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Does Mini Screw Assisted Rapid Palatal Expansion (MARPE) have an influence on airway and breathing in middle-aged children and adolescents? A systematic review.
Abu Arqub, Sarah; Mehta, Shivam; Iverson, Marissa G; Yadav, Sumit; Upadhyay, Madhur; Almuzian, Mohammed.
Afiliación
  • Abu Arqub S; University of Connecticut Health, Division of Orthodontics, Farmington, CT, United States. Electronic address: sabuarqub@uchc.edu.
  • Mehta S; University of Connecticut Health, Division of Orthodontics, Farmington, CT, United States.
  • Iverson MG; University of Connecticut Health, L.M. Stowe Library, Farmington, CT, United States.
  • Yadav S; University of Connecticut Health, Division of Orthodontics, Farmington, CT, United States.
  • Upadhyay M; University of Connecticut Health, Division of Orthodontics, Farmington, CT, United States.
  • Almuzian M; University of Edinburgh, ASMD College. Edinburgh, UK.
Int Orthod ; 19(1): 37-50, 2021 Mar.
Article en En | MEDLINE | ID: mdl-33516650
ABSTRACT

OBJECTIVE:

This systematic review assessed the effects of tooth-borne (TB), tooth-bone-borne (TBB) and bone-borne (BB) micro-implant assisted rapid maxillary expansion (RPE) on airway dimensions and function in young children and adolescents (10- to 17-years-old). MATERIALS AND

METHODS:

Unrestricted search in 5 electronic databases until June 6th, 2020 was undertaken. This was supplemented with search in 6 additional resources for published, unpublished and ongoing trials up. Randomized (RCT) and non-randomized (Non-RCT) prospective studies that assessed the influence of the mini-screw-assisted rapid palatal expansion (MARPE) approach on airway and breathing in young children and adolescents were included. Two reviewers performed the study selection and data extraction blindly and in duplicate by two authors while disagreements. A random-effects model with a 95% confidence interval (CI), I2 and Chi2 tests were done. ROBINS-I, Cochrane Risk of Bias and GRADE tools were used. Reporting of this review was based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.

RESULTS:

Overall, 518 articles were retrieved; only 3 studies (2 RCT and one non-RCT) met the inclusion criteria. Both TB RPE and BB RPE improved on a short-term basis the dimensions of the airway, though the difference was not significant (P>0.05). TBB RPE significantly improved nasal airflow [(Mean difference (MD) 52.7 cm3/s, 95% confidence interval (95% CI) 9.0-96.4), P=0.020)], reduced nasal resistance (MD -0.20Pa/cm3, 95% (-0.38)-(-0.02), P=0.028), and changed respiratory muscle strength variables (P>0.05). No correlation was found between the anatomical dimensions of the airway and the functional airway parameters (P>0.05).

CONCLUSIONS:

The short-term airway volumetric changes secondary to MARPE were not significant. The influence of MARPE appliances on breathing is still not clear. Registration PROSPERO database (CRD42020183340).
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Hueso Paladar / Respiración / Tornillos Óseos / Técnica de Expansión Palatina Tipo de estudio: Clinical_trials / Observational_studies / Prognostic_studies / Risk_factors_studies / Systematic_reviews Límite: Adolescent / Child / Humans / Middle aged Idioma: En Revista: Int Orthod Asunto de la revista: ORTODONTIA Año: 2021 Tipo del documento: Article

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Hueso Paladar / Respiración / Tornillos Óseos / Técnica de Expansión Palatina Tipo de estudio: Clinical_trials / Observational_studies / Prognostic_studies / Risk_factors_studies / Systematic_reviews Límite: Adolescent / Child / Humans / Middle aged Idioma: En Revista: Int Orthod Asunto de la revista: ORTODONTIA Año: 2021 Tipo del documento: Article