{"title":"对生长期受试者上颌快速扩张和上颌缓慢扩张时牙槽骨和骨骼横向变化的三维评估 - 系统回顾和荟萃分析","authors":"Abirami Selvaraj, A. George, Prasanna Arvind","doi":"10.25259/apos_180_2022","DOIUrl":null,"url":null,"abstract":"To systematically compare dentoalveolar and skeletal changes of RME and SME using same expanders with different activation protocols via 3D radiographs. Pubmed, Scopus, LILACS, Cochrane Library and Google Scholar were searched till April 2022. Randomized control trials (RCTs) were included. Statistical analysis performed with Tau2 test to evaluate heterogeneity in the included studies. Risk of bias (RoB) was evaluated using Cochrane RoB 2.0 tool. 5 RCTs were included. RoB revealed one study have low risk of bias and others have some concerns. Meta-analysis showed that both RME and SME displayed significant intermolar expansion (p>0.05) with RME showing significantly greater molar tipping. Random effects meta-analysis performed for maxillary intermolar distance at cuspal [SMD=0.23(95% CI=-0.50 to 0.95)] and alveolar level [SMD=0.76(95% CI=-0.57 to 2.09)] revealed no significant difference between groups with low reliability. RME showed significantly increased posterior skeletal nasal width [P value=0.007, SMD= 0.95(95% CI= 0.25 to 1.64)] with low heterogeneity (I2=24%) and good reliability. Greater molar tipping, determined using buccolingual inclination can be noted in RME. Increase in effective arch width and greater bodily translation was observed in SME. Utilizing the correct expansion protocol in the relevant clinical scenarios can prevent adverse periodontal complications during expansion and provide greater post-expansion stability.","PeriodicalId":42593,"journal":{"name":"APOS Trends in Orthodontics","volume":null,"pages":null},"PeriodicalIF":0.5000,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Three-dimensional evaluation of dentoalveolar and skeletal transverse changes between rapid maxillary expansion and slow maxillary expansion in growing subjects – A systematic review and meta-analysis\",\"authors\":\"Abirami Selvaraj, A. George, Prasanna Arvind\",\"doi\":\"10.25259/apos_180_2022\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"To systematically compare dentoalveolar and skeletal changes of RME and SME using same expanders with different activation protocols via 3D radiographs. Pubmed, Scopus, LILACS, Cochrane Library and Google Scholar were searched till April 2022. Randomized control trials (RCTs) were included. Statistical analysis performed with Tau2 test to evaluate heterogeneity in the included studies. Risk of bias (RoB) was evaluated using Cochrane RoB 2.0 tool. 5 RCTs were included. RoB revealed one study have low risk of bias and others have some concerns. Meta-analysis showed that both RME and SME displayed significant intermolar expansion (p>0.05) with RME showing significantly greater molar tipping. Random effects meta-analysis performed for maxillary intermolar distance at cuspal [SMD=0.23(95% CI=-0.50 to 0.95)] and alveolar level [SMD=0.76(95% CI=-0.57 to 2.09)] revealed no significant difference between groups with low reliability. RME showed significantly increased posterior skeletal nasal width [P value=0.007, SMD= 0.95(95% CI= 0.25 to 1.64)] with low heterogeneity (I2=24%) and good reliability. Greater molar tipping, determined using buccolingual inclination can be noted in RME. Increase in effective arch width and greater bodily translation was observed in SME. Utilizing the correct expansion protocol in the relevant clinical scenarios can prevent adverse periodontal complications during expansion and provide greater post-expansion stability.\",\"PeriodicalId\":42593,\"journal\":{\"name\":\"APOS Trends in Orthodontics\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.5000,\"publicationDate\":\"2024-07-05\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"APOS Trends in Orthodontics\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.25259/apos_180_2022\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"DENTISTRY, ORAL SURGERY & MEDICINE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"APOS Trends in Orthodontics","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.25259/apos_180_2022","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}
引用次数: 0
摘要
通过三维X光片系统比较使用相同扩张器和不同激活方案的RME和SME的牙槽骨和骨骼变化。截至 2022 年 4 月,对 Pubmed、Scopus、LILACS、Cochrane Library 和 Google Scholar 进行了检索。其中包括随机对照试验(RCT)。使用 Tau2 检验进行统计分析,以评估纳入研究的异质性。使用 Cochrane RoB 2.0 工具评估偏倚风险(RoB)。共纳入 5 项研究。RoB显示,一项研究的偏倚风险较低,其他研究则存在一些问题。荟萃分析表明,RME和SME都显示出明显的臼齿间扩张(p>0.05),RME显示出明显更大的臼齿倾斜。随机效应荟萃分析表明,上颌尖牙处的磨间距离[SMD=0.23(95% CI=-0.50至0.95)]和牙槽水平[SMD=0.76(95% CI=-0.57至2.09)]在各组之间无明显差异,可靠性较低。RME显示鼻后骨骼宽度明显增加[P值=0.007,SMD=0.95(95% CI=0.25至1.64)],异质性低(I2=24%),可靠性好。使用颊舌侧倾斜度确定的臼齿倾角在 RME 中更大。在 SME 中可以观察到有效牙弓宽度的增加和更大的身体平移。在相关临床情况下使用正确的扩弓方案可以防止扩弓过程中出现不良的牙周并发症,并提供更高的扩弓后稳定性。
Three-dimensional evaluation of dentoalveolar and skeletal transverse changes between rapid maxillary expansion and slow maxillary expansion in growing subjects – A systematic review and meta-analysis
To systematically compare dentoalveolar and skeletal changes of RME and SME using same expanders with different activation protocols via 3D radiographs. Pubmed, Scopus, LILACS, Cochrane Library and Google Scholar were searched till April 2022. Randomized control trials (RCTs) were included. Statistical analysis performed with Tau2 test to evaluate heterogeneity in the included studies. Risk of bias (RoB) was evaluated using Cochrane RoB 2.0 tool. 5 RCTs were included. RoB revealed one study have low risk of bias and others have some concerns. Meta-analysis showed that both RME and SME displayed significant intermolar expansion (p>0.05) with RME showing significantly greater molar tipping. Random effects meta-analysis performed for maxillary intermolar distance at cuspal [SMD=0.23(95% CI=-0.50 to 0.95)] and alveolar level [SMD=0.76(95% CI=-0.57 to 2.09)] revealed no significant difference between groups with low reliability. RME showed significantly increased posterior skeletal nasal width [P value=0.007, SMD= 0.95(95% CI= 0.25 to 1.64)] with low heterogeneity (I2=24%) and good reliability. Greater molar tipping, determined using buccolingual inclination can be noted in RME. Increase in effective arch width and greater bodily translation was observed in SME. Utilizing the correct expansion protocol in the relevant clinical scenarios can prevent adverse periodontal complications during expansion and provide greater post-expansion stability.