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KJO Korean Journal of Orthodontics

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Korean J Orthod   

First Published Date August 23, 2022

Copyright © The Korean Association of Orthodontists.

PERIODONTAL PARAMETERS IN ORTHODONTHICALLY TRACTIONED TEETH: A SYSTEMATIC REVIEW AND META-ANALYSIS

Paola Marques de Mattosa , Flavio Magno Gonçalvesb, Isabela Bittencourt Bassoc , Aline Xavier Ferrazd , Bianca Simone Zeigelboime , José Stechman-Netof, Rosane Sampaio Santosg , Cristiano Miranda de Araujoh , Odilon Guariza-Filhoi

a. Postgraduate Program in Dentistry, Pontifícia Universidade Católica do Paraná, Curitiba, Paraná, Brazil. E-mail: paolammattos@gmail.com ORCID: 0000-0001-6358-0952
b. Postgraduate Program in Communication Disorders, Tuiuti University of Paraná, Curitiba, Brazil. E-mail: flaviomagno93@yahoo.com.br ORCID: https://orcid.org/0000-0002-7972-2844
c. Center for advanced studies in Systematic Review and Meta-analysis - NARSM, Curitiba, Paraná, Brazil. E-mail: isabelabbasso@hotmail.com ORCID: https://orcid.org/0000-001-9511-047X
d. Undergraduate Dentistry Program, Tuiuti University of Paraná, Curitiba, Brazil. E-mail: alinexferraz@gmail.com ORCID: https://orcid.org/0000-0001-9221-7466
e. Postgraduate Program in Communication Disorders, Tuiuti University of Paraná, Curitiba, Brazil. E-mail: bianca.zeigelboim@utp.br ORCID: https://orcid.org/0000-0003-4871-2683
f. Postgraduate Program in Communication Disorders, Tuiuti University of Paraná, Curitiba, Brazil. E-mail: stechman1@gmail.com ORCID: https://orcid.org/0000-0002-0259-2420
g. Postgraduate Program in Communication Disorders, Tuiuti University of Paraná, Curitiba, Brazil. E-mail: rosane.santos2@utp.br ORCID: https://orcid.org/000-0001-6400-5706
h. Postgraduate Program in Communication Disorders, Tuiuti University of Paraná, Curitiba, Brazil. E-mail: cristiano.araujo@utp.br ORCID: https://orcid.org/0000-0003-1325-4248
i. Department of Orthodontics, Pontifícia Universidade Católica do Paraná, Curitiba, Paraná, Brazil. E-mail: odilongfilho@gmail.com ORCID: https://orcid.org/0000-0001-9799-1223

Correspondence to:Cristiano Miranda de Araujo
Tuiuti University of Paraná, Curitiba, Brazil. Program on Communication Disorders Street Sydnei Antonio Rangel Santos, 238 - Santo Inacio, Curitiba, PR - Brazil
Email: cristiano.araujo@utp.br

Abstract

Objective: The aim of this systematic review was to evaluate the periodontal parameters in orthodontically tractioned teeth, when compared to the respective non-tractioned contralateral teeth. Methods: Search strategies were developed for six electronic databases and gray literature. Random effects meta-analyses were performed for the outcomes of interest. The certainty of the evidence was assessed by the GRADE tool. Results: A total of 2082 articles were found, 24 of which were selected to carry out the qualitative synthesis. When evaluating the gingival index, a significant difference was observed between impacted and contralateral teeth [MD = 0.25; CI95% = 0.10 – 0.40; I2 = 0%]. Impacted teeth showed greater probing depth, with a statistically significant mean difference between groups [MD = 0.14; CI95% = 0.07 – 0.20; I2 = 6%]. Most studies had a low risk of bias, however the certainty of evidence is still very low due to the design of existing studies. Conclusion: The evidence found in the literature indicates that tractioned teeth may show worsening in periodontal parameters related to gingival index and probing depth, but the evidence is still uncertain about this outcome. Furthermore, probing depth should be considered in terms of its clinical significance, due to the small effect size observed.

Keywords: Impacted tooth, Ectopic eruption, Unerupted tooth, Traction.

Article

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Korean J Orthod   

First Published Date August 23, 2022

Copyright © The Korean Association of Orthodontists.

PERIODONTAL PARAMETERS IN ORTHODONTHICALLY TRACTIONED TEETH: A SYSTEMATIC REVIEW AND META-ANALYSIS

Paola Marques de Mattosa , Flavio Magno Gonçalvesb, Isabela Bittencourt Bassoc , Aline Xavier Ferrazd , Bianca Simone Zeigelboime , José Stechman-Netof, Rosane Sampaio Santosg , Cristiano Miranda de Araujoh , Odilon Guariza-Filhoi

a. Postgraduate Program in Dentistry, Pontifícia Universidade Católica do Paraná, Curitiba, Paraná, Brazil. E-mail: paolammattos@gmail.com ORCID: 0000-0001-6358-0952
b. Postgraduate Program in Communication Disorders, Tuiuti University of Paraná, Curitiba, Brazil. E-mail: flaviomagno93@yahoo.com.br ORCID: https://orcid.org/0000-0002-7972-2844
c. Center for advanced studies in Systematic Review and Meta-analysis - NARSM, Curitiba, Paraná, Brazil. E-mail: isabelabbasso@hotmail.com ORCID: https://orcid.org/0000-001-9511-047X
d. Undergraduate Dentistry Program, Tuiuti University of Paraná, Curitiba, Brazil. E-mail: alinexferraz@gmail.com ORCID: https://orcid.org/0000-0001-9221-7466
e. Postgraduate Program in Communication Disorders, Tuiuti University of Paraná, Curitiba, Brazil. E-mail: bianca.zeigelboim@utp.br ORCID: https://orcid.org/0000-0003-4871-2683
f. Postgraduate Program in Communication Disorders, Tuiuti University of Paraná, Curitiba, Brazil. E-mail: stechman1@gmail.com ORCID: https://orcid.org/0000-0002-0259-2420
g. Postgraduate Program in Communication Disorders, Tuiuti University of Paraná, Curitiba, Brazil. E-mail: rosane.santos2@utp.br ORCID: https://orcid.org/000-0001-6400-5706
h. Postgraduate Program in Communication Disorders, Tuiuti University of Paraná, Curitiba, Brazil. E-mail: cristiano.araujo@utp.br ORCID: https://orcid.org/0000-0003-1325-4248
i. Department of Orthodontics, Pontifícia Universidade Católica do Paraná, Curitiba, Paraná, Brazil. E-mail: odilongfilho@gmail.com ORCID: https://orcid.org/0000-0001-9799-1223

Correspondence to:Cristiano Miranda de Araujo
Tuiuti University of Paraná, Curitiba, Brazil. Program on Communication Disorders Street Sydnei Antonio Rangel Santos, 238 - Santo Inacio, Curitiba, PR - Brazil
Email: cristiano.araujo@utp.br

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: The aim of this systematic review was to evaluate the periodontal parameters in orthodontically tractioned teeth, when compared to the respective non-tractioned contralateral teeth. Methods: Search strategies were developed for six electronic databases and gray literature. Random effects meta-analyses were performed for the outcomes of interest. The certainty of the evidence was assessed by the GRADE tool. Results: A total of 2082 articles were found, 24 of which were selected to carry out the qualitative synthesis. When evaluating the gingival index, a significant difference was observed between impacted and contralateral teeth [MD = 0.25; CI95% = 0.10 – 0.40; I2 = 0%]. Impacted teeth showed greater probing depth, with a statistically significant mean difference between groups [MD = 0.14; CI95% = 0.07 – 0.20; I2 = 6%]. Most studies had a low risk of bias, however the certainty of evidence is still very low due to the design of existing studies. Conclusion: The evidence found in the literature indicates that tractioned teeth may show worsening in periodontal parameters related to gingival index and probing depth, but the evidence is still uncertain about this outcome. Furthermore, probing depth should be considered in terms of its clinical significance, due to the small effect size observed.

Keywords: Impacted tooth, Ectopic eruption, Unerupted tooth, Traction.