Skeletal and dental effects of surgically assisted rapid palatal expansion: a systematic review of randomized controlled trials

European Journal of Orthodontics
Francesco BortolottiGiulio Alessandri-Bonetti

Abstract

Surgically assisted rapid maxillary expansion (SARME) is a surgical technique developed to correct transverse discrepancies in skeletally mature patients. However, there is limited evidence concerning the immediate skeletal and dental changes obtained only due to SARME. The aim of the present systematic review is to investigate the immediate skeletal and dental effects of SARME in adult patients with transverse maxillary hypoplasia. An electronic search of the literature in MEDLINE, The Cochrane Library, Lilacs and Scopus databases was performed. Only randomized controlled trials (RCTs) studies investigating the skeletal and dental effects of SARME procedures in adult patients were included. The included studies received a methodological quality scoring according to the revised Cochrane risk-of-bias tool for randomized trials. The quality of evidence was assessed by means of the Grading Recommendation Assessment, Development and Evaluation (GRADE) system. For each included study and for each analysed parameter, the difference in means and 95 per cent confidence interval was calculated between baseline and immediate post-expansion. A meta-analysis of original outcome data, if possible, was conducted. Nine articles were selected....Continue Reading

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Jul 19, 2021·American Journal of Orthodontics and Dentofacial Orthopedics : Official Publication of the American Association of Orthodontists, Its Constituent Societies, and the American Board of Orthodontics·Rudyard Dos Santos OliveiraJosé Luiz Cintra Junqueira

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