Ahmed Yaseen Alqutaibi (REVIEWERS), Mohammed Ahmed Alghauli, Afaf Noman Aboalrejal
{"title":"DIGITAL SCANS, COMPARED TO CONVENTIONAL IMPRESSIONS, MAY EXPEDITE FABRICATION TIME FOR FULL-ARCH IMPLANT-SUPPORTED PROSTHESES WHILE MAINTAINING A COMPARABLE LEVEL OF MARGINAL BONE LOSS","authors":"Ahmed Yaseen Alqutaibi (REVIEWERS), Mohammed Ahmed Alghauli, Afaf Noman Aboalrejal","doi":"10.1016/j.jebdp.2024.101987","DOIUrl":"10.1016/j.jebdp.2024.101987","url":null,"abstract":"<div><h3>Article Title and Bibliographic Information</h3><p>Clinical outcomes of digital scans versus conventional impressions for implant-supported fixed complete arch prostheses: A systematic review and meta-analysis. I. A., Spin-Neto, R., Sesma, N., & da Silva, E. V. F. The Journal of Prosthetic Dentistry (2023).</p></div><div><h3>Source of Funding</h3><p>Not reported.</p></div><div><h3>Type of Study/Design</h3><p>Systematic review with network meta-analysis of data.</p></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"24 2","pages":"Article 101987"},"PeriodicalIF":3.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140271060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
IMAN ABDELWAHAB RADI (REVIEWERS), NOHA WALEED FATHALLA MOSTAFA BARAKAT
{"title":"LIMITED EVIDENCE SUGGESTS IMPLANT PLACEMENT IS A VIABLE OPTION IN IRRADIATED HEAD AND NECK CANCER PATIENTS","authors":"IMAN ABDELWAHAB RADI (REVIEWERS), NOHA WALEED FATHALLA MOSTAFA BARAKAT","doi":"10.1016/j.jebdp.2023.101967","DOIUrl":"10.1016/j.jebdp.2023.101967","url":null,"abstract":"<div><h3>Article Title and Bibliographic Information</h3><p>Schiegnitz E, Reinicke K, Sagheb K, König J, Al‐Nawas B, Grötz KA. Dental implants in patients with head and neck cancer—A systematic review and meta‐analysis of the influence of radiotherapy on implant survival. Clinical oral implants research. 2022 Oct;33(10):967-99.</p></div><div><h3>Source of Funding</h3><p>Open access funding enabled by Project DEAL.</p></div><div><h3>Type of Study/Design</h3><p>Systematic review with meta-analysis of data (SRMA).</p></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"24 2","pages":"Article 101967"},"PeriodicalIF":3.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138992883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"LOW CERTAINTY OF EVIDENCE SUPPORTS THE APPLICATION OF (AI) FOR THE AUTOMATIC DETECTION OF CEPHALOMETRIC LANDMARKS WITH PROSPECTS FOR IMPROVEMENTS","authors":"ZIAD M. MONTASSER (REVIEWERS), MONA A. MONTASSER","doi":"10.1016/j.jebdp.2023.101965","DOIUrl":"10.1016/j.jebdp.2023.101965","url":null,"abstract":"<div><h3>Article Title and Bibliographic Information</h3><p>Artificial Intelligence for Detecting Cephalometric Landmarks: A Systematic Review and Meta-analysis. J Digit Imaging. 2023 Jun;36(3):1158-1179. <span>doi:10.1007/s10278-022-00766-w</span><svg><path></path></svg>.</p></div><div><h3>Source of Funding</h3><p>The study was financed in part by the Coordenacao de Aperfeicoamentode Pessoal de Nivel Superior—Brazil (CAPES)—Finance Code 001.</p></div><div><h3>Type of Study/Design</h3><p>Systematic review and meta-analysis.</p></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"24 2","pages":"Article 101965"},"PeriodicalIF":3.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139022711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
MARIELA PERALTA-MAMANI , BRUNA MACHADO DA SILVA , HEITOR MARQUES HONÓRIO , IZABEL REGINA FISCHER RUBIRA-BULLEN , REEM HANNA , PAULO SERGIO SANTOS DA SILVA
{"title":"CLINICAL EFFICACY OF PHOTODYNAMIC THERAPY IN MANAGEMENT OF ORAL POTENTIALLY MALIGNANT DISORDERS: A SYSTEMATIC REVIEW AND META-ANALYSIS","authors":"MARIELA PERALTA-MAMANI , BRUNA MACHADO DA SILVA , HEITOR MARQUES HONÓRIO , IZABEL REGINA FISCHER RUBIRA-BULLEN , REEM HANNA , PAULO SERGIO SANTOS DA SILVA","doi":"10.1016/j.jebdp.2023.101899","DOIUrl":"10.1016/j.jebdp.2023.101899","url":null,"abstract":"<div><h3>Objectives</h3><p>Despite phototherapy (in the form of photodynamic therapy (PDT)-mediated oxidative stress) being utilized in the management of oral potentially malignant disorders (OPMDs), the evidence of certainty remains unclear. Hence, this systematic review and meta-analysis (PROSPERO # CRD42021218748) is aimed to evaluate the clinical efficacy of PDT-induced oxidative stress in OPMDs</p></div><div><h3>Methods</h3><p>PubMed, Embase, Web of Science, Scopus, and Cochrane Library databases were searched without restriction of language or year of publication. In addition, gray literature was searched and a manual search was performed. Two independent reviewers screened all the studies, assessing data extraction, risk of bias and certainty of evidence. A narrative synthesis was carried out. For the meta-analysis, random effects were considered to determine the prevalence of a total and a partial remission (PR) of oral potentially malignant disorders (OPMDs). The certainty of evidence was explored using the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) approach.</p></div><div><h3>Results</h3><p>Twenty-three studies were included in the qualitative and quantitative syntheses. A total of 880 patients were included (564 males; 218 females) with an age range between 24 and 89-years-old. The results showed the prevalence of the total and partial remissions respectively for the following OPMLs: actinic cheilitis (AC): 69.9% and 2.4%; oral leukoplakia (OL): 44% and 36.9%; oral verrucous hyperplasia (OVH): 98.5%; oral erythroleukoplakia (OEL): 92.1% and 7.9%. The prevalence of no remission of OL was 18.8%.</p></div><div><h3>Conclusions</h3><p>PDT demonstrated significant results in clinical remission of OPMDs and most of the eligible studies have shown a total or a partial remission of the included lesions, but at a low or a very low certainty of evidence. Hence, further clinical studies with robust methodology are warranted to offer further validated data. Also, further evidence is required to understand further the mechanism of PDT-induced oxidative stress.</p></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"24 2","pages":"Article 101899"},"PeriodicalIF":3.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44172906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"COGNITIVE BEHAVIORAL THERAPY MAY ALLEVIATE ANXIETY AND DEPRESSIVE SYMPTOMS IN ADVANCED CANCER PATIENTS","authors":"Zhan Wang (REVIEWER)","doi":"10.1016/j.jebdp.2024.102009","DOIUrl":"https://doi.org/10.1016/j.jebdp.2024.102009","url":null,"abstract":"<div><h3>Article Title and Bibliographic Information</h3><p>Tian L. Effects of cognitive behavioral therapy on anxiety and depressive symptoms in advanced cancer patients: A meta-analysis. Gen Hosp Psychiatry. 2024 Jan 20;87:20-32. <span>doi:10.1016/j.genhosppsych.2024.01.006</span><svg><path></path></svg>. Epub ahead of print. PMID: 38280276.</p></div><div><h3>Source of Funding</h3><p>This research was funded by the <span>National College Students Innovation and Entrepreneurship Training Program</span> (Grant No. <span>202310343044</span>), and the Zhejiang University Student Science and Technology Innovation Activity Plan (Grant No. 2023R413038).</p></div><div><h3>CONFLICT OF INTEREST</h3><p>The authors have no actual or potential conflicts of interest.</p></div><div><h3>Type of Study/Design</h3><p>Systematic review with meta-analysis of data.</p></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"24 3","pages":"Article 102009"},"PeriodicalIF":4.1,"publicationDate":"2024-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141479552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
YASMIN MOHAMED (REVIEWERS), RYAN PREVOST, THIKRIAT AL-JEWAIR
{"title":"LOW-QUALITY EVIDENCE SUGGESTS A STRONG ASSOCIATION BETWEEN DEPTH OF CURVE OF SPEE AND DENTOSKELETAL CHARACTERISTICS","authors":"YASMIN MOHAMED (REVIEWERS), RYAN PREVOST, THIKRIAT AL-JEWAIR","doi":"10.1016/j.jebdp.2024.102007","DOIUrl":"10.1016/j.jebdp.2024.102007","url":null,"abstract":"<div><h3>Article Title and Bibliographic Information</h3><p>Is there variation in the depth of the curve of Spee in individuals with different dentoskeletal patterns? A systematic review with meta-analysis. Paes-Souza Sde, Marañón-Vásquez GA, Galisteu-Luiz K et al. Europ J Orthodont. 2022;44(5):491-502.</p></div><div><h3>Source of Funding</h3><p>This study was supported in part by the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior, Brasil (CAPES), Finance code DS 001, and Fundação de Amparo à Pesquisa do Estado do Rio de Janeiro (FAPERJ - APQ1, number E-26/210.435/2019).</p></div><div><h3>Type of Study/Design</h3><p>Systematic review.</p></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"24 3","pages":"Article 102007"},"PeriodicalIF":4.1,"publicationDate":"2024-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142011813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"ARE PIT AND FISSURE SEALANTS EFFECTIVE IN PREVENTING AND ARRESTING OCCLUSAL CARIES IN PRIMARY AND PERMANENT TEETH? AN OVERVIEW OF SYSTEMATIC REVIEWS","authors":"","doi":"10.1016/j.jebdp.2024.102010","DOIUrl":"10.1016/j.jebdp.2024.102010","url":null,"abstract":"<div><h3>Objectives</h3><p>To compile the evidence from systematic reviews (SRs) about the use of sealants for preventing and arresting pit and fissure occlusal caries in primary and permanent teeth.</p></div><div><h3>Materials and Methods</h3><p>A search was performed in six databases and gray literature up to May 2023. Systematic reviews (SRs) that included randomized trials (RCTs) and nonrandomized clinical trials (n-RCTs) aiming to answer the PICO-based focused question “are pit and fissure sealants (I) more effective than other interventions, control or no treatment (C) in preventing and arresting occlusal caries (O) in primary and permanent teeth (P)?”, were included. The methodological quality was assessed using the AMSTAR-2. The overlap between reviews was calculated (corrected covered, CCA).</p></div><div><h3>Results</h3><p>Among the 25 included SRs, 18 underwent meta-analysis. Eighteen SRs considered sealing enamel caries lesions, one considered sealing dentine caries, and six considered both. Seventeen SRs were devoted to preventive sealing (RCT only, <em>n =</em> 12; RCT and n-RCT, <em>n =</em> 5), while eight were devoted to prevention and arrest of dental caries (RCT only, <em>n =</em> 5; RCT and n-RCT, <em>n =</em> 3). Nine SRs showed positive results for the primary dentition, and the most frequent periods of follow-up were at least 6 (<em>n =</em> 5) and 12 months (<em>n =</em> 4). According to our meta-analysis, a significant association between resin-based sealants (RBS) and dental caries prevention was detected at 6 months (<em>n =</em> 1) and over longer follow-up periods (<em>n =</em> 4), and the DMFT and dmft indices decreased (<em>n =</em> 2). RBS was better than fluoride varnish at preventing dentine caries (<em>n =</em> 1). A lower caries incidence rate was observed in the resin-modified glass ionomer group at 6 months (<em>n =</em> 1). Overall, the sealants were superior (<em>n =</em> 11), similar (<em>n =</em> 21), or inferior (<em>n =</em> 1) to the other treatments. The AMSTAR-2 scores for studies on preventive sealing were critically low (<em>n =</em> 8), low (<em>n =</em> 6), moderate (<em>n =</em> 1) and high (<em>n =</em> 2) for studies on preventive sealing and critically low (<em>n =</em> 5), low (<em>n =</em> 2) and high (<em>n =</em> 1) for studies on the prevention and arrest of caries lesions. The overlap was low (CCA = 3%).</p></div><div><h3>Conclusion</h3><p>This overview suggests that pit and fissure sealants are not inferior to other interventions in preventing and arresting dental caries lesions in primary and permanent teeth.</p></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"24 3","pages":"Article 102010"},"PeriodicalIF":4.1,"publicationDate":"2024-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141134195","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Shuyang He , Madeline Jun Yu Yon , Fei Liu , Edward Chin Man Lo , Cynthia Kar Yung Yiu , Chun Hung Chu , Phoebe Pui Ying Lam
{"title":"PREVALENCE OF CARIES PATTERNS IN THE 21ST CENTURY PRESCHOOL CHILDREN: A SYSTEMATIC REVIEW AND META-ANALYSIS","authors":"Shuyang He , Madeline Jun Yu Yon , Fei Liu , Edward Chin Man Lo , Cynthia Kar Yung Yiu , Chun Hung Chu , Phoebe Pui Ying Lam","doi":"10.1016/j.jebdp.2024.101992","DOIUrl":"10.1016/j.jebdp.2024.101992","url":null,"abstract":"<div><h3>Objective</h3><p>This systematic review aimed to describe and evaluate the caries patterns among the 21st century preschool children globally.</p></div><div><h3>Method</h3><p>Six electronic databases (Pubmed, Embase, Medline, Web of Science, EBSCOhost, and Scopus) were searched using predetermined terms. Dual independent screening of all retrieved abstracts was performed to identify studies conducted after year 2000 and the caries pattern among preschool children was investigated. Data regarding the prevalence of caries by tooth type and surface were extracted. Meta-analyses, subgroup analyses and meta-regression were carried out with the statistics software Stata using the random-effects model.</p></div><div><h3>Results</h3><p>A total of 2642 records were screened, and 43 observational studies were finally included. Cavitated caries lesions were commonly found in the maxillary incisors and molars in both arches among preschool children. The highest caries prevalence was found in the maxillary central incisors (29.1%, 95%CI: 25.5%-32.7%) and the mandibular second molars (28.5%, 95%CI: 24.7%-32.3%), while the mandibular lateral incisors had the lowest prevalence (1.7%, 95%CI: 1.5%-2.0%). Occlusal surfaces of the mandibular molars were the most frequently affected by caries, whereas caries hardly affected the lingual surfaces of lower anterior teeth. Caries pattern on the left and right sides was symmetrical. The overall caries prevalence was significantly higher in the maxillary teeth. Caries prevalence was higher in the older children, whereas the caries pattern was not significantly different among children from countries with different human and economic development levels.</p></div><div><h3>Conclusion</h3><p>Cavitated carious lesions were more commonly observed in the maxillary incisors and molars in both arches. The prevalence of caries varies significantly with child's age and primary tooth type. However, preschool children exhibit a similar pattern of caries, regardless of the time, socioeconomic status or geographical location.</p></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"24 3","pages":"Article 101992"},"PeriodicalIF":4.1,"publicationDate":"2024-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140760005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
LEONARDO CUSTÓDIO DE LIMA , KARIN LANDMAYER , MARIANA MINATEL BRAGA , TAÍS SCARAMUCCI , REGINA GUENKA PALMA-DIBB
{"title":"EFFECT OF LASER IRRADIATION ASSOCIATED WITH FLUORIDE IN DECREASING EROSIVE TOOTH WEAR: A SYSTEMATIC REVIEW WITH A NETWORK META-ANALYSIS","authors":"LEONARDO CUSTÓDIO DE LIMA , KARIN LANDMAYER , MARIANA MINATEL BRAGA , TAÍS SCARAMUCCI , REGINA GUENKA PALMA-DIBB","doi":"10.1016/j.jebdp.2024.101990","DOIUrl":"10.1016/j.jebdp.2024.101990","url":null,"abstract":"<div><h3>Objective</h3><p>The present systematic review with a network meta-analysis (NMA) aimed to evaluate the effect of high-power lasers, associated or not with fluoride compounds, to control and prevent Erosive Tooth Wear (ETW).</p></div><div><h3>Methods</h3><p>The review was registered in the PROSPERO (CRD42021242547) and followed the PICO question: P (population): enamel and dentin substrate; I (Intervention): high-power laser irradiation, associated or not with fluoride compounds; C (Control): no-treatment; and O (Outcomes): prevention/control of ETW. The electronic databases PubMed, Scopus, and EMBASE were searched. Two independent reviewers evaluated <em>in vitro</em> and <em>in situ</em> studies. The risk of bias was assessed using the RoBDEMAT tool. The estimated treatment effect derived from direct and indirect comparisons were analyzed and the difference between these effects was calculated based on the data of enamel and dentin surface loss (in μm).</p></div><div><h3>Results</h3><p>A total of 179 studies were retrieved and after the exclusion of duplicates, 103 studies had their titles and abstracts evaluated. Thirty-nine studies had their full text analyzed for data extraction (Cohen Kappa = 0.88). For sound enamel, the laser irradiation (L), fluoride application (F) and, the association of treatments (L + F) promoted higher protection than No-Treatment (NT). For eroded enamel, L + F and F did not differ, but both treatments reduced surface loss compared to NT and L. For sound and eroded dentin, treatments with laser increased surface loss.</p></div><div><h3>Conclusions</h3><p>Although a high-power laser has some potential to prevent erosive tooth wear, this effect is not better than that of standard fluoride. The use of laser in the management of dentin erosive wear can be harmful.</p></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"24 3","pages":"Article 101990"},"PeriodicalIF":4.1,"publicationDate":"2024-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140406273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"DENTAL AND SKELETAL CHANGES OF LONG-TERM USE OF MANDIBULAR ADVANCEMENT DEVICES FOR THE TREATMENT OF ADULT OBSTRUCTIVE SLEEP APNEA: A SYSTEMATIC REVIEW AND META-ANALYSIS","authors":"MIN YU , YANYAN MA , XU GONG , XUEMEI GAO","doi":"10.1016/j.jebdp.2024.101991","DOIUrl":"10.1016/j.jebdp.2024.101991","url":null,"abstract":"<div><h3>Background</h3><p>Mandibular advancement devices (MADs) are indicated for use in patients with mild to moderate obstructive sleep apnea (OSA). Long-term use of MADs has been found to be associated with dental and skeletal changes. This study aims to conduct a systematic review and meta-analysis to improve knowledge about the dental and skeletal changes of long-term (>1 year) use of MADs for the treatment of OSA.</p></div><div><h3>Material and Methods</h3><p>Electronic databases were systematically searched. Two reviewers conducted screening, quality assessment, and data extraction independently. Thirty-four studies were included in the systematic review and 23 in the meta-analysis.</p></div><div><h3>Results</h3><p>The mean change of overjet and overbite was -0.77mm (95%CI -1.01 to -0.53, <em>P</em> < .00001) and -0.64mm (95%CI -0.85 to -0.43, <em>P</em> < .00001), with progressive change over the treatment duration. The inclination of the upper incisor (U1/SN) and the lower incisor (L1/MP) showed a mean change of retroclined -2.10° (95%CI -3.93 to -0.28, <em>P</em> = .02) and proclined 1.78° (95%CI 0.63 to 2.92, <em>P</em> = .002), respectively. The mean change of the anteroposterior position of the mandible (SNB) was -0.33° posteriorly (95%CI -0.65 to -0.02, <em>P</em> = .04).</p></div><div><h3>Conclusions</h3><p>The meta-analysis showed a gradual decrease in overjet and overbite with treatment duration with long-term use of MADs for the treatment of OSA. Upper and lower incisors retroclined and proclined, respectively. The skeletal changes might include the mandibular position. Patients treated with MADs need to be continuously monitored over time.</p></div>","PeriodicalId":48736,"journal":{"name":"Journal of Evidence-Based Dental Practice","volume":"24 3","pages":"Article 101991"},"PeriodicalIF":4.1,"publicationDate":"2024-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1532338224000320/pdfft?md5=b56a82ab24f307996dd825507b62bb21&pid=1-s2.0-S1532338224000320-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140405080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}