Periodontal outcomes of surgically exposed and orthodontically aligned buccally impacted maxillary canines: A systematic review and meta-analysis.

IF 1.4 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Orthodontics Pub Date : 2024-09-01 Epub Date: 2024-04-01 DOI:10.1177/14653125241242815

Marina Nogueira de Castro Galvão Corrente, Guilherme Castro Lima Silva do Amaral, Rafael Costa Ribeiro, Cláudio Mendes Pannuti, Laura Grein Cavalcanti, Cristina Cunha Villar

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引用次数: 0

Abstract

Objective: To compare the periodontal outcomes of surgically exposed and orthodontically aligned buccally impacted maxillary canines to spontaneously erupted maxillary canines.

Data sources: An unrestricted search was carried out of indexed databases (Medline, EMBASE, Web of Science and Scopus), reference lists of included studies, and grey literature published until December 2023.

Data selection: Observational and experimental studies that addressed the focused question 'Do periodontal outcomes of buccally impacted maxillary canines that were surgically exposed and subsequently extruded and aligned using orthodontic alignment, differ from those of spontaneously erupted maxillary canines?' were included.

Data extraction: Study screening, selection and data extraction were performed independently by two authors, with disagreement resolved by a third reviewer. The risk of bias was assessed using the JBI Critical Appraisal Checklist and GRADE approach.

Results: A total of 857 citations were found and five studies were eligible for inclusion. Supragingival plaque accumulation and gingival inflammation were similar between impacted canines and their contralaterals in most studies. Meta-analyses revealed no significant differences in keratinised tissue width (prospective studies: MD = -0.28, 95% confidence interval [CI] = -1.13-0.56, I² = 78%; retrospective studies: MD = 0.61, 95% CI = -1.51-2.72, I² = 94%). However, a meta-analysis of prospective studies showed slightly greater mean probing depth for impacted canines compared to their contralateral canines (prospective studies: MD = 0.16, 95% CI = 0.04-0.28, I² = 0%). The evidence certainty for keratinised tissue width and probing depth outcomes was low.

Conclusion: Surgically exposed and orthodontically aligned buccally impacted canines have slightly greater probing depths, potential bone loss and increased clinical crown length, compared to their counterparts. However, these small differences (<1 mm) are unlikely to be clinically significant.

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上颌阻生犬齿手术暴露和矫正的牙周疗效：系统回顾和荟萃分析。

目的：本系统综述旨在比较通过手术暴露并矫正颊侧影响的上颌犬齿与自发萌出的上颌犬齿的牙周治疗效果：对索引数据库（Medline、EMBASE、Web of Science 和 Scopus）、纳入研究的参考文献列表以及 2023 年 12 月之前发表的灰色文献进行了无限制检索：数据提取：研究筛选、选择和数据提取由两位作者独立完成，不同意见由第三位审稿人解决。采用JBI关键评估检查表和GRADE方法对偏倚风险进行评估：结果：共发现 857 条引文，其中 5 项研究符合纳入条件。在大多数研究中，撞击性犬齿与对侧犬齿的龈上菌斑累积和牙龈炎症情况相似。Meta 分析显示角质化组织宽度没有显著差异（前瞻性研究：MD = -0.28，95% 置信区间 [CI] = -1.13-0.56, I² = 78%；回顾性研究：MD = 0.61，95% 置信区间 [CI] = -1.51-2.72, I² = 94%）。然而，一项前瞻性研究的荟萃分析显示，与对侧犬齿相比，撞击性犬齿的平均探查深度略大（前瞻性研究：MD = 0.16，95% CI = 0.04-0.28，I² = 0%）。角化组织宽度和探诊深度结果的证据确定性较低：结论：手术暴露和正畸排列的颊侧阻生犬齿的探诊深度、潜在骨质流失和临床牙冠长度都比同类牙稍大。然而，这些微小的差异

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来源期刊

Journal of Orthodontics DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

2.60

自引率

15.40%

发文量

期刊介绍： The Journal of Orthodontics has an international circulation, publishing papers from throughout the world. The official journal of the British Orthodontic Society, it aims to publish high quality, evidence-based, clinically orientated or clinically relevant original research papers that will underpin evidence based orthodontic care. It particularly welcomes reports on prospective research into different treatment methods and techniques but also systematic reviews, meta-analyses and studies which will stimulate interest in new developments. Regular features include original papers on clinically relevant topics, clinical case reports, reviews of the orthodontic literature, editorials, book reviews, correspondence and other features of interest to the orthodontic community. The Journal is published in full colour throughout.