与固定矫治器治疗相比，透明矫正器正畸诱导的外根尖吸收：综述

Q1 Medicine

Journal of oral biology and craniofacial research Pub Date : 2025-06-23 DOI:10.1016/j.jobcr.2025.06.011

Madhanraj Selvaraj, Bhaskar Nivethitha, Balasubramanian Madhan

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引用次数: 0

摘要

正畸诱导的外根尖吸收（iearr）是正畸治疗不可避免的并发症。本研究旨在提供现有最高水平的证据，证明在接受正畸治疗的患者中，与固定正畸治疗相比，使用透明矫正器的OIEARR。材料和方法采用预设的检索词进行全面的电子数据库检索，不受语言和出版年份的限制。仅考虑有或没有荟萃分析比较固定和清晰对准器组OIEARR的系统评价。主要研究的重叠部分使用GROOVE工具进行评估，两名审稿人使用AMSTAR 2对纳入的评价的质量进行独立评分。对同质CBCT数据进行随机效应荟萃分析。结果1181篇文献中，8篇综述符合条件；只有四个考虑了荟萃分析。报告了31项主要研究的高度重叠，其中22项纳入了重叠的荟萃分析。AMSTAR 2工具概述了四个评论的质量非常低，其中两个分别是高质量和低质量。校正器组与固定矫治器组间的meta分析显示，上颌中切牙的平均差异为0.62 mm，上颌侧切牙的平均差异为0.65 mm。纳入的初步研究的异质性从中等到高度不等。结论透明矫正器组OIEARR的发生率和严重程度均低于固定矫治器组。由于证据质量低到中等，结果需要谨慎推断。因此，考虑到相关的危险因素，未来需要高质量的随机对照试验。

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Orthodontically induced external apical root resorption with clear aligners compared to fixed appliance treatment: An umbrella review

Introduction

Orthodontically induced external apical root resorption (OIEARR) is an inevitable complication of orthodontic treatment. This study aimed to provide the existing highest level of evidence on OIEARR in patients undergoing orthodontic treatment with clear aligners compared to fixed orthodontics.

Materials and methods

A comprehensive electronic database search was conducted using predefined search terms without any restrictions on language and year of publication. Systematic reviews with or without meta-analysis comparing the OIEARR in fixed and clear aligner groups were only considered. The overlap of primary studies was assessed using the GROOVE tool, and two reviewers graded the quality assessment of included reviews independently using AMSTAR 2. A random effects meta-analysis was carried out for homogenous CBCT data.

Results

Out of 1181 articles, eight reviews were eligible; only four considered meta-analyses. A high overlap of 31 primary studies was reported, with 22 included in meta-analyses overlap. AMSTAR 2 tool outlined that the quality of the reviews was critically low in four, with two each being high and low quality. Meta-analysis between the aligner and fixed appliance groups revealed a significant mean difference of 0.62 mm in maxillary central incisors and 0.65 mm in maxillary lateral incisors. The heterogeneity of included primary studies ranged from moderate to high.

Conclusion

The incidence and severity of OIEARR are lower in clear aligners than in fixed appliance groups. The results need to be cautiously inferred due to the low to moderate quality of the evidence. Therefore, there is a future need for high-quality RCTs, considering the associated risk factors.

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来源期刊

Journal of oral biology and craniofacial research Medicine-Otorhinolaryngology

CiteScore

4.90

自引率

0.00%

发文量

133

审稿时长

167 days

期刊介绍： Journal of Oral Biology and Craniofacial Research (JOBCR)is the official journal of the Craniofacial Research Foundation (CRF). The journal aims to provide a common platform for both clinical and translational research and to promote interdisciplinary sciences in craniofacial region. JOBCR publishes content that includes diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the mouth and jaws and face region; diagnosis and medical management of diseases specific to the orofacial tissues and of oral manifestations of systemic diseases; studies on identifying populations at risk of oral disease or in need of specific care, and comparing regional, environmental, social, and access similarities and differences in dental care between populations; diseases of the mouth and related structures like salivary glands, temporomandibular joints, facial muscles and perioral skin; biomedical engineering, tissue engineering and stem cells. The journal publishes reviews, commentaries, peer-reviewed original research articles, short communication, and case reports.