Is the buccal alveolar bone less affected by mini‐implant assisted rapid palatal expansion than by conventional rapid palatal expansion?—A systematic review and meta‐analysis

Copello, Flávio Mendonça; Marañón‐Vásquez, Guido Artemio; Brunetto, Daniel Paludo; Caldas, Luciana Duarte; Ferreira, Daniele Masterson Tavares Pereira; Maia, Lucianne Cople; Sant’Anna, Eduardo Franzotti

doi:10.1111/ocr.12374

Cited by 23 publications

(26 citation statements)

References 33 publications

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“…And there was also a comparison of buccal alveolar bone loss between mini-implant assisted rapid palatal expansion and conventional rapid palatal expansion, but without statistical analysis of effect of RME separately. [26] So, this is the rst meta-analysis to evaluate the change in alveolar bone after RME. The results showed that RME could reduce the alveolar buccal bone thickness and marginal bone level of the retention teeth.…”

Section: Discussionmentioning

confidence: 99%

Clinical effect on the alveolar bone of maxillary molar after rapid maxillary expansion: a systematic review and meta-analysis

Zhang¹,

Wang²,

Zhao³

et al. 2021

Preprint

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Background This study assessed the effects of rapid maxillary expansion (RME) on alveolar bone cortical thickness and vertical bone level of maxillary first molar. Material and methods PubMed, Web of Science, Cochrane Central Register of Controlled Trials (CENTRAL), Scopus and a manual search in reference lists of the included studies were searched up to November 2020. The data extraction and risk of bias assessment were performed independently by two authors. Review Manager 5 was used for quantitative analysis. Results Eight studies were selected for the systematic review, and six studies were statistically selected in meta-analysis. The thickness of the distal buccal alveolar bone was significantly reduced of both left (MD 0.53;95% CI:0.15–0.90) and right (MD 0.61;95% CI:0.28–0.94) sides of the maxillary first molar after RME. The same was true for the left (MD 0.63;95% CI:0.28–0.98) and right (MD 0.63;95% CI:0.36–0.91) sides of the mesial buccal side. And the vertical distance between the cusp tip and the buccal alveolar crest increased significantly after RME (SMD − 0.92;95% CI: -1.20–0.64). However, the study of palatal cortical thickness of maxillary first molar needs more clinical trials because of its high heterogeneity (left: I2 = 92%; right: I2 = 86%). Conclusions According to current studies, RME can reduce the buccal cortical thickness of maxillary first molars and increase vertical bone loss. More research is needed to determine the stability of the results. However, it is advisable to evaluate the alveolar bone before treatment.

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Section: Discussionmentioning

confidence: 99%

Clinical effect on the alveolar bone of maxillary molar after rapid maxillary expansion: a systematic review and meta-analysis

Zhang¹,

Wang²,

Zhao³

et al. 2021

Preprint

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“…Uno de los tratamientos de ortodoncia para la corrección de la mordida cruzada (uni/bilateral) secundaria a la deficiencia maxilar transversal, es la disyunción maxilar rápida, ya que logra estimular el crecimiento del maxilar al transmitir grandes fuerzas hacia la red de suturas circunmaxilares (1,3,4,5,6,7) . Para que esto ocurra, es gravitante que las suturas aún sean susceptibles (estén abiertas, permeables, poco imbricadas) a los estímulos mecánicos que transmiten los aparatos de ortodoncia, condición particularmente esperable en pacientes jóvenes y en crecimiento (4,6) .…”

Section: Problemaunclassified

Disyunción maxilar rápida asistida con microtornillos en pacientes en crecimiento con deficiencia maxilar transversal.

Silva-Ruz

Tort-Barahona

Acuña-Aracena

et al. 2021

Int. j interdiscip. dent.

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“…The aim of this systematic review was to evaluate evidence from randomized and prospective clinical trials on postexpansion effects of tooth-bone-borne and bone-borne palatal expanders. Recent systematic reviews have examined the use of miniscrew-supported palatal expansion, but none of them compared the effects of combining dental and skeletal anchorage as opposed to only using skeletal anchorage in the expander design (23,(37)(38)(39). This systematic review is, to our knowledge, the first to compare the effects of tooth-bone-borne vs. boneborne expanders.…”

Section: Summary Of Evidencementioning

confidence: 99%

Tooth-Bone-Borne Vs. Bone-Borne Palatal Expanders: A Systematic Review

et al. 2021

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The aim of this review was to evaluate the current evidence regarding post-treatment effects of tooth-bone-borne vs. bone-borne expanders. A search was conducted in MEDLINE via PubMed, Web of Science, Scopus, Cochrane Library, Google Scholar, and Open Gray; in addition to a hand search in reference lists of selected articles and creating a search alert in electronic databases. Selection criteria included randomized and prospective clinical trials comparing post-expansion skeletal and/or dento-alveolar effects of tooth-bone-borne expanders to those of bone-borne expanders. Following study retrieval and selection, relevant data was extracted, and risk of bias was assessed using the revised RoB 2 tool for randomized clinical trials. After examining 10 full text articles, one randomized clinical trial was finally included. The study compared the dento-alveolar effects of tooth-bone-borne and bone-borne expanders, following expansion and after 6 months, using digital dental casts. Using the RoB 2 tool, the study was judged overall to show some concerns. A definitive conclusion could not be drawn from this systematic review due to the scarcity of clinical trials tackling the research question. A need for future well-conducted research was highlighted in this review.

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Is the buccal alveolar bone less affected by mini‐implant assisted rapid palatal expansion than by conventional rapid palatal expansion?—A systematic review and meta‐analysis

Abstract: Objective: To systematically review the existing literature comparing mini-implant assisted rapid palatal expansion (MARPE) and conventional rapid palatal expansion (RPE) regarding the effect on the buccal alveolar bone thickness (BT) and marginal bone level (BL).

Cited by 23 publications

References 33 publications

Clinical effect on the alveolar bone of maxillary molar after rapid maxillary expansion: a systematic review and meta-analysis

Clinical effect on the alveolar bone of maxillary molar after rapid maxillary expansion: a systematic review and meta-analysis

Disyunción maxilar rápida asistida con microtornillos en pacientes en crecimiento con deficiencia maxilar transversal.

Tooth-Bone-Borne Vs. Bone-Borne Palatal Expanders: A Systematic Review

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