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Is alternate rapid maxillary expansion and constriction an effective protocol in the treatment of Class III malocclusion? A systematic review
INTRODUCTION: the treatment of Class III malocclusion in early age is one of the greatest challenges for orthodontists, and the establishment of more effective treatment method is a constant concern for these professionals. Thus, the objective of this systematic review is to verify the effectiveness...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dental Press International
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5278931/ https://www.ncbi.nlm.nih.gov/pubmed/28125138 http://dx.doi.org/10.1590/2177-6709.21.6.034-042.oar |
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author | Pithon, Matheus Melo Santos, Nathalia de Lima dos Santos, Camila Rangel Barreto Baião, Felipe Carvalho Souza Pinheiro, Murilo Costa Rangel Matos, Manoel Souza, Ianderlei Andrade de Paula, Rafael Pereira |
author_facet | Pithon, Matheus Melo Santos, Nathalia de Lima dos Santos, Camila Rangel Barreto Baião, Felipe Carvalho Souza Pinheiro, Murilo Costa Rangel Matos, Manoel Souza, Ianderlei Andrade de Paula, Rafael Pereira |
author_sort | Pithon, Matheus Melo |
collection | PubMed |
description | INTRODUCTION: the treatment of Class III malocclusion in early age is one of the greatest challenges for orthodontists, and the establishment of more effective treatment method is a constant concern for these professionals. Thus, the objective of this systematic review is to verify the effectiveness of the therapy protocol for alternate rapid maxillary expansion and constriction (Alt-RAMEC) in the early treatment of Class III malocclusion. METHODS: searches were performed in the following electronic databases: Cochrane Library, Medline (EBSCO and PubMed), SciELO, LILACS and Scopus. The following inclusion criteria were used: in vivo studies conducted with early intervention (patient in craniofacial development phase) with the use of the Alt-RAMEC protocol. Reviews, case reports, editorials, and studies with syndromic patients or under use of systemic drug were excluded. Duplicates were also excluded. The studies were assessed for methodological quality using the Cochrane tool for assessment of risk of bias, and classified as high or low risk of bias. RESULTS: 53 articles were found. Duplicates exclusion was thus performed and 35 articles remained. After inclusion analysis, only 5 matched the criteria. Two articles were classified as low risk of bias and three as high risk of bias. It was observed that the Alt-RAMEC enable protraction in less time and with better results, promoting greater effectiveness in the protraction treatment of Class III malocclusion. CONCLUSIONS: Although there is positive evidence of the effectiveness of early treatment with the Alt-RAMEC protocol in patients with Class III malocclusion, further studies are needed to confirm its effectiveness using long-term methodology. |
format | Online Article Text |
id | pubmed-5278931 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Dental Press International |
record_format | MEDLINE/PubMed |
spelling | pubmed-52789312017-02-08 Is alternate rapid maxillary expansion and constriction an effective protocol in the treatment of Class III malocclusion? A systematic review Pithon, Matheus Melo Santos, Nathalia de Lima dos Santos, Camila Rangel Barreto Baião, Felipe Carvalho Souza Pinheiro, Murilo Costa Rangel Matos, Manoel Souza, Ianderlei Andrade de Paula, Rafael Pereira Dental Press J Orthod Original Article INTRODUCTION: the treatment of Class III malocclusion in early age is one of the greatest challenges for orthodontists, and the establishment of more effective treatment method is a constant concern for these professionals. Thus, the objective of this systematic review is to verify the effectiveness of the therapy protocol for alternate rapid maxillary expansion and constriction (Alt-RAMEC) in the early treatment of Class III malocclusion. METHODS: searches were performed in the following electronic databases: Cochrane Library, Medline (EBSCO and PubMed), SciELO, LILACS and Scopus. The following inclusion criteria were used: in vivo studies conducted with early intervention (patient in craniofacial development phase) with the use of the Alt-RAMEC protocol. Reviews, case reports, editorials, and studies with syndromic patients or under use of systemic drug were excluded. Duplicates were also excluded. The studies were assessed for methodological quality using the Cochrane tool for assessment of risk of bias, and classified as high or low risk of bias. RESULTS: 53 articles were found. Duplicates exclusion was thus performed and 35 articles remained. After inclusion analysis, only 5 matched the criteria. Two articles were classified as low risk of bias and three as high risk of bias. It was observed that the Alt-RAMEC enable protraction in less time and with better results, promoting greater effectiveness in the protraction treatment of Class III malocclusion. CONCLUSIONS: Although there is positive evidence of the effectiveness of early treatment with the Alt-RAMEC protocol in patients with Class III malocclusion, further studies are needed to confirm its effectiveness using long-term methodology. Dental Press International 2016 /pmc/articles/PMC5278931/ /pubmed/28125138 http://dx.doi.org/10.1590/2177-6709.21.6.034-042.oar Text en http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License |
spellingShingle | Original Article Pithon, Matheus Melo Santos, Nathalia de Lima dos Santos, Camila Rangel Barreto Baião, Felipe Carvalho Souza Pinheiro, Murilo Costa Rangel Matos, Manoel Souza, Ianderlei Andrade de Paula, Rafael Pereira Is alternate rapid maxillary expansion and constriction an effective protocol in the treatment of Class III malocclusion? A systematic review |
title | Is alternate rapid maxillary expansion and constriction an effective
protocol in the treatment of Class III malocclusion? A systematic
review |
title_full | Is alternate rapid maxillary expansion and constriction an effective
protocol in the treatment of Class III malocclusion? A systematic
review |
title_fullStr | Is alternate rapid maxillary expansion and constriction an effective
protocol in the treatment of Class III malocclusion? A systematic
review |
title_full_unstemmed | Is alternate rapid maxillary expansion and constriction an effective
protocol in the treatment of Class III malocclusion? A systematic
review |
title_short | Is alternate rapid maxillary expansion and constriction an effective
protocol in the treatment of Class III malocclusion? A systematic
review |
title_sort | is alternate rapid maxillary expansion and constriction an effective
protocol in the treatment of class iii malocclusion? a systematic
review |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5278931/ https://www.ncbi.nlm.nih.gov/pubmed/28125138 http://dx.doi.org/10.1590/2177-6709.21.6.034-042.oar |
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