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KJO Korean Journal of Orthodontics

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pISSN 2234-7518
eISSN 2005-372X
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Korean J Orthod

Published online December 22, 2021

Copyright © The Korean Association of Orthodontists.

Effectiveness of miniscrew assisted rapid palatal expansion (MARPE) using cone beam computed tomography: systematic review and meta-analysis

Patchaya Siddhisaributr, Kornkanok Khlongwanitchakul, Niwat Anuwongnukroh, Somchai Manopatanakul, Nita Viwattanatipa

Faculty of Dentistry, Mahidol University, Thailand
a. Dr. Patchaya Siddhisaributr
DDS.
Resident of Orthodontics, Faculty of Dentistry, Mahidol University,Thailand
Email: sid.patchaya@gmail.com
ORCID: 0000-0001-7317-4149
b Dr. Kornkanok Khlongwanitchakul
DDS.
Resident of Orthodontics, Mahidol University, Thailand
Email: kornkanok_bung@hotmail.com
ORCID: 0000-0002-8199-6537
c. Clinical Professor Niwat Anuwongnukroh
DDS., M.S.D.(Orthodontics),
Diplomate Thai Board of Orthodontics,
Diplomate American Board of Orthodontics
Department of Orthodontics, Mahidol University, Thailand
Email: niwat.anu@mahidol.ac.th
ORCID: 0000-0002-7104-4778
d. Associate Professor Somchai Manopattanakul
DDS. (2nd class honors), Grad. Dip. (Periodontology),
MD.Sc (Orthodontics), Diplomate, Australian Board of Orthodontics,
Diplomate, Thai Board of Orthodontics
Department of Advanced General Dentistry, Mahidol University, Thailand
Email: msomchai@rocketmail.com
ORCID: 0000-0002-6771-2243
d. Associate Professor Nita Viwattanatipa
DDS., Cert., MSD.(orthodontics),
Diplomate ABO , Diplomate ThBO
Department of Orthodontics, Mahidol University, Thailand
E-mail: Nitaviw@hotmail.com
ORCID 0000-0001-9557-7539

Correspondence to:Assoc. Prof. Nita Viwattanatipa,
Department of Orthodontics, Mahidol University, Bangkok, Thailand 10400
E-mail: Nitaviw@hotmail.com
Tel: 66-86-4008716

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objective: This systematic review and meta-analysis aims to examine the treatment effectiveness of MARPE in late adolescents and adult patients using cone beam computed tomography studies (CBCT).
Methods: Literature search based on PICOS keyword design focusing on MARPE was conducted in 5 electronic databases (Pubmed, Embase, Scopus, Web of Science and Cochrane Library). Out of 18 CBCT outcomes screened, only 9 parameters were sufficient for the quantitative meta-analysis. The parameters were classified in 3 main groups which were; 1) skeletal change (5 parameters), 2) alveolar change (1 parameter) and 3) dental change (3 parameters). Heterogeneity test, estimation of pooled means publication bias, sensitivity analysis and risk of bias assessment were performed.
Results: Database searching found 364 results but only 14 full-text articles were qualified. Heterogeneity test indicated the use of random-effects model. The pooled mean estimate were as follows; 1) Skeletal expansion: zygomatic width 2.39 mm, nasal width 2.68 mm, jugular width 3.12 mm, midpalatal suture at PNS 3.34 mm and at ANS 4.56 mm, 2) Alveolar molar width expansion 4.80 mm 3) Dental expansion: inter-canine width 3.96 mm, inter-premolar width 5.22 mm and inter-molar width 5.99 mm. Percentage of expansion showed the effect at skeletal expansion (PNS) was 55.76%, alveolar molar width expansion 24.37% and dental expansion 19.87%. Limitation of 1 study involved the quality of papers which mostly were one2 group pretest-posttest design.
Conclusions: In coronal view, MARPE created skeletal and dental expansion as pyramidal pattern. MARPE could successfully expand the constricted maxilla in late adolescents to adult patients.

Keywords: Evidence-based orthodontics, Appliances, MARPE, MSE

Article

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Korean J Orthod

Published online December 22, 2021

Copyright © The Korean Association of Orthodontists.

Effectiveness of miniscrew assisted rapid palatal expansion (MARPE) using cone beam computed tomography: systematic review and meta-analysis

Patchaya Siddhisaributr, Kornkanok Khlongwanitchakul, Niwat Anuwongnukroh, Somchai Manopatanakul, Nita Viwattanatipa

Faculty of Dentistry, Mahidol University, Thailand
a. Dr. Patchaya Siddhisaributr
DDS.
Resident of Orthodontics, Faculty of Dentistry, Mahidol University,Thailand
Email: sid.patchaya@gmail.com
ORCID: 0000-0001-7317-4149
b Dr. Kornkanok Khlongwanitchakul
DDS.
Resident of Orthodontics, Mahidol University, Thailand
Email: kornkanok_bung@hotmail.com
ORCID: 0000-0002-8199-6537
c. Clinical Professor Niwat Anuwongnukroh
DDS., M.S.D.(Orthodontics),
Diplomate Thai Board of Orthodontics,
Diplomate American Board of Orthodontics
Department of Orthodontics, Mahidol University, Thailand
Email: niwat.anu@mahidol.ac.th
ORCID: 0000-0002-7104-4778
d. Associate Professor Somchai Manopattanakul
DDS. (2nd class honors), Grad. Dip. (Periodontology),
MD.Sc (Orthodontics), Diplomate, Australian Board of Orthodontics,
Diplomate, Thai Board of Orthodontics
Department of Advanced General Dentistry, Mahidol University, Thailand
Email: msomchai@rocketmail.com
ORCID: 0000-0002-6771-2243
d. Associate Professor Nita Viwattanatipa
DDS., Cert., MSD.(orthodontics),
Diplomate ABO , Diplomate ThBO
Department of Orthodontics, Mahidol University, Thailand
E-mail: Nitaviw@hotmail.com
ORCID 0000-0001-9557-7539

Correspondence to:Assoc. Prof. Nita Viwattanatipa,
Department of Orthodontics, Mahidol University, Bangkok, Thailand 10400
E-mail: Nitaviw@hotmail.com
Tel: 66-86-4008716

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objective: This systematic review and meta-analysis aims to examine the treatment effectiveness of MARPE in late adolescents and adult patients using cone beam computed tomography studies (CBCT).
Methods: Literature search based on PICOS keyword design focusing on MARPE was conducted in 5 electronic databases (Pubmed, Embase, Scopus, Web of Science and Cochrane Library). Out of 18 CBCT outcomes screened, only 9 parameters were sufficient for the quantitative meta-analysis. The parameters were classified in 3 main groups which were; 1) skeletal change (5 parameters), 2) alveolar change (1 parameter) and 3) dental change (3 parameters). Heterogeneity test, estimation of pooled means publication bias, sensitivity analysis and risk of bias assessment were performed.
Results: Database searching found 364 results but only 14 full-text articles were qualified. Heterogeneity test indicated the use of random-effects model. The pooled mean estimate were as follows; 1) Skeletal expansion: zygomatic width 2.39 mm, nasal width 2.68 mm, jugular width 3.12 mm, midpalatal suture at PNS 3.34 mm and at ANS 4.56 mm, 2) Alveolar molar width expansion 4.80 mm 3) Dental expansion: inter-canine width 3.96 mm, inter-premolar width 5.22 mm and inter-molar width 5.99 mm. Percentage of expansion showed the effect at skeletal expansion (PNS) was 55.76%, alveolar molar width expansion 24.37% and dental expansion 19.87%. Limitation of 1 study involved the quality of papers which mostly were one2 group pretest-posttest design.
Conclusions: In coronal view, MARPE created skeletal and dental expansion as pyramidal pattern. MARPE could successfully expand the constricted maxilla in late adolescents to adult patients.

Keywords: Evidence-based orthodontics, Appliances, MARPE, MSE