Are there benefits from using bone-borne maxillary expansion instead of tooth-borne maxillary expansion? A systematic review with meta-analysis

Progress in Orthodontics
Marietta KrüsiSpyridon N Papageorgiou

Abstract

The aim of the current systematic review was to compare the clinical effects of bone-borne or hybrid tooth-bone-borne rapid maxillary expansion (RME) with conventional tooth-borne RME in the treatment of maxillary deficiency. Nine databases were searched up to September 2018 for randomized clinical trials comparing bone-borne or hybrid tooth-bone-borne RME to conventional tooth-borne RME in patients of any age or sex. After duplicate study selection, data extraction, and risk of bias assessment with the Cochrane tool, random effects meta-analyses of mean differences (MD) and their 95% confidence intervals (CIs) were performed, followed by assessment of the quality of evidence with GRADE. A total of 12 papers on 6 unique trials with 264 patients (42.4% male; average age 12.3 years) were finally included. Limited evidence indicated that bone-borne RME was associated with greater suture opening at the first molar post-retention (1 trial; MD 2.0 mm; 95% CI 1.4 to 2.6 mm; moderate evidence quality) compared to tooth-borne RME, while no significant differences could be found regarding tooth inclination, nasal cavity width, and root resorption (very low to low evidence quality). Hybrid tooth-bone-borne RME was associated with less buc...Continue Reading

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Citations

Feb 11, 2021·European Journal of Orthodontics·Tomonori IwasakiAlexandra K Papadopoulou
Nov 6, 2020·BMC Oral Health·Diego Sánchez-RiofríoJosep M Ustrell-Torrent
Dec 15, 2020·The Angle Orthodontist·Shivam MehtaSumit Yadav
Aug 31, 2021·International Journal of Oral and Maxillofacial Surgery·D MichauxN Nadjmi

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