Title
Time of maxillary molar distalization with non-compliance intraoral distalizing appliances: A meta-analysis
Date Issued
01 December 2019
Access level
open access
Resource Type
review
Author(s)
University of São Paulo
Publisher(s)
Oxford University Press
Abstract
Background/Objective: To assess the mean maxillary molar distalization time with non-compliance intraoral distalizing appliances. Search methods and selection criteria: Database search included PubMed, Web of Science, Scopus, The Cochrane Library, Lilacs, and a partial grey literature through Google Scholar and OpenGrey. The search was performed until May 2017 and updated on February 2019, without limitations regarding publication year or language. Controlled clinical trials (randomized and non-randomized prospective studies) reporting duration of maxillary molar distalization of Class II patients treated with intraoral distalizers were included. Data collection and analysis: For the trials’ quality assessment, the Cochrane Risk of Bias tool and the Cochrane Collaboration’s ROBINS-I tool were used for the randomized controlled trials and nonrandomized prospective studies, respectively. Database research, risk of bias (RoB) assessment, and extraction of data were performed by two independent investigators, with inclusion of a third reviewer, if disagreements emerged. Data was combined through a random-effects meta-analysis. Subgroup analyses regarding side of force application, type of anchorage, amount of molar distalization, and sensitivity analysis comparing study designs were also performed. Quality of evidence was assessed using the GRADE and SORT approaches. Results: Nine studies were included in the qualitative analysis; however, a meta-analysis was performed with only four studies, due to the presence of high RoB in the other studies. The randomeffects meta-analysis assumes that the mean distalization time with distalizers is 8.34 months (95% confidence interval: 6.10, 10.58). Another meta-analysis was performed to evaluate the relationship between distalization time and the type of anchorage (conventional or skeletal), resulting in no significant difference. Both meta-analyses presented low-quality evidence. Limitations: The major limitation of this meta-analysis is the fact that distalization time can be affected by a great range of factors. Conclusions and implications: Correction of a half-to-full cusp Class II molar relationship with intraoral distalizers can be achieved in 8.34 months, and this distalization time may not be affected by the kind of anchorage used.
Start page
652
End page
660
Volume
41
Issue
6
Language
English
OCDE Knowledge area
Odontología, Cirugía oral, Medicina oral
Scopus EID
2-s2.0-85075094261
PubMed ID
Source
European Journal of Orthodontics
ISSN of the container
01415387
Sources of information:
Directorio de Producción Científica
Scopus