Soft tissue changes with skeletal anchorage in comparison to conventional anchorage protocols in the treatment of bimaxillary proclination patients treated with premolar extraction: A systematic review
Purpose This review systematically evaluates the evidence related to comparisons between skeletal and conventional anchorage protocols in the treatment of bimaxillary proclination patients who underwent premolars extraction with respect to soft tissue profile changes, treatment duration and three-di...
Saved in:
Main Authors: | , , , , |
---|---|
Format: | Article |
Published: |
Springer Medizin
2024
|
Subjects: | |
Online Access: | http://eprints.um.edu.my/46099/ |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
id |
my.um.eprints.46099 |
---|---|
record_format |
eprints |
spelling |
my.um.eprints.460992024-07-19T08:25:27Z http://eprints.um.edu.my/46099/ Soft tissue changes with skeletal anchorage in comparison to conventional anchorage protocols in the treatment of bimaxillary proclination patients treated with premolar extraction: A systematic review Mohan, Kumeran Sivarajan, Saritha Lau, May Nak Othman, Siti Adibah Fayed, Mona M. Salah RK Dentistry Purpose This review systematically evaluates the evidence related to comparisons between skeletal and conventional anchorage protocols in the treatment of bimaxillary proclination patients who underwent premolars extraction with respect to soft tissue profile changes, treatment duration and three-dimensional (3D) soft tissue changes. Methods Electronic database search and hand search with no language limitations were conducted in the Cochrane Library, PubMed, Ovid, Web of Science, Scopus and ClinicalTrials.gov. The selection criteria were set to include studies with patients aged 13 years and above requiring extractions of upper and lower first premolars to treat bimaxillary proclination with high anchorage demand. Risk of bias assessment was undertaken with Cochrane's Risk Of Bias tool 2.0 (ROB 2.0) for randomised controlled trials (RCTs) and ROBINS-I tool for nonrandomised prospective studies. The Grading of Recommendations, Assessment, Development and Evaluation (GRADE) approach was used for quality assessment. Results were summarised qualitatively; no meta-analysis was conducted. Results Two RCTs and two nonrandomised prospective studies were included. According to the GRADE approach, there is low to very low quality of evidence that treatment using mini-implant anchorage may significantly change nasolabial angle, upper and lower lip procumbence, and facial convexity angle compared to treatment with conventional anchorage. Similarly, very low quality evidence exists showing no differences in treatment duration between treatments with skeletal or conventional anchorage. Conclusions The overall existing evidence regarding the effect of anchorage protocols on soft tissue changes in patients with bimaxillary protrusion and premolar extraction treatment plans is of low quality. Trial registration number: PROSPERO CRD42020216684 Springer Medizin 2024-03 Article PeerReviewed Mohan, Kumeran and Sivarajan, Saritha and Lau, May Nak and Othman, Siti Adibah and Fayed, Mona M. Salah (2024) Soft tissue changes with skeletal anchorage in comparison to conventional anchorage protocols in the treatment of bimaxillary proclination patients treated with premolar extraction: A systematic review. Journal of Orofacial Orthopedics, 85 (2). pp. 146-162. ISSN 1434-5293, DOI https://doi.org/10.1007/s00056-022-00411-9 <https://doi.org/10.1007/s00056-022-00411-9>. 10.1007/s00056-022-00411-9 |
institution |
Universiti Malaya |
building |
UM Library |
collection |
Institutional Repository |
continent |
Asia |
country |
Malaysia |
content_provider |
Universiti Malaya |
content_source |
UM Research Repository |
url_provider |
http://eprints.um.edu.my/ |
topic |
RK Dentistry |
spellingShingle |
RK Dentistry Mohan, Kumeran Sivarajan, Saritha Lau, May Nak Othman, Siti Adibah Fayed, Mona M. Salah Soft tissue changes with skeletal anchorage in comparison to conventional anchorage protocols in the treatment of bimaxillary proclination patients treated with premolar extraction: A systematic review |
description |
Purpose This review systematically evaluates the evidence related to comparisons between skeletal and conventional anchorage protocols in the treatment of bimaxillary proclination patients who underwent premolars extraction with respect to soft tissue profile changes, treatment duration and three-dimensional (3D) soft tissue changes. Methods Electronic database search and hand search with no language limitations were conducted in the Cochrane Library, PubMed, Ovid, Web of Science, Scopus and ClinicalTrials.gov. The selection criteria were set to include studies with patients aged 13 years and above requiring extractions of upper and lower first premolars to treat bimaxillary proclination with high anchorage demand. Risk of bias assessment was undertaken with Cochrane's Risk Of Bias tool 2.0 (ROB 2.0) for randomised controlled trials (RCTs) and ROBINS-I tool for nonrandomised prospective studies. The Grading of Recommendations, Assessment, Development and Evaluation (GRADE) approach was used for quality assessment. Results were summarised qualitatively; no meta-analysis was conducted. Results Two RCTs and two nonrandomised prospective studies were included. According to the GRADE approach, there is low to very low quality of evidence that treatment using mini-implant anchorage may significantly change nasolabial angle, upper and lower lip procumbence, and facial convexity angle compared to treatment with conventional anchorage. Similarly, very low quality evidence exists showing no differences in treatment duration between treatments with skeletal or conventional anchorage. Conclusions The overall existing evidence regarding the effect of anchorage protocols on soft tissue changes in patients with bimaxillary protrusion and premolar extraction treatment plans is of low quality. Trial registration number: PROSPERO CRD42020216684 |
format |
Article |
author |
Mohan, Kumeran Sivarajan, Saritha Lau, May Nak Othman, Siti Adibah Fayed, Mona M. Salah |
author_facet |
Mohan, Kumeran Sivarajan, Saritha Lau, May Nak Othman, Siti Adibah Fayed, Mona M. Salah |
author_sort |
Mohan, Kumeran |
title |
Soft tissue changes with skeletal anchorage in comparison to conventional anchorage protocols in the treatment of bimaxillary proclination patients treated with premolar extraction: A systematic review |
title_short |
Soft tissue changes with skeletal anchorage in comparison to conventional anchorage protocols in the treatment of bimaxillary proclination patients treated with premolar extraction: A systematic review |
title_full |
Soft tissue changes with skeletal anchorage in comparison to conventional anchorage protocols in the treatment of bimaxillary proclination patients treated with premolar extraction: A systematic review |
title_fullStr |
Soft tissue changes with skeletal anchorage in comparison to conventional anchorage protocols in the treatment of bimaxillary proclination patients treated with premolar extraction: A systematic review |
title_full_unstemmed |
Soft tissue changes with skeletal anchorage in comparison to conventional anchorage protocols in the treatment of bimaxillary proclination patients treated with premolar extraction: A systematic review |
title_sort |
soft tissue changes with skeletal anchorage in comparison to conventional anchorage protocols in the treatment of bimaxillary proclination patients treated with premolar extraction: a systematic review |
publisher |
Springer Medizin |
publishDate |
2024 |
url |
http://eprints.um.edu.my/46099/ |
_version_ |
1806442654837243904 |
score |
13.18916 |