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Is Piezocision effective in accelerating orthodontic tooth movement: A systematic review and meta-analysis

OBJECTIVE: This meta-analysis aimed at critically assessing currently available evidence regarding the overall effectiveness of Piezocision in accelerating orthodontic tooth movement, as well as the adverse effects of this intervention in orthodontic patients. SEARCH METHODS: Electronic search of 6...

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Autores principales: Mheissen, Samer, Khan, Haris, Samawi, Shadi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7176130/
https://www.ncbi.nlm.nih.gov/pubmed/32320408
http://dx.doi.org/10.1371/journal.pone.0231492
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author Mheissen, Samer
Khan, Haris
Samawi, Shadi
author_facet Mheissen, Samer
Khan, Haris
Samawi, Shadi
author_sort Mheissen, Samer
collection PubMed
description OBJECTIVE: This meta-analysis aimed at critically assessing currently available evidence regarding the overall effectiveness of Piezocision in accelerating orthodontic tooth movement, as well as the adverse effects of this intervention in orthodontic patients. SEARCH METHODS: Electronic search of 6 databases and additional manual searches up to April 2019 without restrictions, also update the search was done by 20(th) November. SELECTION CRITERIA: Randomized controlled trials (RCT) and controlled clinical trials (CCT) reporting piezocision-assisted orthodontics versus conventional orthodontics were included in the review. DATA COLLECTION AND ANALYSIS: The data are expressed by mean differences (MD), 95% confidence intervals, fixed-effect model or random-effect model in the meta-analysis in regard to statistical heterogeneity analyses (tau(2), and I(2)). Included randomized studies were assessed for risk of bias using the new Cochrane Risk of Bias tool (ROB.2) and the non-randomized studies were assessed using (ROBINS I) tool. The studies were graded according to the GRADE approach. RESULTS: Fourteen papers for 13 unique trials were included in this systematic review and eight studies were included in the meta-analysis. The meta-analysis showed that the mean difference of the canine retraction rate in the first and second month after piezocision was 0.66 mm/month and 0.48mm/month, respectively. A total canine retraction rate in the first two months after piezocision was statistically significant (0.57 mm/month, p<0.00001), favoring the piezocision group with a high heterogeneity between studies I(2) = 69%. For the total treatment time outcome measure, there was a statistically significant difference in the overall treatment time (MD 101.64 Days, 95% CI, 59.24–144.06) favoring the piezocision group. CONCLUSIONS: Low quality evidence suggests that piezocision is an effective surgical procedure in accelerating the rate of canine retraction in the first two months and reducing the treatment duration. However, this effect appears to be clinically insignificant. SYSTEMATIC REVIEW REGISTRATION: CRD42019136303.
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spelling pubmed-71761302020-05-12 Is Piezocision effective in accelerating orthodontic tooth movement: A systematic review and meta-analysis Mheissen, Samer Khan, Haris Samawi, Shadi PLoS One Research Article OBJECTIVE: This meta-analysis aimed at critically assessing currently available evidence regarding the overall effectiveness of Piezocision in accelerating orthodontic tooth movement, as well as the adverse effects of this intervention in orthodontic patients. SEARCH METHODS: Electronic search of 6 databases and additional manual searches up to April 2019 without restrictions, also update the search was done by 20(th) November. SELECTION CRITERIA: Randomized controlled trials (RCT) and controlled clinical trials (CCT) reporting piezocision-assisted orthodontics versus conventional orthodontics were included in the review. DATA COLLECTION AND ANALYSIS: The data are expressed by mean differences (MD), 95% confidence intervals, fixed-effect model or random-effect model in the meta-analysis in regard to statistical heterogeneity analyses (tau(2), and I(2)). Included randomized studies were assessed for risk of bias using the new Cochrane Risk of Bias tool (ROB.2) and the non-randomized studies were assessed using (ROBINS I) tool. The studies were graded according to the GRADE approach. RESULTS: Fourteen papers for 13 unique trials were included in this systematic review and eight studies were included in the meta-analysis. The meta-analysis showed that the mean difference of the canine retraction rate in the first and second month after piezocision was 0.66 mm/month and 0.48mm/month, respectively. A total canine retraction rate in the first two months after piezocision was statistically significant (0.57 mm/month, p<0.00001), favoring the piezocision group with a high heterogeneity between studies I(2) = 69%. For the total treatment time outcome measure, there was a statistically significant difference in the overall treatment time (MD 101.64 Days, 95% CI, 59.24–144.06) favoring the piezocision group. CONCLUSIONS: Low quality evidence suggests that piezocision is an effective surgical procedure in accelerating the rate of canine retraction in the first two months and reducing the treatment duration. However, this effect appears to be clinically insignificant. SYSTEMATIC REVIEW REGISTRATION: CRD42019136303. Public Library of Science 2020-04-22 /pmc/articles/PMC7176130/ /pubmed/32320408 http://dx.doi.org/10.1371/journal.pone.0231492 Text en © 2020 Mheissen et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Mheissen, Samer
Khan, Haris
Samawi, Shadi
Is Piezocision effective in accelerating orthodontic tooth movement: A systematic review and meta-analysis
title Is Piezocision effective in accelerating orthodontic tooth movement: A systematic review and meta-analysis
title_full Is Piezocision effective in accelerating orthodontic tooth movement: A systematic review and meta-analysis
title_fullStr Is Piezocision effective in accelerating orthodontic tooth movement: A systematic review and meta-analysis
title_full_unstemmed Is Piezocision effective in accelerating orthodontic tooth movement: A systematic review and meta-analysis
title_short Is Piezocision effective in accelerating orthodontic tooth movement: A systematic review and meta-analysis
title_sort is piezocision effective in accelerating orthodontic tooth movement: a systematic review and meta-analysis
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7176130/
https://www.ncbi.nlm.nih.gov/pubmed/32320408
http://dx.doi.org/10.1371/journal.pone.0231492
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