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Surgically Assisted Rapid Palatomaxillary Expansion With or Without Pterygomaxillary Disjunction: A Systematic Review and Meta-Analysis
- Source :
- Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons. 74(2)
- Publication Year :
- 2015
-
Abstract
- Purpose The purpose of this review was to evaluate the outcome measurements of anterior expansion, posterior expansion, and complications after surgically assisted rapid palatal expansion (SARPE) with or without pterygomaxillary disjunction (PMD). Materials and Methods A computerized database search was performed using PubMed, CINAHL, Cochrane, Scopus, and Web of Science. Then, a computerized search was conducted in Google Scholar and ProQuest to overcome publication bias. Results From the original 125 combined results, 3 met the inclusion criteria. The Quality Assessment Tool for Quantitative Studies of the Effective Public Health Practice Project assessed 2 articles as weak and 1 as moderate. The systematic review included a total of 48 patients (11 male and 37 female). For 25 patients, SARPE was performed with PMD and for 23 patients SARPE was performed without PMD. A tooth-borne fixed hyrax-type palatal expansion screw appliance was used for all cases, activated 1 to 2 mm intraoperatively, and, after a latency period of 3 to 7 days, activated 0.5 to 0.6 mm per day for 38 patients and 0.25 mm for the other 10 until adequate expansion. Postexpansion retention was performed using ligature wired hyrax in 18 patients for 4 months. Comparisons were based on cone-beam computed tomographic projections, study models only, or a combination of study models, anteroposterior cephalometric radiographs, and occlusal radiographs. The time to measure the changes ranged from before fixed orthodontic retention to 6 months after the completion of active expansion. A meta-analysis was possible only for anterior (intercanine) and posterior (inter-molar) dental expansions. Conclusion The literature is inconclusive regarding the effect of PMD on the outcomes of SARPE. Further controlled trials are needed.
- Subjects :
- medicine.medical_specialty
Palatal Expansion Technique
Cephalometry
Radiography
Pterygopalatine Fossa
MEDLINE
Computed tomographic
03 medical and health sciences
0302 clinical medicine
Orthodontic Appliances
medicine
Humans
Orthodontic Appliance Design
Computerized databases
Orthodontics
business.industry
Quality assessment
Palate
030503 health policy & services
030206 dentistry
Publication bias
Cone-Beam Computed Tomography
Surgery
Otorhinolaryngology
Meta-analysis
Oral Surgery
0305 other medical science
business
Subjects
Details
- ISSN :
- 15315053
- Volume :
- 74
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons
- Accession number :
- edsair.doi.dedup.....4967de44aafcc63f61e2f8a678f11f91