Soft tissue changes with skeletal anchorage in comparison to conventional anchorage protocols in the treatment of bimaxillary proclination patients treated with premolar extraction : A systematic review.

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
Accounts of Chemical Research Pub Date : 2024-03-01 Epub Date: 2022-07-13 DOI:10.1007/s00056-022-00411-9
Kumeran Mohan, Saritha Sivarajan, May Nak Lau, Siti Adibah Othman, Mona M Salah Fayed
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引用次数: 0

Abstract

Purpose: This review systematically evaluates the evidence related to comparisons between skeletal and conventional anchorage protocols in the treatment of bimaxillary proclination patients who underwent premolars extraction with respect to soft tissue profile changes, treatment duration and three-dimensional (3D) soft tissue changes.

Methods: Electronic database search and hand search with no language limitations were conducted in the Cochrane Library, PubMed, Ovid, Web of Science, Scopus and ClinicalTrials.gov. The selection criteria were set to include studies with patients aged 13 years and above requiring extractions of upper and lower first premolars to treat bimaxillary proclination with high anchorage demand. Risk of bias assessment was undertaken with Cochrane's Risk Of Bias tool 2.0 (ROB 2.0) for randomised controlled trials (RCTs) and ROBINS‑I tool for nonrandomised prospective studies. The Grading of Recommendations, Assessment, Development and Evaluation (GRADE) approach was used for quality assessment. Results were summarised qualitatively; no meta-analysis was conducted.

Results: Two RCTs and two nonrandomised prospective studies were included. According to the GRADE approach, there is low to very low quality of evidence that treatment using mini-implant anchorage may significantly change nasolabial angle, upper and lower lip procumbence, and facial convexity angle compared to treatment with conventional anchorage. Similarly, very low quality evidence exists showing no differences in treatment duration between treatments with skeletal or conventional anchorage.

Conclusions: The overall existing evidence regarding the effect of anchorage protocols on soft tissue changes in patients with bimaxillary protrusion and premolar extraction treatment plans is of low quality.

Trial registration number: PROSPERO CRD42020216684.

在治疗前磨牙拔除术后双颌前突患者时,骨骼固定与传统固定方案的软组织变化对比:系统性综述。
目的:本综述系统地评估了在治疗双颌前突患者的过程中,骨骼锚定方案与传统锚定方案在软组织外形变化、治疗持续时间和三维(3D)软组织变化方面的比较证据:在 Cochrane Library、PubMed、Ovid、Web of Science、Scopus 和 ClinicalTrials.gov 中进行了电子数据库检索和无语言限制的手工检索。选择标准包括年龄在13岁及以上、需要拔除上下第一前磨牙以治疗双颌前突、锚定要求高的患者的研究。对随机对照试验(RCT)采用 Cochrane 的偏倚风险工具 2.0 (ROB 2.0),对非随机前瞻性研究采用 ROBINS-I 工具进行偏倚风险评估。质量评估采用了 "建议、评估、发展和评价分级"(GRADE)方法。对结果进行了定性总结;未进行荟萃分析:结果:纳入了两项研究性临床试验和两项非随机前瞻性研究。根据 GRADE 方法,有低至极低质量的证据表明,与传统的固定治疗相比,使用微型种植体固定治疗可显著改变鼻唇角、上下唇前倾度和面部凸度角。同样,质量很低的证据也显示,使用骨骼固定或传统固定的治疗方法在治疗时间上没有差异:关于固定方案对双颌前突和前磨牙拔除治疗计划患者软组织变化的影响,现有证据的总体质量较低:试验注册号:PREMCO CRD42020216684。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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