Skeletal and dental open bite treatment using clear aligners and orthodontic miniscrew-anchored fixed appliances in permanent dentition: A systematic review.

Autor: Nshimiyimana E; Department of Orthodontics, Affiliated Hospital of Stomatology, Anhui Medical University, Hefei, Anhui, China., Ubuzima P; Department of Orthodontics, Affiliated Hospital of Stomatology, Anhui Medical University, Hefei, Anhui, China; School of Dentistry, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda., Mukeshimana C; Department of Orthodontics, Affiliated Hospital of Stomatology, Anhui Medical University, Hefei, Anhui, China., Michelogiannakis D; Department of Orthodontics and Dentofacial Orthopedics, Eastman Institute for Oral Health, University of Rochester, New York, USA., Mbyayingabo D; Department of Orthodontics, Stomatological Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi, China., Mugabo E; Department of Orthodontics, Xiangya Stomatological Hospital and Xiangya School of Stomatology, Hunan Clinical Research Center of Oral Major Diseases and Oral Health, Central South University, Changsha, Hunan, China., Gakunzi D; Department of Prosthodontics, Center of Stomatology, Xiangya Hospital, Central South University, Changsha, Hunan, China., Ndanga E; Department of Orthodontics, Xiangya Stomatological Hospital and Xiangya School of Stomatology, Hunan Clinical Research Center of Oral Major Diseases and Oral Health, Central South University, Changsha, Hunan, China., Mazimpaka P; School of Dentistry, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda. Electronic address: mazimpacka@gmail.com., Habumugisha J; Department of Orthodontics, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, Okayama, Japan; Department of Biochemistry and Molecular Dentistry, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, Okayama, Japan. Electronic address: januhabzan@gmail.com.
Jazyk: angličtina
Zdroj: Journal of the World federation of orthodontists [J World Fed Orthod] 2024 Oct 22. Date of Electronic Publication: 2024 Oct 22.
DOI: 10.1016/j.ejwf.2024.09.003
Abstrakt: Background: The objective was to systematically review studies assessing the efficacy of clear aligner therapy (CAT) and miniscrew-anchored fixed appliances (MAFAs) in the correction of skeletal and dental open bite in the permanent dentition.
Methods: A literature search was conducted across different databases, including PubMed, Cochrane Library, Science Direct, Web of Science, Medline, Scopus and Google Scholar, up to April 2024. Studies were chosen based on prespecified inclusion criteria. The dentoskeletal changes based on lateral cephalometry were evaluated from the included papers. Study selection, data extraction, and risk of bias (RoB) assessment were performed in duplicate. Risk of bias assessment was done using ROBINS-I (Risk of Bias in Non-Randomized Studies of Interventions) and Cochrane RoB 2 tools. GRADE (Grading of Recommendations Assessment, Development and Evaluation) assessed certainty of evidence.
Results: Out of the 22 studies that were selected, 13 papers covered MAFAs, while 9 articles focused on CATs. Since the included papers consist of prospective and retrospective observational studies, as well as two randomized controlled trials, the scientific evidence is at a low level. CATs primarily induced posterior teeth intrusion and anterior teeth extrusion, contributing to the reduction of the posterior vertical dimension and improved occlusal contacts. Conversely, MAFAs facilitated significant molars intrusion, and controlled anterior teeth extrusion, effectively addressing both dental and skeletal discrepancies.
Conclusions: This review supports the use of MAFAs and CATs for treating skeletal and dental open bite, highlighting their effectiveness and implications for orthodontic practice. The limitations of this study should be considered when interpreting the results.
(Copyright © 2024. Published by Elsevier Inc.)
Databáze: MEDLINE
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