Laura Marcela Barreneche-Calle , Rober David Marín-Arboleda , Sandra Liliana Gómez-Gómez , Andrés A. Agudelo-Suárez , Diana Milena Ramírez-Ossa
{"title":"在上颌骨横向缺损的生长期患者中，使用临时固定装置辅助的上颌骨扩张技术与传统方案相比对牙槽骨、牙周和骨骼的影响：系统回顾和荟萃分析","authors":"Laura Marcela Barreneche-Calle , Rober David Marín-Arboleda , Sandra Liliana Gómez-Gómez , Andrés A. Agudelo-Suárez , Diana Milena Ramírez-Ossa","doi":"10.1016/j.ortho.2024.100891","DOIUrl":null,"url":null,"abstract":"<div><h3>Objectives</h3><p>To synthesise the dentoalveolar, periodontal and skeletal changes that occur when using maxillary expansion techniques assisted by temporary anchorage devices compared to conventional protocols.</p></div><div><h3>Methods</h3><p>Five databases and grey literature were consulted, up to December 2023, focusing on intervention designs and excluding other type of studies. The quality assessment was conducted by using the adaptation for orthodontics of the CONSORT statement, the guidelines for reporting non-randomised studies, the RoB-2 tool, and the ROBINS-I tool. A descriptive summary and meta-analysis using RevMan 5.4 were performed.</p></div><div><h3>Results</h3><p>Nine clinical trials were included (<em>n</em> <!-->=<!--> <!-->377 patients, mean age 13.2<!--> <!-->±<!--> <!-->0.6) with a diagnosis of transverse maxillary deficiency. The analysed studies showed qualitative dentoalveolar and periodontal changes after expansion, which were greater on the maxillary first premolars in tooth-borne appliances. Meta-analyses for some effects were included from two studies (<em>n</em> <!-->=<!--> <!-->64); patients who used tooth-borne appliances had greater effects of buccal intercoronal width between the premolars with statistically significant differences (Std Mean difference 2.34; 95% CI: 0.04–4.65 <em>p</em> <!-->=<!--> <!-->0.05). Conversely, those patients who used bone-borne or hybrid appliances had greater effects of buccal intercoronal width between molars with statistically significant differences (Std Mean difference −0.64; 95% CI: −1.38–0.10; <em>p</em> <!-->=<!--> <!-->0.09).</p></div><div><h3>Conclusions</h3><p>According to the studies analysed, all measurements increased in the intervention groups after expansion. Quantitative analyses show different findings at dentoalveolar level when tooth-borne, bone-borne or hybrid appliances are considered. Nevertheless, the results should be taken with caution due to the heterogeneity of the studies.</p><p>The protocol was registered at PROSPERO (CRD42021283170), with no funding to report.</p></div>","PeriodicalId":45449,"journal":{"name":"International Orthodontics","volume":"22 3","pages":"Article 100891"},"PeriodicalIF":1.8000,"publicationDate":"2024-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1761722724000470/pdfft?md5=a4c7e696d4214a4f9980942b61bc0ae0&pid=1-s2.0-S1761722724000470-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Dentoalveolar, periodontal and skeletal effects of maxillary expansion techniques assisted by temporary anchorage devices compared with conventional protocols in growing patients with transverse maxillary deficiency: A systematic review and meta-analysis\",\"authors\":\"Laura Marcela Barreneche-Calle , Rober David Marín-Arboleda , Sandra Liliana Gómez-Gómez , Andrés A. Agudelo-Suárez , Diana Milena Ramírez-Ossa\",\"doi\":\"10.1016/j.ortho.2024.100891\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objectives</h3><p>To synthesise the dentoalveolar, periodontal and skeletal changes that occur when using maxillary expansion techniques assisted by temporary anchorage devices compared to conventional protocols.</p></div><div><h3>Methods</h3><p>Five databases and grey literature were consulted, up to December 2023, focusing on intervention designs and excluding other type of studies. The quality assessment was conducted by using the adaptation for orthodontics of the CONSORT statement, the guidelines for reporting non-randomised studies, the RoB-2 tool, and the ROBINS-I tool. A descriptive summary and meta-analysis using RevMan 5.4 were performed.</p></div><div><h3>Results</h3><p>Nine clinical trials were included (<em>n</em> <!-->=<!--> <!-->377 patients, mean age 13.2<!--> <!-->±<!--> <!-->0.6) with a diagnosis of transverse maxillary deficiency. The analysed studies showed qualitative dentoalveolar and periodontal changes after expansion, which were greater on the maxillary first premolars in tooth-borne appliances. Meta-analyses for some effects were included from two studies (<em>n</em> <!-->=<!--> <!-->64); patients who used tooth-borne appliances had greater effects of buccal intercoronal width between the premolars with statistically significant differences (Std Mean difference 2.34; 95% CI: 0.04–4.65 <em>p</em> <!-->=<!--> <!-->0.05). Conversely, those patients who used bone-borne or hybrid appliances had greater effects of buccal intercoronal width between molars with statistically significant differences (Std Mean difference −0.64; 95% CI: −1.38–0.10; <em>p</em> <!-->=<!--> <!-->0.09).</p></div><div><h3>Conclusions</h3><p>According to the studies analysed, all measurements increased in the intervention groups after expansion. Quantitative analyses show different findings at dentoalveolar level when tooth-borne, bone-borne or hybrid appliances are considered. 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Dentoalveolar, periodontal and skeletal effects of maxillary expansion techniques assisted by temporary anchorage devices compared with conventional protocols in growing patients with transverse maxillary deficiency: A systematic review and meta-analysis
Objectives
To synthesise the dentoalveolar, periodontal and skeletal changes that occur when using maxillary expansion techniques assisted by temporary anchorage devices compared to conventional protocols.
Methods
Five databases and grey literature were consulted, up to December 2023, focusing on intervention designs and excluding other type of studies. The quality assessment was conducted by using the adaptation for orthodontics of the CONSORT statement, the guidelines for reporting non-randomised studies, the RoB-2 tool, and the ROBINS-I tool. A descriptive summary and meta-analysis using RevMan 5.4 were performed.
Results
Nine clinical trials were included (n = 377 patients, mean age 13.2 ± 0.6) with a diagnosis of transverse maxillary deficiency. The analysed studies showed qualitative dentoalveolar and periodontal changes after expansion, which were greater on the maxillary first premolars in tooth-borne appliances. Meta-analyses for some effects were included from two studies (n = 64); patients who used tooth-borne appliances had greater effects of buccal intercoronal width between the premolars with statistically significant differences (Std Mean difference 2.34; 95% CI: 0.04–4.65 p = 0.05). Conversely, those patients who used bone-borne or hybrid appliances had greater effects of buccal intercoronal width between molars with statistically significant differences (Std Mean difference −0.64; 95% CI: −1.38–0.10; p = 0.09).
Conclusions
According to the studies analysed, all measurements increased in the intervention groups after expansion. Quantitative analyses show different findings at dentoalveolar level when tooth-borne, bone-borne or hybrid appliances are considered. Nevertheless, the results should be taken with caution due to the heterogeneity of the studies.
The protocol was registered at PROSPERO (CRD42021283170), with no funding to report.
期刊介绍：
Une revue de référence dans le domaine de orthodontie et des disciplines frontières Your reference in dentofacial orthopedics International Orthodontics adresse aux orthodontistes, aux dentistes, aux stomatologistes, aux chirurgiens maxillo-faciaux et aux plasticiens de la face, ainsi quà leurs assistant(e)s. International Orthodontics is addressed to orthodontists, dentists, stomatologists, maxillofacial surgeons and facial plastic surgeons, as well as their assistants.
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