Is there a better interceptive treatment for unerupted palatally displaced canines? A network meta-analysis

ARAUJO, Viviane Zis de; HECKMANN, Sani; ARAUJO, Fernando Borba de; CASAGRANDE, Luciano; ZIEGELMANN, Patricia Klarmann; ARAÚJO, Eustáquio Afonso; MARQUES, Leandro Silva; LENZI, Tathiane Larissa

ARAUJO, Viviane Zis de; HECKMANN, Sani; ARAUJO, Fernando Borba de; CASAGRANDE, Luciano; ZIEGELMANN, Patricia Klarmann; ARAÚJO, Eustáquio Afonso; MARQUES, Leandro Silva; LENZI, Tathiane Larissa.

Afiliación

ARAUJO, Viviane Zis de; Sociedade Brasileira de Odontologia. Rio Grande do Sul Section. Residency Program in Pediatric Dentistry. Porto Alegre. BR
HECKMANN, Sani; Universidade Federal do Rio Grande do Sul. School of Dentistry. Post-Graduate Program in Dentistry. Porto Alegre. BR
ARAUJO, Fernando Borba de; Universidade Federal do Rio Grande do Sul. School of Dentistry. Post-Graduate Program in Dentistry. Porto Alegre. BR
CASAGRANDE, Luciano; Universidade Federal do Rio Grande do Sul. School of Dentistry. Post-Graduate Program in Dentistry. Porto Alegre. BR
ZIEGELMANN, Patricia Klarmann; UniversidadeFederal do Rio Grande do Sul. Statistic Department. Post-Graduate Program in Epidemiology. Porto Alegre. BR
ARAÚJO, Eustáquio Afonso; Saint Louis University. Center for Advanced Dental Education. Saint Louis. US
MARQUES, Leandro Silva; Universidade Federal dos Vales do Jequitinhonha e Mucuri. Department of Pediatric Dentistry. Diamantina. BR
LENZI, Tathiane Larissa; Universidade Federal do Rio Grande do Sul. School of Dentistry. Post-Graduate Program in Dentistry. Porto Alegre. BR

Braz. oral res. (Online) ; 36: e119, 2022. tab, graf

Article en En | LILACS-Express | LILACS, BBO | ID: biblio-1420938

Biblioteca responsable: BR1.1

ABSTRACT

ABSTRACT

Abstract This systematic review aimed to investigate if there is a better interceptive treatment for palatally displaced canines (PDC) in the mixed dentition stage. The PubMed/MEDLINE, CENTRAL, Scopus, and EMBASE databases were searched for randomized clinical trials related to the research topic. The gray literature and reference lists were also assessed. Network meta-analysis was conducted to analyze the effects of different approaches on PDC eruption. The surface under the cumulative ranking area was calculated to rank the treatments. The certainty of the evidence was evaluated using the GRADE approach. Of the 892 eligible studies, 18 were selected for full-text analysis and 9 for meta-analysis, involving 506 participants and 730 PDC, to compare 9 approaches. The proportion of erupted PDC was significantly higher for all interceptive treatments compared with control (no intervention). Furthermore, the proportion of erupted PDC was higher in patients subjected to rapid maxillary expansion (RME) than those who underwent double extraction of primary canine and primary molar (relative risk (RR) = 2.68 ICr95% 1.12-9.35). A higher proportion of erupted PDC was found for RME (RR = 3.07 ICr95% 1.31-10.67), RME plus use of transpalatal arch (TA) plus extraction of primary canine(s) (EC) (RR = 1.43 ICr95% 1.09-1.95), EC plus use of cervical pull headgear (RR = 1.38 ICr95% 1.11-1.79), and EC plus use of TA (RR = 1.36 ICr95% 1.00-1.9) than for EC. RME was most likely to be considered as the best interceptive treatment. Overall, the certainty of the evidence was considered low due to imprecision and indirectness. In conclusion, no intervention in the mixed dentition stage is the worst choice for PDC.

Palabras clave

Network Meta-Analysis; Orthodontics, Interceptive; Tooth, Impacted

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Texto completo: 1 Colección: 01-internacional Base de datos: BBO / LILACS Tipo de estudio: Clinical_trials / Etiology_studies / Systematic_reviews Idioma: En Revista: Braz. oral res. (Online) Asunto de la revista: ODONTOLOGIA Año: 2022 Tipo del documento: Article País de afiliación: Brasil / Estados Unidos Pais de publicación: Brasil

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