{"title":"The efficacy of rapid palatal expansion on the eruption of impacted maxillary canine: a systematic review","authors":"Supatchai Boonpratham, Natnicha Pariyatdulapak, Thongchai Poonpiriya, Supakit Peanchitlertkajorn, Nuntinee Nanthavanich Saengfai","doi":"10.21307/aoj-2021.030","DOIUrl":null,"url":null,"abstract":"Abstract Objective The purpose of this study was to assess the current literature on the effectiveness of rapid palatal expansion (RPE) in assisting the spontaneous eruption of impacted maxillary canines. Materials and methods Four electronic databases were searched (Pubmed, Scopus, Web of Science, Embase) by applying appropriate Medical Subject Headings (MeSH). Two authors independently and systematically reviewed the literature. Randomised controlled trials (RCTs) and prospective controlled clinical trials (pCCTs) were identified and selected. The Cochrane Collaboration’s risk of bias tool and the risk of bias in non-randomised studies of interventions (ROBINS-I) were used to assess the quality of the obtained articles. Spontaneous canine eruption was used as a primary outcome. Results Three RCTs and two pCCTs met the inclusion criteria. One study was assessed at a high risk of bias in the RCT group, while the remainder were at an unclear risk of bias. Both pCCTs were classified as a moderate risk of bias based on the ROBINS-I tool. The success rate of canine eruption following RPE, with or without additional treatment, ranged from 65.7 to 85.7%, which was statistically significantly different from the control group. Conclusion RPE appears to improve the position of displaced maxillary canines and increase the likelihood of spontaneous eruption. However, there is a shortage of high-quality evidence to conclude that RPE can be an effective treatment option for impacted maxillary canines.","PeriodicalId":48559,"journal":{"name":"Australasian Orthodontic Journal","volume":"37 1","pages":"273 - 283"},"PeriodicalIF":0.5000,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Australasian Orthodontic Journal","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.21307/aoj-2021.030","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}
引用次数: 1
Abstract
Abstract Objective The purpose of this study was to assess the current literature on the effectiveness of rapid palatal expansion (RPE) in assisting the spontaneous eruption of impacted maxillary canines. Materials and methods Four electronic databases were searched (Pubmed, Scopus, Web of Science, Embase) by applying appropriate Medical Subject Headings (MeSH). Two authors independently and systematically reviewed the literature. Randomised controlled trials (RCTs) and prospective controlled clinical trials (pCCTs) were identified and selected. The Cochrane Collaboration’s risk of bias tool and the risk of bias in non-randomised studies of interventions (ROBINS-I) were used to assess the quality of the obtained articles. Spontaneous canine eruption was used as a primary outcome. Results Three RCTs and two pCCTs met the inclusion criteria. One study was assessed at a high risk of bias in the RCT group, while the remainder were at an unclear risk of bias. Both pCCTs were classified as a moderate risk of bias based on the ROBINS-I tool. The success rate of canine eruption following RPE, with or without additional treatment, ranged from 65.7 to 85.7%, which was statistically significantly different from the control group. Conclusion RPE appears to improve the position of displaced maxillary canines and increase the likelihood of spontaneous eruption. However, there is a shortage of high-quality evidence to conclude that RPE can be an effective treatment option for impacted maxillary canines.
期刊介绍:
The Australasian Orthodontic Journal (AOJ) is the official scientific publication of the Australian Society of Orthodontists.
Previously titled the Australian Orthodontic Journal, the name of the publication was changed in 2017 to provide the region with additional representation because of a substantial increase in the number of submitted overseas'' manuscripts. The volume and issue numbers continue in sequence and only the ISSN numbers have been updated.
The AOJ publishes original research papers, clinical reports, book reviews, abstracts from other journals, and other material which is of interest to orthodontists and is in the interest of their continuing education. It is published twice a year in November and May.
The AOJ is indexed and abstracted by Science Citation Index Expanded (SciSearch) and Journal Citation Reports/Science Edition.