Periodontal effects of maxillary expansion in adults using non-surgical expanders with skeletal anchorage vs. surgically assisted maxillary expansion: a systematic review

Abstract Objectives Describe and compare harmful periodontal effects as a consequence of maxillary expansion in adult patients with different types of anchorage devices in non-surgical expanders with skeletal anchorage and surgically assisted maxillary expansion. Materials and methods An exhaustive...

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Autores principales:	José Antonio Vidalón, Ismael Loú-Gómez, Aldo Quiñe, Karla T. Diaz, Carlos Liñan Duran, Manuel O. Lagravère
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Maxillary expansion Palatal Periodontal Adult Tomography Specialties of internal medicine RC581-951
Acceso en línea:	https://doaj.org/article/20a1ad7267424b048676a3accbaf33b9
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spelling	oai:doaj.org-article:20a1ad7267424b048676a3accbaf33b92021-11-14T12:12:00ZPeriodontal effects of maxillary expansion in adults using non-surgical expanders with skeletal anchorage vs. surgically assisted maxillary expansion: a systematic review10.1186/s13005-021-00299-71746-160Xhttps://doaj.org/article/20a1ad7267424b048676a3accbaf33b92021-11-01T00:00:00Zhttps://doi.org/10.1186/s13005-021-00299-7https://doaj.org/toc/1746-160XAbstract Objectives Describe and compare harmful periodontal effects as a consequence of maxillary expansion in adult patients with different types of anchorage devices in non-surgical expanders with skeletal anchorage and surgically assisted maxillary expansion. Materials and methods An exhaustive search was carried out on the electronic databases PubMed (MEDLINE), Embase, Cochrane and LILACS. Additionally, journal references and grey literature were searched without any restrictions. After the selection and extraction process; risk of bias was assessed by the ROB-1 Cochrane tool and Newcastle-Ottawa Scale (NOS) for randomized trials and cohort studies, respectively. Results Of 621 studies retrieved from the searches, six were finally included in this review. One of them presented a low risk bias, while five were excellent respective to selection, comparability and outcomes. Results showed that maxillary expansion in adults using non-surgical expanders (bone-borne or tooth-bone-borne with bicortical skeletal anchorage) produce less harmful periodontal effects, such as: alveolar bending with an average range from 0.92° to 2.32°, compared to surgically assisted maxillary expansion (tooth-borne) of 6.4°; dental inclination with an average range from 0.07° to 2.4°, compared to surgically assisted maxillary expansion (tooth-borne) with a range from 2.01° to 5.56°. Conclusions Although limited, the current evidence seems to show that the bone-borne or tooth-bone-borne with bicortical skeletal anchorage produces fewer undesirable periodontal effects.José Antonio VidalónIsmael Loú-GómezAldo QuiñeKarla T. DiazCarlos Liñan DuranManuel O. LagravèreBMCarticleMaxillary expansionPalatalPeriodontalAdultTomographySpecialties of internal medicineRC581-951ENHead & Face Medicine, Vol 17, Iss 1, Pp 1-12 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Maxillary expansion Palatal Periodontal Adult Tomography Specialties of internal medicine RC581-951
spellingShingle	Maxillary expansion Palatal Periodontal Adult Tomography Specialties of internal medicine RC581-951 José Antonio Vidalón Ismael Loú-Gómez Aldo Quiñe Karla T. Diaz Carlos Liñan Duran Manuel O. Lagravère Periodontal effects of maxillary expansion in adults using non-surgical expanders with skeletal anchorage vs. surgically assisted maxillary expansion: a systematic review
description	Abstract Objectives Describe and compare harmful periodontal effects as a consequence of maxillary expansion in adult patients with different types of anchorage devices in non-surgical expanders with skeletal anchorage and surgically assisted maxillary expansion. Materials and methods An exhaustive search was carried out on the electronic databases PubMed (MEDLINE), Embase, Cochrane and LILACS. Additionally, journal references and grey literature were searched without any restrictions. After the selection and extraction process; risk of bias was assessed by the ROB-1 Cochrane tool and Newcastle-Ottawa Scale (NOS) for randomized trials and cohort studies, respectively. Results Of 621 studies retrieved from the searches, six were finally included in this review. One of them presented a low risk bias, while five were excellent respective to selection, comparability and outcomes. Results showed that maxillary expansion in adults using non-surgical expanders (bone-borne or tooth-bone-borne with bicortical skeletal anchorage) produce less harmful periodontal effects, such as: alveolar bending with an average range from 0.92° to 2.32°, compared to surgically assisted maxillary expansion (tooth-borne) of 6.4°; dental inclination with an average range from 0.07° to 2.4°, compared to surgically assisted maxillary expansion (tooth-borne) with a range from 2.01° to 5.56°. Conclusions Although limited, the current evidence seems to show that the bone-borne or tooth-bone-borne with bicortical skeletal anchorage produces fewer undesirable periodontal effects.
format	article
author	José Antonio Vidalón Ismael Loú-Gómez Aldo Quiñe Karla T. Diaz Carlos Liñan Duran Manuel O. Lagravère
author_facet	José Antonio Vidalón Ismael Loú-Gómez Aldo Quiñe Karla T. Diaz Carlos Liñan Duran Manuel O. Lagravère
author_sort	José Antonio Vidalón
title	Periodontal effects of maxillary expansion in adults using non-surgical expanders with skeletal anchorage vs. surgically assisted maxillary expansion: a systematic review
title_short	Periodontal effects of maxillary expansion in adults using non-surgical expanders with skeletal anchorage vs. surgically assisted maxillary expansion: a systematic review
title_full	Periodontal effects of maxillary expansion in adults using non-surgical expanders with skeletal anchorage vs. surgically assisted maxillary expansion: a systematic review
title_fullStr	Periodontal effects of maxillary expansion in adults using non-surgical expanders with skeletal anchorage vs. surgically assisted maxillary expansion: a systematic review
title_full_unstemmed	Periodontal effects of maxillary expansion in adults using non-surgical expanders with skeletal anchorage vs. surgically assisted maxillary expansion: a systematic review
title_sort	periodontal effects of maxillary expansion in adults using non-surgical expanders with skeletal anchorage vs. surgically assisted maxillary expansion: a systematic review
publisher	BMC
publishDate	2021
url	https://doaj.org/article/20a1ad7267424b048676a3accbaf33b9
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Periodontal effects of maxillary expansion in adults using non-surgical expanders with skeletal anchorage vs. surgically assisted maxillary expansion: a systematic review

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