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Early Orthodontic Treatments of Unilateral Posterior Crossbite: A Systematic Review

We aimed to report an update of the systematic review by Petrén et al. (2003). The objective was to evaluate how orthodontic treatments can affect unilateral posterior crossbite (UPXB) in primary and early mixed dentition. Several databases were consulted, and articles published between January 2002...

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Autores principales: Caroccia, Francesco, Moscagiuri, Francesco, Falconio, Luigi, Festa, Felice, D’Attilio, Michele
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7795353/
https://www.ncbi.nlm.nih.gov/pubmed/33374420
http://dx.doi.org/10.3390/jcm10010033
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author Caroccia, Francesco
Moscagiuri, Francesco
Falconio, Luigi
Festa, Felice
D’Attilio, Michele
author_facet Caroccia, Francesco
Moscagiuri, Francesco
Falconio, Luigi
Festa, Felice
D’Attilio, Michele
author_sort Caroccia, Francesco
collection PubMed
description We aimed to report an update of the systematic review by Petrén et al. (2003). The objective was to evaluate how orthodontic treatments can affect unilateral posterior crossbite (UPXB) in primary and early mixed dentition. Several databases were consulted, and articles published between January 2002 and March 2020 were selected. This review examines the following studies: randomized clinical trials, prospective and retrospective studies with concurrent untreated or normal control groups, and clinical trials comparing at least two treatment strategies. Among the 1581 articles retrieved from the searches, 11 studies were included. Quad-helix (QH) and expansion plate (EP) appliances were compared in three studies. One study compared rapid maxillary expansion (RME) treatment anchored on primary dentition otherwise on permanent molars. One study compared RME and a modified RME with arms extended until deciduous canine and EP. Four studies evaluated the effects of expansion appliances compared with a control group. Compared with the previous review, the quality of the included studies is higher. However, heterogeneity of treatments, different strategies in measurements, lack of a similar follow-up length, and absence of a cost-effectiveness analysis preclude the possibility of providing reliable scientific evidence on the most effective UPXB treatment in primary and early mixed dentition.
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spelling pubmed-77953532021-01-10 Early Orthodontic Treatments of Unilateral Posterior Crossbite: A Systematic Review Caroccia, Francesco Moscagiuri, Francesco Falconio, Luigi Festa, Felice D’Attilio, Michele J Clin Med Review We aimed to report an update of the systematic review by Petrén et al. (2003). The objective was to evaluate how orthodontic treatments can affect unilateral posterior crossbite (UPXB) in primary and early mixed dentition. Several databases were consulted, and articles published between January 2002 and March 2020 were selected. This review examines the following studies: randomized clinical trials, prospective and retrospective studies with concurrent untreated or normal control groups, and clinical trials comparing at least two treatment strategies. Among the 1581 articles retrieved from the searches, 11 studies were included. Quad-helix (QH) and expansion plate (EP) appliances were compared in three studies. One study compared rapid maxillary expansion (RME) treatment anchored on primary dentition otherwise on permanent molars. One study compared RME and a modified RME with arms extended until deciduous canine and EP. Four studies evaluated the effects of expansion appliances compared with a control group. Compared with the previous review, the quality of the included studies is higher. However, heterogeneity of treatments, different strategies in measurements, lack of a similar follow-up length, and absence of a cost-effectiveness analysis preclude the possibility of providing reliable scientific evidence on the most effective UPXB treatment in primary and early mixed dentition. MDPI 2020-12-24 /pmc/articles/PMC7795353/ /pubmed/33374420 http://dx.doi.org/10.3390/jcm10010033 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Caroccia, Francesco
Moscagiuri, Francesco
Falconio, Luigi
Festa, Felice
D’Attilio, Michele
Early Orthodontic Treatments of Unilateral Posterior Crossbite: A Systematic Review
title Early Orthodontic Treatments of Unilateral Posterior Crossbite: A Systematic Review
title_full Early Orthodontic Treatments of Unilateral Posterior Crossbite: A Systematic Review
title_fullStr Early Orthodontic Treatments of Unilateral Posterior Crossbite: A Systematic Review
title_full_unstemmed Early Orthodontic Treatments of Unilateral Posterior Crossbite: A Systematic Review
title_short Early Orthodontic Treatments of Unilateral Posterior Crossbite: A Systematic Review
title_sort early orthodontic treatments of unilateral posterior crossbite: a systematic review
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7795353/
https://www.ncbi.nlm.nih.gov/pubmed/33374420
http://dx.doi.org/10.3390/jcm10010033
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