontic tretment. Angle Orthod. 1999;69: Ursi WJ, Dle RCXS, Clro CA, Chgs RV, Almeid G. Trnsversl chnges produced by the bonded rpid mxillry expnder, evluted by postero-nterior cephlogrphs. Ortodonti 2001;34: Brmnte FS, Almeid RR. Dentoskeletl chnges evluted with lterl cephlometry initilly nd fter three months of use of mxillry expnsor with occlusl coberge. J Brs Ortod Ortop Fcil 2002;39: Frnchi L, Bccetti T, Cmeron CG, Kutcipl EA, McNmr JAJ. Thin-plte spline nlysis of the short- nd longterm effects of rpid mxillry expnsion. Eur J Orthod. 2002;24: Cozz P, Gincotti A, Petrosino A. Rpid pltl expnsion in mixed dentition using modified expnder: cephlometric investigtion. J Orthod. 2001;28: Cross DL, McDonld JP. Effect of rpid mxillry expnsion on skeletl, dentl, nd nsl structures: postero-nterior cephlometric study. Eur J Orthod. 2000;22: Bccetti T, Frnchi L, Cmeron CG, McNmr JA Jr. Tretment timing for rpid mxillry expnsion. Angle Orthod. 2001;71: Grib DG, Henriques JFC, Jnson GP. Longitudinl cephlometric pprisl of rpid mxillry expnsion effects. Rev Dent Press Ortod Ortop Fcil. 2001;6: Hodges JS. Are qulity ssessment methods ny good? J Evid Bsed Dent Prct. 2004;4: Eccles M, Freemntle N, Mson J. Using systemtic reviews in clinicl prctice guidelines. In: Egger M, Smith GD, Altmn DG, eds. Systemtic Reviews in Helth Cre: Metnlysis in Context. London: BMJ Books; 2003: Egger M, Smith GD, Schneider M. Systemtic reviews of observtionl studies. In: Egger M, Smith GD, Altmn DG, eds. Systemtic Reviews in Helth Cre: Met-nlysis in Context. London: BMJ Books; 2003: Guytt G, Hynes B, Jeschke R, et l. Introduction: the philosophy of evidence-bsed medicine. In: Guytt G, Rennie D, eds. Users Guides to the Medicl Literture: A Mnul for Evidence-bsed Prctice. Chicgo, Ill: AMA Press; 2002:3 12.
Soft Tissue Changes with Fixed Functional Appliances in Class II division 1
Review Article Soft Tissue Chnges with Fixed Functionl Applinces in Clss II division 1 A Systemtic Review Crlos Flores-Mir ; Michel P. Mjor b ; Pul W. Mjor c ABSTRACT Objective: To evlute fcil soft tissue
More informationChanges in Occlusal Relationships in Mixed Dentition Patients Treated with Rapid Maxillary Expansion
Originl Article Chnges in Occlusl Reltionships in Mixed Dentition Ptients Treted with Rpid Mxillry Expnsion A Prospective Clinicl Study Jmes A. McNmr,Jr ; Luren M. Sigler b ; Lorenzo Frnchi c ; Susn S.
More informationA Long-term Study on the Expansion Effects of the Cervical-pull Facebow With and Without Rapid Maxillary Expansion
Originl Article A Long-term Study on the Expnsion Effects of the Cervicl-pull Fcebow With nd Without Rpid Mxillry Expnsion Frederick A. Fenderson, DDS, MS ; Jmes A. McNmr Jr, DDS, PhD b ; Tizino Bccetti,
More informationCorrelation of Skeletal Maturation Stages Determined by Cervical Vertebrae and Hand-wrist Evaluations
Originl Article Correltion of Skeletl Mturtion Stges Determined by Cervicl Vertebre nd Hnd-wrist Evlutions Crlos Flores-Mir ; Corr A. Burgess b ; Mitchell Chmpney c ; Robert J. Jensen d ; Michel R. Pitcher
More informationDental arch response to Haas-type rapid maxillary expansion anchored to deciduous vs permanent molars: A multicentric randomized controlled trial
Originl Article Dentl rch response to Hs-type rpid mxillry expnsion nchored to deciduous vs permnent molrs: A multicentric rndomized controlled tril Alessndro Ugolini ; Crmen Cerruto b ; Luc Di Vece c
More informationStability of anterior crossbite correction: A randomized controlled trial with a 2-year follow-up
Originl Article Stbility of nterior crossbite correction: A rndomized controlled tril with 2-yer follow-up Ann-Pulin Wiedel ; Lrs Bondemrk b ABSTRACT Objective: To compre nd evlute the stbility of correction
More informationModified tandem traction bow appliance compared with facemask therapy in treating Class III malocclusions
Originl Article Modified tndem trction bow pplince compred with fcemsk therpy in treting Clss III mlocclusions Tub Tortop ; Emine Kygısız b ; Deniz Gencer c ; Sem Yuksel ; Zeynep Atly d ABSTRACT Objective:
More informationGender Differences in Class III Malocclusion
Originl Article Gender Differences in Clss III Mlocclusion Tizino Bccetti ; Brin C. Reyes b ; Jmes A. McNmr Jr c Abstrct: This study evluted gender differences in the cephlometric records of lrge-scle
More informationEruption of the permanent maxillary canines in relation to mandibular second molar maturity
Originl Article Eruption of the permnent mxillry cnines in reltion to mndibulr second molr mturity Giuseppe Perinetti ; Mrilen Cllovi b ; Stefno Slgrello c ; Mtteo Bisotto d ; Luc Contrdo d ABSTRACT Objective:
More informationAn Occlusal and Cephalometric Analysis of Maxillary First and Second Premolar Extraction Effects
Originl Article An Occlusl nd Cephlometric Anlysis of Mxillry First nd Second Premolr Extrction Effects Hoe Boon Ong, BDS (Sing), MDSc (Melb) ; Michel G. Woods, DDSc, FRACDS, FRACDS (Orth), DOrthRCS (Eng)
More informationInfluence of lateral cephalometric radiography in orthodontic diagnosis and treatment planning
Originl Article Influence of lterl cephlometric rdiogrphy in orthodontic dignosis nd tretment plnning An Reis Durão ; Ali Alqerbn b ; Afonso Pinhão Ferreir c ; Reinhilde Jcobs d ABSTRACT Objective: To
More informationSkeletal and Soft Tissue Point A and B Changes Following Orthodontic Treatment of Nepalese Class I Bimaxillary Protrusive Patients
Originl Article Skeletl nd Soft Tissue Point A nd B Chnges Following Orthodontic Tretment of Neplese Clss I Bimxillry Protrusive Ptients Jgn Nth Shrm ABSTRACT Objectives: To test the hypothesis tht there
More informationOriginal Article. Heon-Mook Park a ; Yang-Ku Lee b ; Jin-Young Choi c ; Seung-Hak Baek d
Originl Article Mxillry incisor inclintion of skeletl Clss III ptients treted with extrction of the upper first premolrs nd two-jw surgery Conventionl orthognthic surgery vs surgery-first pproch Heon-Mook
More informationClinical Study Report Synopsis Drug Substance Naloxegol Study Code D3820C00018 Edition Number 1 Date 01 February 2013 EudraCT Number
EudrCT Number 2012-001531-31 A Phse I, Rndomised, Open-lbel, 3-wy Cross-over Study in Helthy Volunteers to Demonstrte the Bioequivlence of the Nloxegol 25 mg Commercil nd Phse III Formultions nd to Assess
More informationLong-Term Profile Changes Associated with Successfully Treated Extraction and Nonextraction Class II Division 1 Malocclusions
Originl Article Long-Term Profile Chnges Associted with Successfully Treted Extrction nd Nonextrction Clss II Division 1 Mlocclusions Eileen C. Zierhut, DDS, M ; Donld R. Joondeph, DDS, MS b ; Jon Artun,
More informationLong-term Effectiveness and Treatment Timing for Bionator Therapy
Originl Article Long-term Effectiveness nd Tretment Timing for Biontor Therpy Kurt Fltin Jr, DD, PhD; Rolf M. Fltin, DD, Mc, PhD; b Tizino Bccetti, DD, PhD; c Lorenzo Frnchi, DD, PhD; c Bruno Ghiozzi,
More informationEvaluation of canting correction of the maxillary transverse occlusal plane and change of the lip canting in Class III two-jaw orthognathic surgery
Originl Article Evlution of cnting correction of the mxillry trnsverse occlusl plne nd chnge of the lip cnting in Clss III two-jw orthognthic surgery Seung-Je Kim ; Jin-Young Choi b ; Seung-Hk Bek c ABSTRACT
More informationAgenesis of Third Molar Germs Depends on Sagittal Maxillary Jaw Dimensions in Orthodontic Patients in Japan
Originl Article Agenesis of Third Molr Germs Depends on Sgittl illry Jw Dimensions in Orthodontic Ptients in Jpn Tkshi S. Kjii, DDS, PhD ; Yoshiki Sto, DDS, PhD b ; Sori Kjii, DDS c ; Yuki Sugwr, DDS,
More informationMandibular vertical asymmetry in adult orthodontic patients with different vertical growth patterns: A cone beam computed tomography study
Originl Article Mndibulr verticl symmetry in dult orthodontic ptients with different verticl growth ptterns: A cone bem computed tomogrphy study Slih Celik ; Mevlut Celikoglu b ; Suleymn K. Buyuk c ; A.
More informationOptimal sites for orthodontic mini-implant placement assessed by cone beam computed tomography
Originl Article Optiml sites for orthodontic mini-implnt plcement ssessed by cone bem computed tomogrphy Mon Mohmed Slh Fyed ; Pwel Pzer b ; Christos Ktsros c ABSTRACT Objectives: To determine (1) the
More informationComparison of two early treatment protocols for anterior dental crossbite in the mixed dentition: A randomized trial
Originl Article Comprison of two erly tretment protocols for nterior dentl crossbite in the mixed dentition: A rndomized tril Cristin B. Mimoto ; Lendro S. Mrques b ; Lucs G. Abreu c ; Sul M. Piv c ABSTRACT
More informationA Comparison Study of Upper Airway among Different Skeletal Craniofacial Patterns in Nonsnoring Chinese Children
Originl Article A Comprison Study of Upper Airwy mong Different Skeletl Crniofcil Ptterns in Nonsnoring Chinese Children Zhe Zhong ; Zhihui Tng b ; Xuemei Go c ; Xing-Long Zeng c ABSTRACT Objective: Ptients
More informationSoft tissue response after Class III bimaxillary surgery Impact of surgical change in face height and long-term skeletal relapse
Originl Article Soft tissue response fter Clss III bimxillry surgery Impct of surgicl chnge in fce height nd long-term skeletl relpse Gundeg Jkobsone ; Arild Stenvik b ; Lisen Espelnd b ABSTRACT Objective:
More informationDental Arch Dimensions in Class II division 1 Malocclusions with Mandibular Deficiency
Originl Article Dentl Arch Dimensions in Clss II division 1 Mlocclusions with Mndibulr Deficiency Omr Gbriel d Silv Filho ; Flávio Muro Ferrri Júnior b ; Terumi Okd Ozw c ABSTRACT Objective: To test the
More informationDentoskeletal changes following mini-implant molar intrusion in anterior open bite patients
Originl Article Dentoskeletl chnges following mini-implnt molr intrusion in nterior open bite ptients Tyler R. Hrt ; Richrd R. J. Cousley b ; Leonrd S. Fishmn c ; Ross H. Tllents d ABSTRACT Objective:
More informationChildren with Class III Malocclusion: Development of Multivariate Statistical Models to Predict Future Need for Orthognathic Surgery
Originl Article Children with Clss III Mlocclusion: Development of Multivrite Sttisticl Models to Predict Future Need for Orthognthic Surgery Gbriele Schuster, DDS ; Christopher J. Lux, DDS b ; Angelik
More informationTreatment time, outcome, and anchorage loss comparisons of self-ligating and conventional brackets
Originl Article Tretment time, outcome, nd nchorge loss comprisons of self-ligting nd conventionl brckets Ferdinnd M. Mchiby ; Xingfu Bo b ; Lihu Zho c ; Min Hu d ABSTRACT Objective: To compre the tretment
More informationCheckMate 153: Randomized Results of Continuous vs 1-Year Fixed-Duration Nivolumab in Patients With Advanced Non-Small Cell Lung Cancer
CheckMte 53: Rndomized Results of Continuous vs -Yer Fixed-Durtion Nivolumb in Ptients With Advnced Non-Smll Cell Lung Cncer Abstrct 297O Spigel DR, McCleod M, Hussein MA, Wterhouse DM, Einhorn L, Horn
More informationCorrelation between periodontal soft tissue and hard tissue surrounding incisors in skeletal Class III patients
Originl Article Correltion between periodontl soft tissue nd hrd tissue surrounding incisors in skeletl Clss III ptients Jeong-Ho Prk ; Ji-Yeon Hong b ; Hyo-Won Ahn c ; Su-Jung Kim d ABSTRACT Objectives:
More informationKøbenhavns Universitet
university of copenhgen Københvns Universitet Risk fctors for smll phryngel irwy dimensions in preorthodontic children Anndrjh, Seerone; Dudhi, Rhib; Sndhm, Andrew; Sonnesen, Liselotte Published in: Angle
More informationAssessment of Depression in Multiple Sclerosis. Validity of Including Somatic Items on the Beck Depression Inventory II
Assessment of Depression in Multiple Sclerosis Vlidity of Including Somtic Items on the Beck Depression Inventory II Peggy Crwford, PhD; Noh J. Webster, MA Signs nd symptoms of multiple sclerosis (MS)
More informationOriginal Article. Shushu He a ; Jinhui Gao b ; Peter Wamalwa c ; Yunji Wang d ; Shujuan Zou e ; Song Chen f
Originl Article Cmouflge tretment of skeletl Clss III mlocclusion with multiloop edgewise rch wire nd modified Clss III elstics by mxillry mini-implnt nchorge Shushu He ; Jinhui Go b ; Peter Wmlw c ; Yunji
More informationSkeletal, Dental and Soft-Tissue Changes Induced by the Jasper Jumper Appliance in Late Adolescence
Originl Article Skeletl, Dentl nd Soft-Tissue Chnges Induced by the Jsper Jumper Applince in Lte Adolescence Didem Nlbntgil ;Tülin Arun b ; Korkmz Syinsu c ; Fuly Işık c Abstrct: The purpose of this study
More informationThe Acute Time Course of Concurrent Activation Potentiation
Mrquette University e-publictions@mrquette Exercise Science Fculty Reserch nd Publictions Exercise Science, Deprtment of 1-1-2010 The Acute Time Course of Concurrent Activtion Potentition Luke Grceu Mrquette
More informationSevere Gummy Smile with Class II Malocclusion Treated with LeFort I Osteotomy Combined with Horseshoe Osteotomy and Intraoral Vertical Ramus
2013 67 1 5560 Severe Gummy Smile with Clss II Mlocclusion Treted with LeFort I Osteotomy Comined with Horseshoe Osteotomy nd Introrl Verticl Rmus Osteotomy * 56 Shimo et l. Act Med. Okym Vol. 67, No.
More informationThree-dimensional positional assessment of glenoid fossae and mandibular condyles in patients with Class II subdivision malocclusion
Originl Article Three-dimensionl positionl ssessment of glenoid fosse nd mndibulr condyles in ptients with Clss II subdivision mlocclusion Julin Mcêdo de Mttos ; Jun Mrtin Plomo b ; Antonio Crlos de Oliveir
More informationIntraarch and Interarch Relationships of the Anterior Teeth and Periodontal Conditions
Originl Article Intrrch nd Interrch Reltionships of the Anterior Teeth nd Periodontl Conditions Pp Ibrhim Ngom ; Flou Digne b ; Henri Michel Benoist c ; Fn Thim d ABSTRACT This study ws undertken to investigte
More informationTechnetium-Labeled Methylene Diphosphonate Uptake in Maxillary Bone During and After Rapid Maxillary Expansion
Originl Article 99m Technetium-Lbeled Methylene Diphosphonte Uptke in Mxillry Bone During nd Rpid Mxillry Expnsion Z. Mirzen Art, DDS, PhD ; Htice Göklp, DDS, PhD b ; Tmer Atsever, DDS, PhD c ; Hkn Türkkhrmn,
More informationOriginal Article INTRODUCTION
Originl Article Evlution of mxillry centrl incisors on the noncleft nd cleft sides in ptients with unilterl cleft lip nd plte Prt 1: Reltionship etween root length nd orthodontic tooth movement Ay Med-Iino
More informationThe main occluding area in normal occlusion and mandibular prognathism
Originl Article The min occluding re in norml occlusion nd mndibulr prognthism Mkoto Kurokw ; Hiroyuki Knzki b ; Hjime Tokiw c ; Hideho Hnd d ; Kzutoshi Nkok e ; Yoshiki Hmd f ; Hitoshi Kto g ; Yoshiki
More informationFactors affecting orthodontists management of the retention phase
Originl Article Fctors ffecting orthodontists mngement of the retention phse Kevin Bibon ; Bhvn Shroff b ; Al M. Best c ; Steven J. Linduer d ABSTRACT Objective: To test the null hypothesis tht orthodontist
More informationA Comparative Study of Two Methods of Quantifying the Soft Tissue Profile
Originl Article A Comprtive Study of Two Methods of Quntifying the Soft Tissue Profile Hyeon-Shik Hwng, DDS, M, PhD ; Wng-Sik Kim, DDS, M b ; Jmes A. McNmr, Jr, DDS, PhD c Abstrct: One of the most importnt
More informationMetabolic Syndrome and Health-related Quality of Life in Obese Individuals Seeking Weight Reduction
Metbolic Syndrome nd Helth-relted Qulity of Life in Obese Individuls Seeking Weight Reduction Adm Gilden Tsi 1, Thoms A. Wdden 1, Dvid B. Srwer 1, Robert I. Berkowitz 1, Leslie G. Womble 1, Louise A. Hesson
More informationPNEUMOVAX 23 is recommended by the CDC for all your appropriate adult patients at increased risk for pneumococcal disease 1,2 :
PNEUMOVAX 23 is recommended y the CDC for ll your pproprite dult ptients t incresed risk for pneumococcl disese 1,2 : Adults ged
More informationInvasive Pneumococcal Disease Quarterly Report. July September 2017
Invsive Pneumococcl Disese Qurterly Report July September 2017 Prepred s prt of Ministry of Helth contrct for scientific services by Rebekh Roos Helen Heffernn October 2017 Acknowledgements This report
More informationAre the Lower Incisors the Best Predictors for the Unerupted Canine and Premolars Sums? An Analysis of a Peruvian Sample
Originl Article Are the Lower Incisors the Best Predictors for the Unerupted Cnine nd Premolrs Sums? An Anlysis of Peruvin Smple Edurdo Bernbé, DDS, MSc, Cert Biostt ; Crlos Flores-Mir, DDS, MSc, Cert
More informationEsthetic Influence of Negative Space in the Buccal Corridor during Smiling
Originl Article Esthetic Influence of Negtive Spce in the Buccl Corridor during Smiling Dltro Enes Ritter ; Luiz Gonzg Gndini Jr b ; Ary dos Sntos Pinto c ; Arno Locks d ABSTRACT The purpose of this study
More informationOcclusal Morphology 1 Year after Orthodontic and Surgical-Orthodontic Therapy
Originl Article Occlusl Morphology 1 Yer fter Orthodontic nd Surgicl-Orthodontic Therpy A Quntittive Anlysis of Cliniclly Successful Ptients Cludi Dellvi ; Luis Toms Hunc Ghislnzoni b ; Redento Perett
More informationRecall Bias in Childhood Atopic Diseases Among Adults in The Odense Adolescence Cohort Study
Syddnsk Universitet Recll Bis in Childhood Atopic Diseses Among Adults in The Odense Adolescence Cohort Study Mørtz, Chrlotte G; Andersen, Klus Ejner; Bindslev-Jensen, Crsten Published in: Act Dermto-Venereologic
More informationSupplementary Online Content
Supplementry Online Content Zulmn DM, Pl Chee C, Ezeji-Okoye SC, et l. Effect of n intensive outptient progrm to ugment primry cre for high-need Veterns Affirs ptients: rndomized clinicl tril. JAMA Intern
More informationOriginal Article. Hyo-Won Ahn a ; Sung Chul Moon b ; Seung-Hak Baek c
Originl Article Morphometric evlution of chnges in the lveolr bone nd roots of the mxillry nterior teeth before nd fter en msse retrction using cone-bem computed tomogrphy Hyo-Won Ahn ; Sung Chul Moon
More informationEVALUATION OF DIFFERENT COPPER SOURCES AS A GROWTH PROMOTER IN SWINE FINISHING DIETS 1
Swine Dy 2001 Contents EVALUATION OF DIFFERENT COPPER SOURCES AS A GROWTH PROMOTER IN SWINE FINISHING DIETS 1 C. W. Hstd, S. S. Dritz 2, J. L. Nelssen, M. D. Tokch, nd R. D. Goodbnd Summry Two trils were
More informationXII. HIV/AIDS. Knowledge about HIV Transmission and Misconceptions about HIV
XII. HIV/AIDS Knowledge bout HIV Trnsmission nd Misconceptions bout HIV One of the most importnt prerequisites for reducing the rte of HIV infection is ccurte knowledge of how HIV is trnsmitted nd strtegies
More informationUsing Paclobutrazol to Suppress Inflorescence Height of Potted Phalaenopsis Orchids
Using Pcloutrzol to Suppress Inflorescence Height of Potted Phlenopsis Orchids A REPORT SUBMITTED TO FINE AMERICAS Linsey Newton nd Erik Runkle Deprtment of Horticulture Spring 28 Using Pcloutrzol to Suppress
More informationThe influence of malocclusion on masticatory performance
Review Article The influence of on mstictory performnce A systemtic review Isbel Brndão Mglhães ; Lucino José Pereir b ; Lendro Silv Mrques ; Gustvo Huber Gmeiro c ABSTRACT Objective: To systemticlly review
More informationAnchorage Control in Bioprogressive vs Straight-wire Treatment
Originl Article Anchorge Control in Bioprogressive vs Stright-wire Tretment Dyse Uris ; Ftim Ibrhim Abdel Mustf b Abstrct: Orthodontic techniques with different concepts nd philosophies hve emerged to
More informationMorphologic evaluation of the incisive canal and its proximity to the maxillary central incisors using computed tomography images
Originl Article Morphologic evlution of the incisive cnl nd its proximity to the mxillry centrl incisors using computed tomogrphy imges Eun-Ae Cho ; Sung-Jin Kim ; Yoon Jeong Choi b ; Kyung-Ho Kim c ;
More informationThree-dimensional tooth crown size symmetry in cleft lip and cleft palate
Originl Article Three-dimensionl tooth crown size symmetry in cleft lip nd cleft plte M. Okn Akcm ; Hlise Aydemir b ; Levent Özer c ; Bern Özel d ; T. Ufuk Toygr-Memikoğlu ABSTRACT Objective: To evlute
More informationAddendum to the Evidence Review Group Report on Aripiprazole for the treatment of schizophrenia in adolescents (aged years)
Addendum to the Evidence Review Group Report on Aripiprzole for the tretment of schizophreni in dolescents (ged 15-17 yers) Produced by Authors Correspondence to Southmpton Helth Technology Assessments
More informationFat intake in patients newly diagnosed with type 2 diabetes: a 4-year follow-up study in general practice
Originl ppers Ft intke in ptients newly dignosed with type 2 dibetes: 4-yer follow-up study in generl prctice Floris A vn de Lr, Eloy H vn de Lisdonk, Peter L B J Lucssen, J M H Tigchelr, Sski Meyboom,
More informationSkeletal and dental effects of molar distalization using a modified palatal anchorage plate in adolescents
Originl Article Skeletl nd dentl effects of molr distliztion using modified pltl nchorge plte in dolescents Noor Lith S ed ; Chong Ook Prk b ; Mohmed Byome c ; Je Hyun Prk d ; YoonJi Kim e ; Yoon-Ah Kook
More informationOriginal Article. So-Jeong Jang a ; Dong-Soon Choi b ; Insan Jang c ; Paul-Georg Jost-Brinkmann d ; Bong-Kuen Cha b
Originl Article Quntittive comprison of incisl tooth wer in ptients receiving onephse or two-phse tretment for skeletl Clss III mlocclusion with nterior crossbite So-Jeong Jng ; Dong-Soon Choi b ; Insn
More informationDynamic smile evaluation in different skeletal patterns
Originl Article Dynmic smile evlution in different skeletl ptterns Noshi Siddiqui ; Prdeep Tndon b ; Alk Singh c ; Jitesh Hryni ABSTRACT Objective: To evlute dynmic smile in different skeletl ptterns nd
More informationLinear measurements using virtual study models A systematic review
Originl Article Liner mesurements using virtul study models A systemtic review Nghe S. Luu ; Liliy G. Nikolchev b ; Jen-Mrc Retrouvey c ; Crlos Flores-Mir d ; Trek El-Bily e ; Json P. Crey f ; Pul W. Mjor
More informationPrevalence of TMJ Disc Displacement in a Pre-Orthodontic Adolescent Sample
Originl Article Prevlence of TMJ Disc Displcement in Pre-Orthodontic Adolescent Smple B. Nebbe, BDS, MDent, FFD(SA)Ortho, PhD ; P. W. Mjor, DDS, MSc, MRCD b Abstrct: This study evluted the prevlence of
More informationSummary. Effect evaluation of the Rehabilitation of Drug-Addicted Offenders Act (SOV)
Summry Effect evlution of the Rehbilittion of Drug-Addicted Offenders Act (SOV) The Rehbilittion of Drug-Addicted Offenders Act (SOV) ws lunched on April first 2001. This lw permitted the compulsory plcement
More informationImpact of Pharmacist Intervention on Diabetes Patients in an Ambulatory Setting
Impct of Phrmcist Intervention on Dibetes Ptients in n Ambultory Setting Julie Stding, PhrmD, CDE, Jmie Herrmnn, PhrmD, Ryn Wlters, MS, Chris Destche, PhrmD, nd Aln Chock, PhrmD Dibetes is the seventh-leding
More informationUniversity of Texas Health Science Center, San Antonio, San Antonio, Texas, USA
Lung Cncer Chemotherpy Given Ner the End of Life by Community Oncologists for Advnced Non-Smll Cell Lung Cncer Jose R. Murillo, Jr., Jim Koeller b,c Methodist Hospitl, Houston, Texs, USA; b University
More informationPotential for Interactions Between Dietary Supplements and Prescription Medications a
CLINICAL RESEARCH STUDY Potentil for Interctions Between Dietry Supplements nd Prescription Medictions Amit Sood, MD, MSc, Rich Sood, MD, b Frncis J. Brinker, ND, Rvneet Mnn, MBBS, c Lur L. Loehrer, Dietlind
More informationCondylar displacement between centric relation and maximum intercuspation in symptomatic and asymptomatic individuals
Originl Article Condylr displcement between centric reltion nd mximum intercusption in symptomtic nd symptomtic individuls Soo Young Kim Weffort ; Solnge Mongelli de Fntini b ABSTRACT Objective: To mesure
More informationExtraction and Some Functional Properties of Protein Extract from Rice Bran
Ksetsrt J. (Nt. Sci.) 40 : 209-214 (2006) Extrction nd Some Functionl Properties of Protein Extrct from Rice Brn Chockchi Theerkulkit*, Siree Chiseri nd Siriwt Mongkolknchnsiri ABSTRACT Rice brn protein
More informationDentofacial Effects of Asymmetric Headgear and Cervical Headgear with Removable Plate on Unilateral Molar Distalization
Originl Article Dentofcil Effects of Asymmetric Hedger nd Cervicl Hedger with Removble Plte on Unilterl Molr Distliztion Hndn Altug ; A. Osmn Bengi b ; Erol Akın; c Seniz Krcy d Abstrct: Cervicl hedger
More informationLATE RESULTS OF TRANSFER OF THE TIBIAL TUBERCLE FOR RECURRENT DISLOCATION OF THE PATELLA1
LATE RESULTS OF TRANSFER OF THE TIBIAL TUBERCLE FOR RECURRENT DISLOCATION OF THE PATELLA1 W. G. J. HAMPSON nd P. HILL, BRISTOL, ENGLAND The uthors wished to determine the lte results of the Huser opertion,
More informationThe Effects of Small Sized Rice Bowl on Carbohydrate Intake and Dietary Patterns in Women with Type 2 Diabetes
Originl Article doi: 10.4093/kdj.2010.34.3.166 pissn 1976-9180 eissn 2093-2650 The Effects of Smll Sized Rice Bowl on Crbohydrte Intke nd Dietry Ptterns in Women with Type 2 Dibetes Hee-Jung Ahn 1, *,
More informationOpioid Use and Survival at the End of Life: A Survey of a Hospice Population
532 Journl of Pin nd Symptom Mngement Vol. 32 No. 6 December 2006 NHPCO Originl Article Opioid Use nd Survivl t the End of Life: A Survey of Hospice Popultion Russell K. Portenoy, MD, Un Sibircev, BA,
More informationAbstract. Background. Aim. Patients and Methods. Patients. Study Design
Impct of the Use of Drugs nd Substitution Tretments on the Antivirl Tretment of Chronic Heptitis C: Anlysis of Complince, Virologicl Response nd Qulity of Life (CHEOBS). Melin, 1 J.-. Lng, D. Ouzn, 3 M.
More informationManagement and Outcomes of Binge-Eating Disorder in Adults: Current State of the Evidence
Clinicin Summry Mentl Helth Eting Disorders Mngement nd Outcomes of Binge-Eting Disorder in Adults: Current Stte of the Evidence Focus of This Summry This is summry of systemtic review evluting the evidence
More informationInput from external experts and manufacturer on the 2 nd draft project plan Stool DNA testing for early detection of colorectal cancer
Input externl experts nd mnufcturer on the 2 nd drft project pln Stool DNA testing for erly detection of colorectl cncer (Project ID:OTJA10) All s nd uthor s replies on the 2nd drft project pln Stool DNA
More informationCommunity. Profile Big Horn County. Public Health and Safety Division
Community Helth Profile 2015 Big Horn County Public Helth nd Sfety Division Tble of Contents Demogrphic Informtion 1 Communicble Disese 3 Chronic Disese 4 Mternl nd Child Helth 10 Mortlity 12 Behviorl
More informationNonpharmacologic Interventions for Treatment-Resistant Depression in Adults Executive Summary
Comprtive Effectiveness Review Numer 33 Effective Helth Cre Progrm Nonphrmcologic Interventions for Tretment-Resistnt Depression in Adults Executive Summry Bckground Mjor depressive disorder (MDD) is common
More informationEffect on Glycemic, Blood Pressure, and Lipid Control according to Education Types
Originl Article http://dx.doi.org/10.4093/dmj.2011.35.6.580 pissn 2233-6079 eissn 2233-6087 D I A B E T E S & M E T A B O L I S M J O U R N A L Effect on Glycemic, Blood Pressure, nd Lipid Control ccording
More informationSYNOPSIS Final Abbreviated Clinical Study Report for Study CA ABBREVIATED REPORT
Finl Arevited Clinicl Study Report Nme of Sponsor/Compny: Bristol-Myers Squi Ipilimum Individul Study Tle Referring to the Dossier (For Ntionl Authority Use Only) Nme of Finished Product: Yervoy Nme of
More informationOriginal Article. T Akter 1, N Islam 2, MA Hoque 3, S Khanam 4, HA khan 5, BK Saha 6. Abstract:
Fridpur Med. Coll. J. 214;9(2):61-67 Originl Article Nebuliztion by Isotonic Mgnesium Sulphte Solution with Provide Erly nd Better Response s Compred to Conventionl Approch ( Plus Norml Sline) in Acute
More informationCommunication practices and preferences between orthodontists and general dentists
Originl rticle ommuniction prctices nd preferences between orthodontists nd generl dentists Kevin ibon ; hvn Shroff b ; l M. est c ; Steven J. Linduer d STRT Objective: To evlute similrities nd differences
More informationChilblains (pernio, perniosis) are cold-induced, painful or itching
Nifedipine vs Plcebo for Tretment of Chronic Chilblins: A Rndomized Controlled Tril Ibo H. Souwer, MD 1 Jcobus H. J. Bor, BSc (Mth) 2 Pul Smits, MD, PhD 3 Antoine L. M. Lgro-Jnssen, MD, PhD 1 1 Deprtment
More informationInterseptal bone reduction on the rate of maxillary canine retraction
Originl Article Interseptl bone reduction on the rte of mxillry cnine retrction Chidchnok Leethnkul ; Surt Knokkulchi b ; Settkorn Pongpnich c ; Nrit Leepong d ; Chirt Chroemrtrote ABSTRACT Objective:
More informationCommunity. Profile Powell County. Public Health and Safety Division
Community Helth Profile 2015 Powell County Public Helth nd Sfety Division Tble of Contents Demogrphic Informtion 1 Communicble Disese 3 Chronic Disese 4 Mternl nd Child Helth 10 Mortlity 12 Behviorl Risk
More informationSafety and Tolerability of Subcutaneous Sarilumab and Intravenous Tocilizumab in Patients With RA
Sfety nd Tolerbility of Subcutneous Srilumb nd Intrvenous Tocilizumb in Ptients With RA Pul Emery, 1 Jun Rondon, 2 Anju Grg, 3 Hubert vn Hoogstrten, 3 Neil M.H. Grhm, 4 Ming Liu, 4 Nncy Liu, 3 Jnie Prrino,
More informationMOLECULAR AND CLINICAL ONCOLOGY 5: , 2016
MOLECULAR AND CLINICAL ONCOLOGY 5: 429-436, 2016 Improvement of survivl with postmstectomy rdiotherpy in ptients with 1-3 positive xillry lymph nodes: A systemtic review nd met-nlysis of the current literture
More informationORIGINAL ARTICLE. Diagnostic Signs of Accommodative Insufficiency. PILAR CACHO, OD, ÁNGEL GARCÍA, OD, FRANCISCO LARA, OD, and M A MAR SEGUÍ, OD
1040-5488/02/7909-0614/0 VOL. 79, NO. 9, PP. 614 620 OPTOMETRY AND VISION SCIENCE Copyright 2002 Americn Acdemy of Optometry ORIGINAL ARTICLE Dignostic Signs of Accommodtive Insufficiency PILAR CACHO,
More informationCommunity. Profile Yellowstone County. Public Health and Safety Division
Community Helth Profile 2015 Yellowstone County Public Helth nd Sfety Division Tble of Contents Demogrphic Informtion 1 Communicble Disese 3 Chronic Disese 4 Mternl nd Child Helth 10 Mortlity 12 Behviorl
More informationCommunity. Profile Anaconda- Deer Lodge County. Public Health and Safety Division
Community Helth Profile 2015 Ancond- Deer Lodge County Public Helth nd Sfety Division Tble of Contents Demogrphic Informtion 1 Communicble Disese 3 Chronic Disese 4 Mternl nd Child Helth 10 Mortlity 12
More informationEfficacy of Pembrolizumab in Patients With Advanced Melanoma With Stable Brain Metastases at Baseline: A Pooled Retrospective Analysis
Efficcy of Pembrolizumb in Ptients With Advnced Melnom With Stble Brin Metstses t Bseline: A Pooled Retrospective Anlysis Abstrct 1248PD Hmid O, Ribs A, Dud A, Butler MO, Crlino MS, Hwu WJ, Long GV, Ancell
More informationCommunity. Profile Lewis & Clark County. Public Health and Safety Division
Community Helth Profile 2015 Lewis & Clrk County Public Helth nd Sfety Division Tble of Contents Demogrphic Informtion 1 Communicble Disese 3 Chronic Disese 4 Mternl nd Child Helth 10 Mortlity 12 Behviorl
More informationCommunity. Profile Missoula County. Public Health and Safety Division
Community Helth Profile 2015 Missoul County Public Helth nd Sfety Division Tble of Contents Demogrphic Informtion 1 Communicble Disese 3 Chronic Disese 4 Mternl nd Child Helth 10 Mortlity 12 Behviorl Risk
More informationNickel and Chromium Levels in the Saliva and Serum of Patients With Fixed Orthodontic Appliances
Originl Article Nickel nd Chromium Levels in the Sliv nd Serum of Ptients With Fixed Orthodontic Applinces Günseli Ağoğlu, DDS, PhD ;Tülin Arun, DDS, PhD b ; Belgin İzgü, MD c ;Ayşen Yrt, MD d Abstrct:
More informationSoybean Hulls as an Alternative Feed for Horses
Animl Industry Report AS 650 ASL R1931 2004 Soyben Hulls s n Alterntive Feed for Horses Josie Booth Iow Stte University Howrd Tyler Iow Stte University Peggy Miller-Auwerd Iow Stte University Jenette Moore
More informationDXA: Can It Be Used as a Criterion Reference for Body Fat Measurements in Children?
nture publishing group rticles methods AND techniques DXA: Cn It Be Used s Criterion Reference for Body Ft Mesurements in Children? Romn J. Shypilo 1, Nncy F. Butte 1 nd Kenneth J. Ellis 1 Objective: Dul-energy
More informationTMD in Consecutive Patients Referred for Orthognathic Surgery
Originl Article TMD in Consecutive s Referred for Orthognthic Surgery Cecili Abrhmsson ; EwCrin Ekberg b ; Thor Henrikson c ; Mri Nilner d ; Bo Sunzel e ; Lrs Bondemrk f ABSTRACT Objective: To nswer the
More information