Failure of miniscrews installed in maxilla and mandible: a systematic review and meta-analysis
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Brazilian Dental Science |
Texto Completo: | https://ojs.ict.unesp.br/index.php/cob/article/view/2049 |
Resumo: | Objective: The aim of this systematic review was to compare the clinical failure rate of orthodontic miniscrews in maxilla and mandible. Material and Methods: Randomized controlled trials of patients in orthodontic treatment, which required miniscrews for orthodontic intervention reporting the failure rate of miniscrews in the maxilla and mandible were searched in Pubmed database. Two authors independently reviewed all identified titles and abstracts for eligibility. Comparison between failures in maxilla and mandible were estimated using pairwise meta-analysis to calculate the relative risk (RR) of failure and the 95% confidence intervals using a random-effect model. The reports of randomized trials were assessed for bias using the Cochrane risk of bias tool. Results: Four studies fulfilled the eligibility criteria. 299 patients with a total of 628 miniscrews installed were included in the analysis. The analysis showed a 0.55 RR (95% CI 0.23–1.29) and I2 = 85%. All studies had an unclear risk of bias regarding to the two following items: allocation concealment, blinding of participants and personnel. All studies had a low risk of bias with regard to incomplete outcome data and selective reporting. The results did not demonstrate statistical difference between risk of failure of miniscrew between maxilla and mandible. Conclusion: The results of the meta-analysis showed that miniscrews installed in maxilla presents reduced risk of failure. A tendency of higher number of failures in mandible was also demonstrated. However, results should be interpreted with caution because of the very low quality of included studies and the differences among methodologies. KeywordsMeta-analysis; Orthodontic anchorage procedures; Review. |
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Brazilian Dental Science |
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Failure of miniscrews installed in maxilla and mandible: a systematic review and meta-analysisObjective: The aim of this systematic review was to compare the clinical failure rate of orthodontic miniscrews in maxilla and mandible. Material and Methods: Randomized controlled trials of patients in orthodontic treatment, which required miniscrews for orthodontic intervention reporting the failure rate of miniscrews in the maxilla and mandible were searched in Pubmed database. Two authors independently reviewed all identified titles and abstracts for eligibility. Comparison between failures in maxilla and mandible were estimated using pairwise meta-analysis to calculate the relative risk (RR) of failure and the 95% confidence intervals using a random-effect model. The reports of randomized trials were assessed for bias using the Cochrane risk of bias tool. Results: Four studies fulfilled the eligibility criteria. 299 patients with a total of 628 miniscrews installed were included in the analysis. The analysis showed a 0.55 RR (95% CI 0.23–1.29) and I2 = 85%. All studies had an unclear risk of bias regarding to the two following items: allocation concealment, blinding of participants and personnel. All studies had a low risk of bias with regard to incomplete outcome data and selective reporting. The results did not demonstrate statistical difference between risk of failure of miniscrew between maxilla and mandible. Conclusion: The results of the meta-analysis showed that miniscrews installed in maxilla presents reduced risk of failure. A tendency of higher number of failures in mandible was also demonstrated. However, results should be interpreted with caution because of the very low quality of included studies and the differences among methodologies. KeywordsMeta-analysis; Orthodontic anchorage procedures; Review.Institute of Science and Technology of São José dos Campos2020-06-30info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfimage/tiffimage/jpegimage/jpegapplication/vnd.openxmlformats-officedocument.wordprocessingml.documentapplication/vnd.openxmlformats-officedocument.wordprocessingml.documentapplication/vnd.openxmlformats-officedocument.wordprocessingml.documentapplication/pdfhttps://ojs.ict.unesp.br/index.php/cob/article/view/204910.14295/bds.2020.v23i3.2049Brazilian Dental Science; Vol. 23 No. 3 (2020): Jul - Sep / 2020 - Published June 2020; 7 pBrazilian Dental Science; v. 23 n. 3 (2020): Jul - Sep / 2020 - Published June 2020; 7 p2178-6011reponame:Brazilian Dental Scienceinstname:Universidade Estadual Paulista Júlio de Mesquita Filho (UNESP)instacron:UNESPenghttps://ojs.ict.unesp.br/index.php/cob/article/view/2049/1534https://ojs.ict.unesp.br/index.php/cob/article/view/2049/4088https://ojs.ict.unesp.br/index.php/cob/article/view/2049/4089https://ojs.ict.unesp.br/index.php/cob/article/view/2049/4090https://ojs.ict.unesp.br/index.php/cob/article/view/2049/4091https://ojs.ict.unesp.br/index.php/cob/article/view/2049/4092https://ojs.ict.unesp.br/index.php/cob/article/view/2049/4093https://ojs.ict.unesp.br/index.php/cob/article/view/2049/4121Copyright (c) 2020 Brazilian Dental Scienceinfo:eu-repo/semantics/openAccessBatista dos Santos, Sandro HenriquePoletto-Neto, VictórioLima de Queiroz, Ana BeatrizSarkis-Onofre, RafaelPereira-Cenci, Tatiana2020-06-30T17:22:34Zoai:ojs.pkp.sfu.ca:article/2049Revistahttp://bds.ict.unesp.br/PUBhttp://ojs.fosjc.unesp.br/index.php/index/oaisergio@fosjc.unesp.br||sergio@fosjc.unesp.br2178-60112178-6011opendoar:2022-11-08T16:30:30.033636Brazilian Dental Science - Universidade Estadual Paulista Júlio de Mesquita Filho (UNESP)true |
dc.title.none.fl_str_mv |
Failure of miniscrews installed in maxilla and mandible: a systematic review and meta-analysis |
title |
Failure of miniscrews installed in maxilla and mandible: a systematic review and meta-analysis |
spellingShingle |
Failure of miniscrews installed in maxilla and mandible: a systematic review and meta-analysis Batista dos Santos, Sandro Henrique |
title_short |
Failure of miniscrews installed in maxilla and mandible: a systematic review and meta-analysis |
title_full |
Failure of miniscrews installed in maxilla and mandible: a systematic review and meta-analysis |
title_fullStr |
Failure of miniscrews installed in maxilla and mandible: a systematic review and meta-analysis |
title_full_unstemmed |
Failure of miniscrews installed in maxilla and mandible: a systematic review and meta-analysis |
title_sort |
Failure of miniscrews installed in maxilla and mandible: a systematic review and meta-analysis |
author |
Batista dos Santos, Sandro Henrique |
author_facet |
Batista dos Santos, Sandro Henrique Poletto-Neto, Victório Lima de Queiroz, Ana Beatriz Sarkis-Onofre, Rafael Pereira-Cenci, Tatiana |
author_role |
author |
author2 |
Poletto-Neto, Victório Lima de Queiroz, Ana Beatriz Sarkis-Onofre, Rafael Pereira-Cenci, Tatiana |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Batista dos Santos, Sandro Henrique Poletto-Neto, Victório Lima de Queiroz, Ana Beatriz Sarkis-Onofre, Rafael Pereira-Cenci, Tatiana |
description |
Objective: The aim of this systematic review was to compare the clinical failure rate of orthodontic miniscrews in maxilla and mandible. Material and Methods: Randomized controlled trials of patients in orthodontic treatment, which required miniscrews for orthodontic intervention reporting the failure rate of miniscrews in the maxilla and mandible were searched in Pubmed database. Two authors independently reviewed all identified titles and abstracts for eligibility. Comparison between failures in maxilla and mandible were estimated using pairwise meta-analysis to calculate the relative risk (RR) of failure and the 95% confidence intervals using a random-effect model. The reports of randomized trials were assessed for bias using the Cochrane risk of bias tool. Results: Four studies fulfilled the eligibility criteria. 299 patients with a total of 628 miniscrews installed were included in the analysis. The analysis showed a 0.55 RR (95% CI 0.23–1.29) and I2 = 85%. All studies had an unclear risk of bias regarding to the two following items: allocation concealment, blinding of participants and personnel. All studies had a low risk of bias with regard to incomplete outcome data and selective reporting. The results did not demonstrate statistical difference between risk of failure of miniscrew between maxilla and mandible. Conclusion: The results of the meta-analysis showed that miniscrews installed in maxilla presents reduced risk of failure. A tendency of higher number of failures in mandible was also demonstrated. However, results should be interpreted with caution because of the very low quality of included studies and the differences among methodologies. KeywordsMeta-analysis; Orthodontic anchorage procedures; Review. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-06-30 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://ojs.ict.unesp.br/index.php/cob/article/view/2049 10.14295/bds.2020.v23i3.2049 |
url |
https://ojs.ict.unesp.br/index.php/cob/article/view/2049 |
identifier_str_mv |
10.14295/bds.2020.v23i3.2049 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://ojs.ict.unesp.br/index.php/cob/article/view/2049/1534 https://ojs.ict.unesp.br/index.php/cob/article/view/2049/4088 https://ojs.ict.unesp.br/index.php/cob/article/view/2049/4089 https://ojs.ict.unesp.br/index.php/cob/article/view/2049/4090 https://ojs.ict.unesp.br/index.php/cob/article/view/2049/4091 https://ojs.ict.unesp.br/index.php/cob/article/view/2049/4092 https://ojs.ict.unesp.br/index.php/cob/article/view/2049/4093 https://ojs.ict.unesp.br/index.php/cob/article/view/2049/4121 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2020 Brazilian Dental Science info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2020 Brazilian Dental Science |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf image/tiff image/jpeg image/jpeg application/vnd.openxmlformats-officedocument.wordprocessingml.document application/vnd.openxmlformats-officedocument.wordprocessingml.document application/vnd.openxmlformats-officedocument.wordprocessingml.document application/pdf |
dc.publisher.none.fl_str_mv |
Institute of Science and Technology of São José dos Campos |
publisher.none.fl_str_mv |
Institute of Science and Technology of São José dos Campos |
dc.source.none.fl_str_mv |
Brazilian Dental Science; Vol. 23 No. 3 (2020): Jul - Sep / 2020 - Published June 2020; 7 p Brazilian Dental Science; v. 23 n. 3 (2020): Jul - Sep / 2020 - Published June 2020; 7 p 2178-6011 reponame:Brazilian Dental Science instname:Universidade Estadual Paulista Júlio de Mesquita Filho (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista Júlio de Mesquita Filho (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Brazilian Dental Science |
collection |
Brazilian Dental Science |
repository.name.fl_str_mv |
Brazilian Dental Science - Universidade Estadual Paulista Júlio de Mesquita Filho (UNESP) |
repository.mail.fl_str_mv |
sergio@fosjc.unesp.br||sergio@fosjc.unesp.br |
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1788346901464088576 |