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Does arch length preservation in mixed dentition children affect mandibular second permanent molar eruption? A systematic review and meta-analysis

BACKGROUND: Arch length preservation strategies utilize leeway space or E-space in the mixed dentition to resolve mild to moderate mandibular incisor crowding. The purpose of this systematic review of the literature was to analyze the effects of arch length preservation strategies in on mandibular s...

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Autores principales: Arunachalam, Sivakumar, Sivakumar, Indumathi, Jayaraman, Jayakumar, Sharan, Jitendra
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8359604/
https://www.ncbi.nlm.nih.gov/pubmed/34380483
http://dx.doi.org/10.1186/s12903-021-01755-1
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author Arunachalam, Sivakumar
Sivakumar, Indumathi
Jayaraman, Jayakumar
Sharan, Jitendra
author_facet Arunachalam, Sivakumar
Sivakumar, Indumathi
Jayaraman, Jayakumar
Sharan, Jitendra
author_sort Arunachalam, Sivakumar
collection PubMed
description BACKGROUND: Arch length preservation strategies utilize leeway space or E-space in the mixed dentition to resolve mild to moderate mandibular incisor crowding. The purpose of this systematic review of the literature was to analyze the effects of arch length preservation strategies in on mandibular second permanent molar eruption. METHODS: A search for relevant articles published from inception until May 2020 was performed using PubMed/Medline, Cochrane databases, Clinicaltrials.gov, Google scholar and journal databases. Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were adopted for the conduct of the systematic review. Using RevMan 5.3 software, the most pertinent data were extracted and pooled for quantitative analysis with 95% confidence intervals. Heterogeneity was analyzed by using Cochran Q test and I squared statistics. RESULTS: A total of 5 studies involving 855 mixed dentition patients with arch length preservation therapy were included in the qualitative analysis. Pooled estimate of the data from two studies revealed 3.14 times higher odds of developing mandibular second molar eruption difficulty due to arch length preservation strategies using lingual holding arch (95% CI; OR 1.10–8.92). There was no heterogeneity found in the analysis. The certainty levels were graded as very low. CONCLUSIONS: This systematic review demonstrates that arch length preservation strategies pose a risk for development of mandibular second molar eruption disturbances, but the evidence was of very low quality. Registration number: CRD42019116643.
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spelling pubmed-83596042021-08-16 Does arch length preservation in mixed dentition children affect mandibular second permanent molar eruption? A systematic review and meta-analysis Arunachalam, Sivakumar Sivakumar, Indumathi Jayaraman, Jayakumar Sharan, Jitendra BMC Oral Health Research Article BACKGROUND: Arch length preservation strategies utilize leeway space or E-space in the mixed dentition to resolve mild to moderate mandibular incisor crowding. The purpose of this systematic review of the literature was to analyze the effects of arch length preservation strategies in on mandibular second permanent molar eruption. METHODS: A search for relevant articles published from inception until May 2020 was performed using PubMed/Medline, Cochrane databases, Clinicaltrials.gov, Google scholar and journal databases. Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were adopted for the conduct of the systematic review. Using RevMan 5.3 software, the most pertinent data were extracted and pooled for quantitative analysis with 95% confidence intervals. Heterogeneity was analyzed by using Cochran Q test and I squared statistics. RESULTS: A total of 5 studies involving 855 mixed dentition patients with arch length preservation therapy were included in the qualitative analysis. Pooled estimate of the data from two studies revealed 3.14 times higher odds of developing mandibular second molar eruption difficulty due to arch length preservation strategies using lingual holding arch (95% CI; OR 1.10–8.92). There was no heterogeneity found in the analysis. The certainty levels were graded as very low. CONCLUSIONS: This systematic review demonstrates that arch length preservation strategies pose a risk for development of mandibular second molar eruption disturbances, but the evidence was of very low quality. Registration number: CRD42019116643. BioMed Central 2021-08-11 /pmc/articles/PMC8359604/ /pubmed/34380483 http://dx.doi.org/10.1186/s12903-021-01755-1 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Arunachalam, Sivakumar
Sivakumar, Indumathi
Jayaraman, Jayakumar
Sharan, Jitendra
Does arch length preservation in mixed dentition children affect mandibular second permanent molar eruption? A systematic review and meta-analysis
title Does arch length preservation in mixed dentition children affect mandibular second permanent molar eruption? A systematic review and meta-analysis
title_full Does arch length preservation in mixed dentition children affect mandibular second permanent molar eruption? A systematic review and meta-analysis
title_fullStr Does arch length preservation in mixed dentition children affect mandibular second permanent molar eruption? A systematic review and meta-analysis
title_full_unstemmed Does arch length preservation in mixed dentition children affect mandibular second permanent molar eruption? A systematic review and meta-analysis
title_short Does arch length preservation in mixed dentition children affect mandibular second permanent molar eruption? A systematic review and meta-analysis
title_sort does arch length preservation in mixed dentition children affect mandibular second permanent molar eruption? a systematic review and meta-analysis
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8359604/
https://www.ncbi.nlm.nih.gov/pubmed/34380483
http://dx.doi.org/10.1186/s12903-021-01755-1
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