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Effects of facemasks versus intraoral appliances in treating maxillary deficiency in growing patients: A systematic review and meta-analysis

机译:口罩与口腔内矫治器治疗成长型患者上颌骨缺损的效果:系统评价和荟萃分析

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Background . Class III malocclusion is one the most challenging types of orthodontic problems. Objectives . The aim of this study was to compare the dentoskeletal effects of facemasks and intraoral appliances in treating class III maxillary deficiency in growing patients through a systematic review of the available literature. Material and Methods . Electronic and manual searches were performed in the Cochrane Central Register of Controlled Trials (CENTRAL), the Cochrane Database of Systematic Reviews (CDSR), MEDLINE (PubMed), Embase (OVID), and Scopus to find all the relevant studies published by January 2018. All randomized controlled trials (RCTs) recruiting 5–12-year-old patients who received maxillary protraction treatment with any type of facemask and comparing the facemasks with any type of intraoral appliance were included. The primary outcome measure was changes in the A point-nasion-B point angle (ANB), and the secondary outcomes included changes in the overjet, upper-1 (U1) inclination, the mandibular plane angle, and treatment time. The meta-analysis was carried out using the inverse variance-weighted random effects model. Results . Out of 1,629 articles found in the initial search, 5 studies met the inclusion criteria. The meta-analysis showed no differences in the duration of treatment or in any of the cephalometric variables, with the exception of the overjet. Conclusion . It seems that intraoral appliances and facemasks are similar in terms of dentoskeletal effects in the treatment of class III malocclusion as well as treatment duration. However, due to a lack of a sufficient number of high-quality studies, these results should be viewed with caution. Further high-quality, long-term studies are recommended.
机译:背景 。 III类错牙合畸形是正畸问题中最具挑战性的一种。目标。这项研究的目的是通过对现有文献的系统综述,比较口罩和口腔内矫治器在治疗成长中患者的Ⅲ类上颌骨缺损中的牙本质骨骼作用。材料与方法 。在Cochrane对照试验中心登记册(CENTRAL),Cochrane系统评价数据库(CDSR),MEDLINE(PubMed),Embase(OVID)和Scopus中进行了电子和手动检索,以查找2018年1月之前发布的所有相关研究所有招募了5-12岁接受了上颌前伸治疗和任何类型口罩的患者并将其与任何类型的口内矫治器进行比较的随机对照试验(RCT)。主要结局指标是A点-Naion-B点角(ANB)的变化,次要结局包括溢流,上1(U1)倾斜度,下颌平面角和治疗时间的变化。使用逆方差加权随机效应模型进行荟萃分析。结果。在最初搜索的1,629篇文章中,有5篇研究符合纳入标准。荟萃分析显示,除过度喷射外,治疗持续时间或任何头颅测量变量均无差异。结论。就III类错牙合畸形的治疗以及治疗持续时间而言,口腔内矫治器和面罩似乎在牙本质骨骼作用方面相似。但是,由于缺乏足够的高质量研究,因此应谨慎对待这些结果。建议进行进一步的高质量,长期研究。

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