Comparison Between Removable and Fixed Devices for Nonskeletal Anterior Crossbite Correction in Children and Adolescents: A Systematic Review |
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| Institution: | 1. Faculty of Dentistry, Department of Pediatric Dentistry and Orthodontics, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil;2. Division of Orthodontics, Department of Dentistry, University of Alberta, Edmonton, AB, Canada;1. Department of Pediatric Dentistry, Faculty of Dentistry, Damascus University, Al-Mazzeh St. Damascus, PO Box 30621, Syria;2. Department of Endodontic, Faculty of Dentistry, Damascus University, Al-Mazzeh St. Damascus, PO Box 30621, Syria;3. Department of Oral Medicine, Faculty of Dentistry, Damascus University, Al-Mazzeh St. Damascus, PO Box 30621, Syria;1. The State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei-MOST) & Key Laboratory of Oral Biomedicine Ministry of Education, School and Hospital of Stomatology, Wuhan University, Wuhan, China;2. Centre for Evidence-Based Stomatology, School & Hospital of Stomatology, Wuhan University, Wuhan, China;3. Faculty of Biology, Medicine and Health, Manchester Academic Health Science Centre, Division of Dentistry, School of Medicine Sciences, University of Manchester, Manchester, UK;4. Department of Oral Medicine, School and Hospital of Stomatology, Wuhan University, Wuhan, China;1. Private practice, Monroe, La;2. Department of Orthodontics, College of Dentistry, Texas A&M University, Dallas, Tex;3. Department of Biomedical Sciences, College of Dentistry, Texas A&M University, Dallas, Tex;1. Faculty of Biology, Medicine and Health, Division of Dentistry, School of Medical Sciences, The University of Manchester, Manchester, United Kingdom;2. Faculty of Biology, Medicine and Health, Division of Population Health, School of Medical Sciences, The University of Manchester, Manchester, United Kingdom;3. Faculty of Dentistry, Department of Preventive and Public Dentistry, Rio de Janeiro State University, Rio de Janeiro, Brazil;1. Department of Orthodontics, Faculty of Dentistry, Aristotle University of Thessaloniki, Thessaloniki, Greece;2. Department of Orthodontics and Dentofacial Orthopedics, University of Bern, Bern, Switzerland |
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| Abstract: | ObjectiveTo compare removable and fixed orthodontic devices in the correction of non-skeletal anterior crossbite in children and adolescents in the mixed dentition.Materials and methodsElectronic searches were conducted in the following databases: PubMed, Web of Science, Scopus, Medline Ovid, Lilacs, US Clinical Trials, and Proquest. A hand search of the reference lists of the included articles and a Google Scholar search were also conducted. References were evaluated by 2 review authors. Articles that met the eligibility criteria were included. Data extraction, methodological quality assessment (Cochrane tool), and strength of the evidence evaluation (GRADE) were also carried out.ResultsSeven articles were included. The results showed that removable and fixed devices were equally efficacious for overjet correction. Removable and fixed devices can also present inconveniences regarding pain and discomfort levels, the accomplishment of everyday activities (leisure and school), and the performance of functions, such as chewing and speech. However, treatment time and costs were significantly lower in orthodontic therapy with fixed appliances. Sequence generation, allocation concealment, and complete outcome data were not a concern. Blinding of participants or personnel was not reported in any article, and blinding of the assessor was a concern in 2 articles. Selective reporting was a concern in 2 articles. The certainty of the evidence for overjet correction was very low.ConclusionRemovable and fixed orthodontic devices are efficacious for overjet correction in non-skeletal anterior crossbite. However, treatment time and costs are lower for cases treated with fixed devices. |
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| Keywords: | Anterior crossbite Fixed orthodontic device Removable orthodontic device Children Adolescent Systematic review |
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