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Readers' forum 445

REFERENCES of tooth movement, are missing in the history time-


1. Lindstrom M, Nevas M, Kurki J, Sauna-aho R, Latvala-Kiesila A, line.
Polonen I, et al. Type C botulism due to toxic feed affecting
52,000 farmed foxes and minks in Finland. J Clin Microbiol 1951 Kaare Reitan
2004;42:4718–25. Histological analyses of periodontal tissue reac-
2. Liu ZJ, Rafferty KL, Ye W, Herring SW. Differential response of pig
tion in response to orthodontic tooth movement
masseter to botulinum neurotoxin serotypes A and B. Muscle
Nerve 2015;52:88–93.
3. Matic DB, Yazdani A, Wells RG, Lee TY, Gan BS. The effects of 1973 Per Rygh
masseter muscle paralysis on facial bone growth. J Surg Res Ultrastructure changes in periodontium as a func-
2007;139:243–52. tion of orthodontic tooth movement
4. Korfage JA, Wang J, Lie SH, Langenbach GE. Influence of botuli-
num toxin on rabbit jaw muscle activity and anatomy. Muscle
Nerve 2012;45:684–91. Reitan (1903-2000) and Rygh (1930-2008) exten-
5. Park SY, Park YW, Ji YJ, Park SW, Kim SG. Effects of a bot- sively studied the histology of tooth movement in hu-
ulinum toxin type A injection on the masseter muscle: an mans and rodents.1,2 Their findings partly defined the
animal model study. Maxillofac Plast Reconstr Surg 2015; principles of tooth movement biology: the core of our
37:1–5.
daily orthodontic practice. In my opinion, we should
6. Kim JH, Shin JH, Kim ST, Kim CY. Effects of two different units of
botulinum toxin type A evaluated by computed tomography and add these 2 people to the list.
electromyographic measurements of human masseter muscle. Roozbeh Khosravi
Plast Reconstr Surg 2007;119:711–7. Seattle, Wash
7. Rafferty KL, Liu ZJ, Ye W, Navarrete AL, Nguyen TT, Salamati A,
et al. Botulinum toxin in masticatory muscles: short- and long- Am J Orthod Dentofacial Orthop 2016;149:445
term effects on muscle, bone, and craniofacial function in adult 0889-5406/$36.00
rabbits. Bone 2012;50:651–62. Copyright Ó 2016 by the American Association of Orthodontists.
8. Lee CJ, Kim SG, Kim YJ, Han JY, Choi SH, Lee SI. Electrophysiologic http://dx.doi.org/10.1016/j.ajodo.2016.01.005
change and facial contour following botulinum toxin A injection in
square faces. Plast Reconstr Surg 2007;120:769–78. REFERENCES
9. Shim YJ, Lee MK, Kato T, Park HU, Heo K, Kim ST. Effects of bot-
1. Reitan K. The initial tissue reaction incident to orthodontic tooth
ulinum toxin on jaw motor events during sleep in sleep bruxism
movement as related to the influence of function: an experimental
patients: a polysomnographic evaluation. J Clin Sleep Med
histologic study on animal and human material. Acta Odontol Scand
2014;10:291–8.
Suppl 1951;6:1–240.
10. K€un-Darbois JD, Libouban H, Chappard D. Botulinum toxin in
2. Rygh P. Hyalinization of the periodontal ligament incident to ortho-
masticatory muscles of the adult rat induces bone loss at the
dontic tooth movement. Den Norske Tannlaegeforenings Tidende
condyle and alveolar regions of the mandible associated with
1951;84:352–7.
a bone proliferation at a muscle enthesis. Bone 2015;77:
75–82.
11. Raphael KG, Tadinada A, Bradshaw JM, Janal MN, Sirois DA, Editor's note: Both Kaare Reitan and Per Rygh are
Chan KC, et al. Osteopenic consequences of botulinum toxin injec-
included in another Centennial Special Section,
tions in the masticatory muscles: a pilot study. J Oral Rehabil 2014;
41:555–63. “100 years of publishing, 100 people of influence,”
12. Xu H, Shan XF, Cong X, Yang NY, Wu LL, Yu GY, et al. Pre- and in the May 2015 issue of the Journal (Am J Orthod
post-synaptic effects of botulinum toxin A on submandibular Dentofacial Orthop 2015;147 (Suppl 2):S147-54).
glands. J Dent Res 2015;94:1454–62.

Corticotomy-assisted rapid maxillary


One hundred years of orthodontic expansion
history

T he special section, “100 years of orthodontic his-


tory,” published in the December 2015 issue of the
W e want to thank the authors for reporting a novel
approach for rapid maxillary expansion (RME) in
skeletally mature patients (Echchadi ME, Benchikh B,
AJO-DO, delineates the important events in the past Bellamine M, Kim SH. Corticotomy-assisted rapid maxil-
100 years of orthodontics and provides a rich perspective lary expansion: a novel approach with a 3-year follow-
to young orthodontists on how the field has developed. up. Am J Orthod Dentofacial Orthop 2015;148:
The timeline shows how far the practice of orthodontics 138-53). However, a few questions arose regarding the
has evolved; moreover, these major events could serve as methodology described. The authors did not comment
building blocks to push the boundaries in the future. on the interdigitation pattern of the midpalatal suture
Two clinician-scientists, Kaare Reitan and Per in spite of taking a pretreatment computed tomography
Rygh, who fundamentally contributed to the biology scan of the patient. Considering the patient's age,

American Journal of Orthodontics and Dentofacial Orthopedics April 2016  Vol 149  Issue 4
446 Readers' forum

mentioning the status of the midpalatal suture would the authors to share the changes in transverse skeletal
have been beneficial in justifying the treatment plan dimensions, if any. Although the authors reported taking
chosen. It is not clear in the methodology whether any a posttreatment computed tomography scan for evalu-
orthopedic separation at the midpalatal suture was ating buccal bone thickness, they did not comment on
desired. Since this approach is being advocated as an the transverse skeletal changes in the maxilla and the
alternative to surgically assisted rapid palatal expansion, status of the midpalatal suture.
which aims to achieve expansion by separating the 2 Raising a full-thickness mucoperiosteal flap leads to
halves of the maxilla at the midpalatal suture, the nature bone loss2,3; hence, in most procedures involving a
of the expansion expected with a corticotomy-assisted full-thickness mucoperiosteal flap, bone grafting is
RME should also be commented upon. Was the cortico- done. How did the authors justify an increase in bone
tomy on the buccal cortical plate done only to induce an mass without an adjunctive bone graft in the region?
inflammatory response, or was it desired to help in the Since the results of this case report are very prom-
expansion of the maxillary arch? Was the corticotomy ising, we would appreciate it if the authors could share
done only in the single (buccal) cortical plate sufficient their views.
to circumvent the resistance from the midpalatal suture? Priyank Rai
No justification has been mentioned. Tulika Tripathi
In this case report, the expansion was said to be RME; Shilpa Kalra
however, the expansion schedule followed was 1 mm per Anup Kanase
week for 8 weeks after the corticotomy. The schedule Neha Khanna
advocated for RME is typically 0.5 to 1 mm of expansion Navneet Singh
per day in routine practice. So how did the authors New Delhi, India
justify calling their approach RME? Also, it is docu-
Am J Orthod Dentofacial Orthop 2016;149:445-6
mented in the literature that the maximum inflamma- 0889-5406/$36.00
tory response to the regional accelerated phenomenon Copyright Ó 2016 by the American Association of Orthodontists.
is within the first few weeks after the procedure.1 What http://dx.doi.org/10.1016/j.ajodo.2016.01.006
was the rationale behind not following the routine
RME protocol of 0.5 to 1 mm per day that would have REFERENCES
further reduced the duration of treatment? 1. Wilcko MT, Wilcko WM, Bissada NF. An evidence-based analysis of
Changes in the inclination of the maxillary posterior periodontally accelerated orthodontic and osteogenic techniques: a
teeth (Table IV of the article) indicate dental expansion synthesis of scientific perspectives. Semin Orthod 2014;14:305–16.
with palatal inclination of the maxillary posterior teeth. 2. Wood DZ, Hoag PM, Donnenfield OW, Rosenfield LD. Alveolar crest
reduction following full and partial thickness flaps. J Periodontol
Another question that arose was whether only dental
1972;43:141–4.
expansion was sufficient to resolve an arch length 3. Fickl S, Kebschull M, Schupbach P, Zuhr O, Schlagenhauf U,
discrepancy of 17 mm in the maxillary arch or whether Hurzeler MB. Bone loss after full-thickness and partial-thickness
some skeletal expansion was achieved. We would like flap elevation. J Clin Periodontol 2011;38:157–62.

April 2016  Vol 149  Issue 4 American Journal of Orthodontics and Dentofacial Orthopedics

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