Journals / Journal of Medicine and Palliative Care / 2026 / Volume: 7 Issue: 3

Changes in nasal cavity volume and intercanine width following rapid maxillary expansion: is there a correlation?

Perihan Dalgalı(UNIVERSITY OF HEALTH SCIENCES, GÜLHANE FACULTY OF DENTISTRY (ANKARA), GÜLHANE DENTISTRY PR. (ANKARA))0000-0002-1469-6729
Pages
—
Publication Date
2026-06-25
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

However, a statistically significant correlation between these changes could not be demonstrated within the present sample, suggesting that dental transverse expansion may not reliably predict nasal airway improvement.

📌 3 Key Takeaways

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Objective & Hypothesis:Aims: The aim of this study was to evaluate changes in nasal cavity volume and maxillary intercanine width following rapid maxillary expansion (RME) and to investigate whether a relationship exists between these two parameters.
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Key Findings & Data:Nasal cavity volume was evaluated using acoustic rhinometry, a non-invasive method commonly used to assess nasal cavity dimensions, while maxillary intercanine width was measured on dental casts using a digital caliper with 0.01-mm accuracy.
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Conclusion & Impact:However, a statistically significant correlation between these changes could not be demonstrated within the present sample, suggesting that dental transverse expansion may not reliably predict nasal airway improvement.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Rapid maxillary expansion · nasal cavity volume · acoustic rhinometry

Abstract

Aims: The aim of this study was to evaluate changes in nasal cavity volume and maxillary intercanine width following rapid maxillary expansion (RME) and to investigate whether a relationship exists between these two parameters. Methods: This retrospective study included patients with transverse maxillary deficiency treated with a Hyrax-type RME appliance. Nasal cavity volume was evaluated using acoustic rhinometry, a non-invasive method commonly used to assess nasal cavity dimensions, while maxillary intercanine width was measured on dental casts using a digital caliper with 0.01-mm accuracy. Measurements were performed before expansion (T0) and after the retention period (T1). Pre- and post-treatment changes were analyzed using paired t-tests, and the association between changes in nasal cavity volume and intercanine width was evaluated using Pearson correlation analysis. Statistical significance was set at p<0.05. Results: Following RME, nasal cavity volume increased significantly (p<0.05). A significant post-treatment increase was also observed in maxillary intercanine width (p<0.05). However, no statistically significant correlation could be demonstrated between changes in nasal cavity volume and maxillary intercanine width within the present sample (r=0.26, p=0.31). Conclusion: RME significantly increased both nasal cavity volume and maxillary intercanine width. However, a statistically significant correlation between these changes could not be demonstrated within the present sample, suggesting that dental transverse expansion may not reliably predict nasal airway improvement.

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Cite This Article

Güneş, B. Ö., Erhamza, T. S., Dalgalı, P., Tekeli, A. (2026). Changes in nasal cavity volume and intercanine width following rapid maxillary expansion: is there a correlation?. Journal of Medicine and Palliative Care, Volume: 7 Issue: 3. https://doi.org/10.47582/jompac.1901636

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References (31)

  1. Proffit W, Fields H, Larson B, Sarver D. Contemporary orthodontics 6th edition. Philadelphia; 2019.
  2. Bishara SE, Staley RN. Maxillary expansion: clinical implications. Am J Orthod Dentofacial Orthop. 1987;91(1):3-14. doi:10.1016/0889-5406(87)90202-2
  3. Timms DJ. The effect of rapid maxillary expansion on nasal airway resistance. Br J Orthod. 1986;13(4):221-228. doi:10.1179/bjo.13.4.221
  4. Doruk C, Sökücü O, Sezer H, Canbay EI. Evaluation of nasal airway resistance during rapid maxillary expansion using acoustic rhinometry. Eur J Orthod. 2004;26(4):397-401. doi:10.1093/ejo/26.4.397
  5. de Julián-López C, Veres J, Marqués-Martínez L, García-Miralles E, Arias S, Guinot-Barona C. Upper airway changes after rapid maxillary expansion: three-dimensional analyses. BMC Oral Health. 2023;23(1): 618. doi:10.1186/s12903-023-03324-0
  6. Buck LM, Dalci O, Darendeliler MA, Papageorgiou SN, Papadopoulou AK. Volumetric upper airway changes after rapid maxillary expansion: a systematic review and meta-analysis. Eur J Orthod. 2017;39(5):463-473. doi:10.1093/ejo/cjw048
  7. Niu X, Di Carlo G, Cornelis MA, Cattaneo PM. Three-dimensional analyses of short-and long-term effects of rapid maxillary expansion on nasal cavity and upper airway: a systematic review and meta-analysis. Orthod Craniofac Res. 2020;23(3):250-276. doi:10.1111/ocr.12378
  8. Inchingolo AD, Laforgia A, Inchingolo AM, et al. Rapid palate expansion's impact on nasal breathing: a systematic review. Int J Pediatr Otorhinolaryngol. 2025;190:112248. doi:10.1016/j.ijporl.2025.112248
  9. Graber LW, Vanarsdall RL, Vig KWL, Huang GJ. Orthodontics: current principles and techniques. Elsevier; 2017.
  10. Nanda R. Biomechanics and esthetic strategies in clinical orthodontics. Elsevier Health Sciences; 2005.
  11. Doruk C, Sökücü O, Biçakçi AA, Yilmaz U, Taş F. Comparison of nasal volume changes during rapid maxillary expansion using acoustic rhinometry and computed tomography. Eur J Orthod. 2007;29(3):251-255. doi:10.1093/ejo/cjl069
  12. Al-Madani NN, Al Salamah LA, Almutairi MH, et al. Impact of bone-borne and miniscrew-assisted rapid palatal expansion on airway dimensions and postexpansion stability: evidence from cone-beam CT studies. Cureus. 2025;17(12):e98578. doi:10.7759/cureus.98578
  13. Yu K, Li Y, Ngan P, et al. The effect of rapid maxillary expansion on children with obstructive sleep apnea: a systematic review and meta-analysis. Sleep Breath. 2026;30(1):77. doi:10.1007/s11325-026-03606-1
  14. Abdalla Y, Brown L, Sonnesen L. Effects of rapid maxillary expansion on upper airway volume: a three-dimensional cone-beam computed tomography study. Angle Orthod. 2019;89(6):917-923. doi:10.2319/101218-738.1
  15. Trindade IEK, Gomes AdOC, Sampaio-Teixeira ACM, Trindade SHK. Adult nasal volumes assessed by acoustic rhinometry. Braz J Otorhinolaryngol. 2007;73(1):32-39. doi:10.1016/s1808-8694(15)31119-8
  16. Nurminen M, Hytönen M, Sala E. Modelling the reproducibility of acoustic rhinometry. Stat Med. 2000;19(9):1179-1189. doi:10.1002/(sici)1097-0258(20000515)19:9 3.0.co;2-k
  17. Clement PA, Gordts F. Consensus report on acoustic rhinometry and rhinomanometry. Rhinology. 2005;43(3):169-179.
  18. Al Ahmari MD, Wedzicha JA, Hurst JR. Intersession repeatability of acoustic rhinometry measurements in healthy volunteers. Clin Exp Otorhinolaryngol. 2012;5(3):156. doi:10.3342/ceo.2012.5.3.156
  19. Liu W, Zhou S, Yen E, Zou B. Comparison of changes in the nasal cavity, pharyngeal airway, and maxillary sinus volumes after expansion and maxillary protraction with two protocols: rapid palatal expansion versus alternate rapid maxillary expansion and constriction. Korean J Orthod. 2023;53(3):175-184. doi:10.4041/kjod22.075
  20. Vural F, Kaya Y, Alkan Ö. Three-dimensional evaluation of midfacial changes after maxillary skeletal expander application: a retrospective study. Turk J Orthod. 2025;38(4):190. doi:10.4274/TurkJOrthod.2025.2025.21
  21. Alan A, Ugurlu M, Bayrakdar İS, et al. Evaluation of respiratory conditions in individuals undergoing rapid maxillary expansion: a computational fluid dynamics study. Diagnostics. 2025;15(5):527. doi:10.3390/diagnostics15050527
  22. Özen GY, Ceylan İ. Investigation of the effects of different rapid palatal expansion methods on the nasal passage and pharyngeal region. BMC Oral Health. 2025;25(1):1681. doi:10.1186/s12903-025-07112-w
  23. Balasubramanian S, Kalaskar R, Kalaskar A. Rapid maxillary expansion and upper airway volume: systematic review and meta-analysis on the role of rapid maxillary expansion in mouth breathing. Int J Clin Pediatr Dent. 2022;15(5):617. doi:10.5005/jp-journals-10005-2421
  24. Korayem MA. Effects of rapid maxillary expansion on upper airway volume in growing children: a three-dimensional cone-beam computed tomography study. Cureus. 2023;15(1)e34274. doi:10.7759/cureus.34274
  25. Thuy PTH, Trang PT, Hang PTT, Viet H. Clinical and cone-beam computed tomography outcomes of miniscrew-assisted rapid palatal expansion in the treatment of maxillary transverse deficiency: a prospective study. Medicine. 2025;104(38):e44684. doi:10.1097/MD.0000000000044684
  26. Shah E, Cheever VJ, Marr VL. Impact of maxillary palatal expansion on airway dimensions and sleep-disordered breathing. Dent J (Basel). 2026; 14(1):23. doi:10.3390/dj14010023
  27. Kim N, Lee D, Kim J-G, Yang Y. Three dimensional skeletal, dentoalveolar and airway space changes after slow maxillary expansion in children. J Korean Acad Pediatr Dent. 2023;50(2):155-167.
  28. Demirsoy KK, Buyuk SK, Alev Y, Bicer T, Abay F. Comparative evaluation of skeletal, dentoalveolar, and airway effects of bone-borne and hybrid expanders in young adults. Orthod Craniofac Res. 2026;29(2): 375-384. doi:10.1111/ocr.70091
  29. Li Q, Tang H, Liu X, et al. Comparison of dimensions and volume of upper airway before and after mini-implant assisted rapid maxillary expansion. Angle Orthod. 2020;90(3):432-441. doi:10.2319/080919-522.1
  30. Yung AKC, Chan HH, Liu J, Hung KF, Tang Z, Shan Z. Comparative three dimensional evaluation of skeletal and dento-alveolar effects between tooth-borne and bone-anchored maxillary expansion for growing patients—a systematic review and meta-analysis. Orthod Craniofac Res. 2025;28(6):907-928. doi:10.1111/ocr.70029
  31. Pan B, MacIntosh D, Njie R, Lui A, Westover L, El-Bialy T. The effect of upper arch expansion by clear aligners on nasal airway volume in children: a preliminary study. Appl Sci. 2025;15(4):2134.