Effects produced by the facemask with and without skeletal anchorage for the orthopaedic treatment of Class III malocclusion in growing patients: a systematic review and meta-analysis of RCTs

Author:

Rutili Valentina1,Nieri Michele2,Franceschi Debora2,Pierleoni Felicita2,Giuntini Veronica2,Franchi Lorenzo23ORCID

Affiliation:

1. Postgraduate Program in Orthodontics, The University of Florence , Italy

2. Department of Experimental and Clinical Medicine, The University of Florence , Italy

3. Department of Orthodontics and Pediatric Dentistry, School of Dentistry, The University of Michigan , Ann Arbor , USA

Abstract

Summary Background Skeletally anchored facemask has been proposed to maximize skeletal effects and minimize dental effects in the treatment of Class III malocclusion in growing patients. Objective To compare the dento-skeletal effects produced by the facemask with or without skeletal anchorage for the treatment of Class III malocclusion in growing patients. Materials and methods PubMed, Cochrane Library, Scopus, Embase, Web of Science, and OpenGrey were used for the electronic search without language, publication status, and year restrictions. Only RCTs were included. Inclusion criteria were: growing patients (age under 18 years) with Class III malocclusion, with indications for treatment with the facemask. Data were extracted by two independent reviewers. GRADE statement was executed. The mean of differences (MD) and the risk ratio (RR) were used. Results Three articles with a total of 123 patients were included. One article was at low risk of bias while two were at high risk of bias. There were no significant differences between the two groups in ANB angle, Wits appraisal, SNB angle, and SN-MP angle. SNA angle was significantly increased in the skeletally anchored facemask (pooled MD = 0.80 favouring skeletal anchorage, 95% CI from 0.29 to 1.31, P = 0.002, I2 = 12 per cent, three studies, GRADE moderate). The U1-SN angle was significantly reduced in the skeletally anchored facemask (pooled MD = −5.91 favouring skeletal anchorage, 95% CI from −7.64 to −4.27, P < 0.00001, I2 = 0 per cent, two studies, GRADE moderate). There were significantly less complications in tooth-anchored facemask (pooled RR = 7.98 favouring dental anchorage, 95 per cent CI from 1.04 to 61.27, P = 0.05, I2 = 0 per cent, two studies, GRADE low). Limitations Few RCTs (three) were included, and two studies were at high risk of bias. There were no long-term RCTs comparing skeletally anchored facemask with dental-anchored facemask. Only Asiatic patients were included in this systematic review. Conclusions Skeletally anchored facemask was associated to a greater increase of SNA angle at the end of treatment though clinically not significant. Facemask with skeletal anchorage determined a reduced inclination of maxillary incisors compared to dental-anchored facemask with greater risks of complications. Registration PROSPERO register (CRD42020221982).

Publisher

Oxford University Press (OUP)

Subject

Orthodontics

Reference58 articles.

1. Treatment and posttreatment craniofacial changes after rapid maxillary expansion and facemask therapy;Baccetti;American Journal of Orthodontics and Dentofacial Orthopedics,2000

2. Maxillary development revisited: relevance to the orthopaedic treatment of Class III malocclusions;Delaire;European Journal of Orthodontics,1997

3. Combined rapid maxillary expansion and protraction facemask in the treatment of Class III malocclusions in growing children: a prospective long-term study;Williams;Seminars in Orthodontics,1997

4. A comparative study of the effects of customized facemask therapy or headgear to the lower arch on the developing Class III face;Battagel;European Journal of Orthodontics,1995

5. Mid-term follow up effectiveness of facemask treatment in class III malocclusion: a systematic review;Kakali;International Orthodontics,2021

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3