Impact of digital orthodontics on maxillary protraction with implants in children with skeletal class III: A systematic review and meta-analysis

Objective: The objective of this systematic review is to assess the effectiveness of digital orthodontics in utilizing implants for maxillary protraction as a treatment for skeletal class III malocclusion in children. Materials and Methods: The study was registered with PROSPERO with the number CRD4...

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Main Authors: Fawaz Hassan Alzahrani, Raghu Devanna, Yousef Althomali, Nayef Hassan Felemban, Prashant Manjunath Battepati, Amith V. Holenarasipur
Format: Article
Language:English
Published: Springer 2024-02-01
Series:Saudi Dental Journal
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Online Access:http://www.sciencedirect.com/science/article/pii/S1013905223002377
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author Fawaz Hassan Alzahrani
Raghu Devanna
Yousef Althomali
Nayef Hassan Felemban
Prashant Manjunath Battepati
Amith V. Holenarasipur
author_facet Fawaz Hassan Alzahrani
Raghu Devanna
Yousef Althomali
Nayef Hassan Felemban
Prashant Manjunath Battepati
Amith V. Holenarasipur
author_sort Fawaz Hassan Alzahrani
collection DOAJ
description Objective: The objective of this systematic review is to assess the effectiveness of digital orthodontics in utilizing implants for maxillary protraction as a treatment for skeletal class III malocclusion in children. Materials and Methods: The study was registered with PROSPERO with the number CRD42023407406 on 23/03/2023. We conducted an extensive comprehensive literature search in nine electronic databases, including PubMed, PubMed Central, Scopus, Cochrane databases, Google Scholar, MEDLINE, EMBASE, LILACS, and the Web of Sciences databases. The studies were evaluated for their methodology, the intervention technology used, the outcomes, and their quality. Publication bias assessment was conducted using the Jadad scale and the ROBINS-I assessment tool. Results: We included a total of 17 studies that comprised a total of 376 patients in this analysis. The number of patients and participants fluctuated between 1 and 71, with > 60 % being female. The patients were aged between 1.1 and 19.2 years. We included only nine studies in the meta-analysis, in which we observed a success rate between 71.4 % and 100 % with a 95 % CI of 17.4 ± 2.988 (±17.2 %) [14.412–20.388]. The failure rates, although minimal, ranged from 5.9 % to 28.6 %, with a 95 % CI of 2.3 ± 1.480 (±64.3 %) [0.820–3.780]. Conclusion: The evidence suggests that digital orthodontics is a promising approach for treating children with skeletal class III malocclusion using implants for maxillary protraction. However, further high-quality studies are required for validating our current observations and regulating the stability of treatment outcomes on a long-term basis.
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spelling doaj-art-1aa9a55d37f54d3e8029dc79ceb8e2e12025-08-20T01:59:05ZengSpringerSaudi Dental Journal1013-90522024-02-0136224024810.1016/j.sdentj.2023.11.013Impact of digital orthodontics on maxillary protraction with implants in children with skeletal class III: A systematic review and meta-analysisFawaz Hassan Alzahrani0Raghu Devanna1Yousef Althomali2Nayef Hassan Felemban3Prashant Manjunath Battepati4Amith V. Holenarasipur5Dental Intern, Faculty of Dentistry, Taif University, Taif, Saudi ArabiaOrthodontic Dentistry Department of Preventive Dentistry, Faculty of Dentistry, Taif University, Taif, Saudi Arabia; Corresponding author.Orthodontic Dentistry Department of Preventive Dentistry, Faculty of Dentistry, Taif University, Taif, Saudi ArabiaOrthodontic Dentistry Department of Preventive Dentistry, Faculty of Dentistry, Taif University, Taif, Saudi ArabiaPediatric Dentistry Department of Preventive Dentistry, Faculty of Dentistry, Taif University, Taif, Saudi ArabiaCommunity Dentistry Department of Preventive Dentistry, Faculty of Dentistry, Taif University, Taif, Saudi ArabiaObjective: The objective of this systematic review is to assess the effectiveness of digital orthodontics in utilizing implants for maxillary protraction as a treatment for skeletal class III malocclusion in children. Materials and Methods: The study was registered with PROSPERO with the number CRD42023407406 on 23/03/2023. We conducted an extensive comprehensive literature search in nine electronic databases, including PubMed, PubMed Central, Scopus, Cochrane databases, Google Scholar, MEDLINE, EMBASE, LILACS, and the Web of Sciences databases. The studies were evaluated for their methodology, the intervention technology used, the outcomes, and their quality. Publication bias assessment was conducted using the Jadad scale and the ROBINS-I assessment tool. Results: We included a total of 17 studies that comprised a total of 376 patients in this analysis. The number of patients and participants fluctuated between 1 and 71, with > 60 % being female. The patients were aged between 1.1 and 19.2 years. We included only nine studies in the meta-analysis, in which we observed a success rate between 71.4 % and 100 % with a 95 % CI of 17.4 ± 2.988 (±17.2 %) [14.412–20.388]. The failure rates, although minimal, ranged from 5.9 % to 28.6 %, with a 95 % CI of 2.3 ± 1.480 (±64.3 %) [0.820–3.780]. Conclusion: The evidence suggests that digital orthodontics is a promising approach for treating children with skeletal class III malocclusion using implants for maxillary protraction. However, further high-quality studies are required for validating our current observations and regulating the stability of treatment outcomes on a long-term basis.http://www.sciencedirect.com/science/article/pii/S1013905223002377OrthodonticsTomographyDigitalMaxillary protractionMalocclusion
spellingShingle Fawaz Hassan Alzahrani
Raghu Devanna
Yousef Althomali
Nayef Hassan Felemban
Prashant Manjunath Battepati
Amith V. Holenarasipur
Impact of digital orthodontics on maxillary protraction with implants in children with skeletal class III: A systematic review and meta-analysis
Saudi Dental Journal
Orthodontics
Tomography
Digital
Maxillary protraction
Malocclusion
title Impact of digital orthodontics on maxillary protraction with implants in children with skeletal class III: A systematic review and meta-analysis
title_full Impact of digital orthodontics on maxillary protraction with implants in children with skeletal class III: A systematic review and meta-analysis
title_fullStr Impact of digital orthodontics on maxillary protraction with implants in children with skeletal class III: A systematic review and meta-analysis
title_full_unstemmed Impact of digital orthodontics on maxillary protraction with implants in children with skeletal class III: A systematic review and meta-analysis
title_short Impact of digital orthodontics on maxillary protraction with implants in children with skeletal class III: A systematic review and meta-analysis
title_sort impact of digital orthodontics on maxillary protraction with implants in children with skeletal class iii a systematic review and meta analysis
topic Orthodontics
Tomography
Digital
Maxillary protraction
Malocclusion
url http://www.sciencedirect.com/science/article/pii/S1013905223002377
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