Abstract
Abstract
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.
Publisher
Springer Science and Business Media LLC
Reference38 articles.
1. Moorrees CFA, Chada JM. Available space for incisors during dental development. A growth study based on physiologic age. Angle Orthod. 1965;35:12–22.
2. Nance HN. The limitations of orthodontic treatment. I. Mixed dentition diagnosis and treatment. Am J Orthod. 1947;33:177–223.
3. Viglianisi A. Effects of lingual arch used as space maintainer on mandibular arch dimension: a systematic review. Am J Orthod Dentofacial Orthop. 2010;138:382.e1-382.e4.
4. Singer J. The effect of the passive lingual arch on the lower denture. Angle Orthod. 1974;44:146–55.
5. Rebellato J, Lindauer SJ, Rubenstein LK, Isaacson RJ, Davidovitch M, Vroom K. Lower arch perimeter preservation using the lingual arch. Am J Orthod Dentofac Orthop. 1997;112:449–56.
Cited by
1 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献
1. RETENTION OF MANDIBULAR MOLARS: ETIOLOGICAL FACTORS, CURRENT DIAGNOSTIC APPROACHES, AND TREATMENT OPTIONS;Актуальні проблеми сучасної медицини: Вісник Української медичної стоматологічної академії;2023-11-03