Class II functional orthopaedic treatment: a systematic review of systematic reviews

被引:61
作者
D'Anto, V. [1 ,2 ]
Bucci, R. [1 ]
Franchi, L. [3 ]
Rongo, R. [1 ]
Michelotti, A. [1 ]
Martina, R. [1 ]
机构
[1] Univ Naples Federico II, Dept Neurosci Reprod Sci & Oral Sci, Sch Orthodont & Temporomandibular Disorders, I-80131 Naples, Italy
[2] Bambino Gesu Children Hosp, Dept Pediat Surg, Dentist Unit, Rome, Italy
[3] Univ Florence, Dept Surg & Translat Med Orthodont, Florence, Italy
关键词
malocclusion angle class II; therapy; orthodontic appliances functional; review literature as topic; evidence-based dentistry; adolescent; growth and development; SOFT-TISSUE CHANGES; METHODOLOGICAL QUALITY; MANDIBULAR CHANGES; MEASUREMENT TOOL; HEALTH-CARE; APPLIANCES; DIVISION-1; MALOCCLUSION; METAANALYSES; SKELETAL;
D O I
10.1111/joor.12295
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
This Systematic Review (SR) aims to assess the quality of SRs and Meta-Analyses (MAs) on functional orthopaedic treatment of Class II malocclusion and to summarise and rate the reported effects. Electronic and manual searches were conducted until June 2014. SRs and MAs focusing on the effects of functional orthopaedic treatment of Class II malocclusion in growing patients were included. The methodological quality of the included papers was assessed using the AMSTAR (Assessment of Multiple Systematic Reviews). The design of the primary studies included in each SR was assessed with Level of Research Design scoring. The evidence of the main outcomes was summarised and rated according to a scale of statements. 14 SRs fulfilled the inclusion criteria. The appliances evaluated were as follows: Activator (2 studies), Twin Block (4 studies), headgear (3 studies), Herbst (2 studies), Jasper Jumper (1 study), Bionator (1 study) and Frankel-2 (1 study). Four studies reviewed several functional appliances, as a group. The mean AMSTAR score was 6 (ranged 2-10). Six SRs included only controlled clinical trials (CCTs), three SRs included only randomised controlled trials (RCTs), four SRs included both CCTs and RCTs and one SR included also expert opinions. There was some evidence of reduction of the overjet, with different appliances except from headgear; there was some evidence of small maxillary growth restrain with Twin Block and headgear; there was some evidence of elongation of mandibular length, but the clinical relevance of this results is still questionable; there was insufficient evidence to determine an effect on soft tissues.
引用
收藏
页码:624 / 642
页数:19
相关论文
共 49 条
[1]   How to obtain the P value from a confidence interval [J].
Altman, Douglas G. ;
Bland, J. Martin .
BMJ-BRITISH MEDICAL JOURNAL, 2011, 343
[2]  
[Anonymous], AM J ORTHOD DENTOFAC
[3]  
[Anonymous], DENT PRESS J ORTHOD
[4]  
[Anonymous], DENT PRESS J ORTHOD
[5]  
[Anonymous], 2014, EVID-BASED COMPL ALT
[6]  
[Anonymous], BAILLIERES CLIN OBST
[7]  
[Anonymous], CLIN TRIALS PRACTICA
[8]   Evidence-based medicine [J].
Antes, G .
INTERNIST, 1998, 39 (09) :899-908
[9]   Short-term anteroposterior treatment effects of functional appliances and extraoral traction on Class II malocclusion - A meta-analysis [J].
Antonarakis, Gregory Stylianos ;
Killiaridis, Stavros .
ANGLE ORTHODONTIST, 2007, 77 (05) :907-914
[10]   Evidence of secular trends in a collection of historical craniofacial growth studies [J].
Antoun, Joseph S. ;
Cameron, Claire ;
Hoy, William Sew ;
Herbison, Peter ;
Farella, Mauro .
EUROPEAN JOURNAL OF ORTHODONTICS, 2015, 37 (01) :60-66