The Assessment of Rapid Palatal Expansion Using a Remote Monitoring Software

Abstract

Introduction: Dental Monitoring® (DM) is a software system that allows orthodontists to remotely monitor a patient’s treatment. This study evaluated the accuracy of DM software in assessing the achievement of treatment goals in patients undergoing rapid palatal expansion (RPE) treatment and patient acceptance of DM. Methods: Consecutively treated RPE patients were invited to participate. Participants were trained to capture intraoral photos/videos using the DM app. Maxillary intermolar width (mm) and posterior crossbite correction measured by DM were compared to digital models and intraoral measurements. Patient acceptance of the DM app was evaluated with a survey. Results: Out of the 30 patients enrolled, 20 patients completed the study. DM accurately assessed the correction of posterior crossbite. There was no significant difference in intermolar width measurements obtained with DM, digital model or intraoral exam. Overall, 71% of the participants found the DM app “easy” to work with and 43% of the patients preferred DM over a clinical visit. Conclusion: In person evaluation of maxillary expansion with a Hyrax® expander can be replaced with remote monitoring using the DM software, yet challenges associated with digital imaging hinder the use of this remote evaluation for some patients.