A systematic review of the effects of bone-borne surgical assisted rapid maxillary expansion

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• 作者：Jeroen Verstraaten ; Anne M. Kuijpers-Jagtman ; Maurice Y. Mommaerts ; Stefaan J. Bergé ; Rania M. Nada ; Jan G.J.H. Schols ; In collaboration with the Eurocran Distraction Osteogenesis Group
• 关键词：review ; systematic ; palatal expansion technique ; osteogenesis ; distraction ; maxilla ; bone-borne ; assessment ; outcomes
• 刊名：Journal of Cranio-Maxillofacial Surgery
• 出版年：2010
• 出版时间：April 2010
• 年：2010
• 卷：38
• 期：3
• 页码：166-174
• 全文大小：156 K

文摘

Summary

Introduction

A systematic literature review was conducted to find out if bone-borne maxillary expansion with corticotomies is an effective and secure orthodontic/orthopaedic treatment modality, eliminating orthodontic and periodontal side effects of tooth-borne maxillary expansion with corticotomies.

Material and methods

Randomized controlled trials (RCT), controlled clinical trials (CCT) and case series with a sample size ≥ 5 were electronically searched in PubMED, MEDLINE, EMBASE Excerpta Medica, CINAHL, Biological Abstracts and CENTRAL till June 2008. Data were extracted by 2 observers.

Results

Ten studies fulfilled the inclusion criteria, of which 9 were prospective and 1 was a retrospective case series.

Conclusion

No RCT's or CCT's were published on bone-borne surgically assisted rapid maxillary expansion (SARME). For expected advantages compared to tooth-borne SARME, only weak evidence was found for less buccal tipping of the teeth used as anchor teeth in tooth-borne expansion. The heterogeneity of the retrieved publications and the wide variety of outcome variables posed serious restrictions on the review of the literature in a quantitative systematic manner. There is a need for well designed clinical trials research on the effects of tooth-borne and bone-borne SARME.