Assessment of the periodontal health status and gingival recession during orthodontic treatment with clear aligners and fixed appliances: A systematic review and meta-analysis

Background: The aim was to assess periodontal health maintenance and gingival recessions development in pa-tients undergoing an orthodontic treatment with clear aligners (CA) and fixed appliances (FA).Material and Methods: An electronic search in MEDLINE, Scopus, The Cochrane Library, and Web of Sci...

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Autores: Crego Ruiz, Marina, Jorba García, Adrià
Tipo de recurso: artículo
Fecha de publicación:2023
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:2445/201423
Acceso en línea:https://hdl.handle.net/2445/201423
Access Level:acceso abierto
Palabra clave:Malalties de les genives
Aparells d'ortodòncia
Malalties periodontals
Gum diseases
Orthodontic appliances
Periodontal disease
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spelling Assessment of the periodontal health status and gingival recession during orthodontic treatment with clear aligners and fixed appliances: A systematic review and meta-analysisCrego Ruiz, MarinaJorba García, AdriàMalalties de les genivesAparells d'ortodònciaMalalties periodontalsGum diseasesOrthodontic appliancesPeriodontal diseaseBackground: The aim was to assess periodontal health maintenance and gingival recessions development in pa-tients undergoing an orthodontic treatment with clear aligners (CA) and fixed appliances (FA).Material and Methods: An electronic search in MEDLINE, Scopus, The Cochrane Library, and Web of Science was performed up to September 2022 to identify all potential articles. Two investigators independently selected the studies according to the inclusion criteria. Prospective and retrospective studies assessing the periodontal health status and gingival recession development during the orthodontic treatment with buccal FA and CA were included. Case series, cross-sectional studies, and studies with less than two months of follow-up were excluded. Two investigators independently extracted the data from included articles and assessed risk of bias across studies using the Cochrane Collaboration tool. Qualitative and quantitative analyses of the data were performed. Pairwise meta-analysis using a random-effects model were used to compare periodontal indices between FA and CA treat-ment in different follow-up periods.Results: From the 129 potential studies, finally 12 studies were included. Only 8 could be included in the quantita-tive analysis. CA seems to slightly maintain better periodontal health indices. Only plaque index in a mid-term follow-up (mean difference (MD):-0.99; 95%; Confidence interval (CI) [-1.94 to-0.03]; P=.04; I2=99%), and pocket probing depth at a long-term follow-up (MD: -0.93mm; 95% CI [-1.16 to 0.7]; P<0.0001) reported statisti-cally significant results favoring CA.Conclusions: Up to the date there is not enough evidence to conclude that CA maintains better periodontal health during an orthodontic treatment than FA.Medicina Oral, S.L.2023202320232023info:eu-repo/semantics/article11 p.application/pdfhttps://hdl.handle.net/2445/201423Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésReproducció del document publicat a: https://doi.org/10.4317/medoral.25760Medicina Oral Patología Oral y Cirugia Bucal, 2023, vol. 28, num. 4, p. e330-e340https://doi.org/10.4317/medoral.25760(c) Medicina Oral S.L., 2023info:eu-repo/semantics/openAccessoai:recercat.cat:2445/2014232026-05-29T05:05:01Z
dc.title.none.fl_str_mv Assessment of the periodontal health status and gingival recession during orthodontic treatment with clear aligners and fixed appliances: A systematic review and meta-analysis
title Assessment of the periodontal health status and gingival recession during orthodontic treatment with clear aligners and fixed appliances: A systematic review and meta-analysis
spellingShingle Assessment of the periodontal health status and gingival recession during orthodontic treatment with clear aligners and fixed appliances: A systematic review and meta-analysis
Crego Ruiz, Marina
Malalties de les genives
Aparells d'ortodòncia
Malalties periodontals
Gum diseases
Orthodontic appliances
Periodontal disease
title_short Assessment of the periodontal health status and gingival recession during orthodontic treatment with clear aligners and fixed appliances: A systematic review and meta-analysis
title_full Assessment of the periodontal health status and gingival recession during orthodontic treatment with clear aligners and fixed appliances: A systematic review and meta-analysis
title_fullStr Assessment of the periodontal health status and gingival recession during orthodontic treatment with clear aligners and fixed appliances: A systematic review and meta-analysis
title_full_unstemmed Assessment of the periodontal health status and gingival recession during orthodontic treatment with clear aligners and fixed appliances: A systematic review and meta-analysis
title_sort Assessment of the periodontal health status and gingival recession during orthodontic treatment with clear aligners and fixed appliances: A systematic review and meta-analysis
dc.creator.none.fl_str_mv Crego Ruiz, Marina
Jorba García, Adrià
author Crego Ruiz, Marina
author_facet Crego Ruiz, Marina
Jorba García, Adrià
author_role author
author2 Jorba García, Adrià
author2_role author
dc.subject.none.fl_str_mv Malalties de les genives
Aparells d'ortodòncia
Malalties periodontals
Gum diseases
Orthodontic appliances
Periodontal disease
topic Malalties de les genives
Aparells d'ortodòncia
Malalties periodontals
Gum diseases
Orthodontic appliances
Periodontal disease
description Background: The aim was to assess periodontal health maintenance and gingival recessions development in pa-tients undergoing an orthodontic treatment with clear aligners (CA) and fixed appliances (FA).Material and Methods: An electronic search in MEDLINE, Scopus, The Cochrane Library, and Web of Science was performed up to September 2022 to identify all potential articles. Two investigators independently selected the studies according to the inclusion criteria. Prospective and retrospective studies assessing the periodontal health status and gingival recession development during the orthodontic treatment with buccal FA and CA were included. Case series, cross-sectional studies, and studies with less than two months of follow-up were excluded. Two investigators independently extracted the data from included articles and assessed risk of bias across studies using the Cochrane Collaboration tool. Qualitative and quantitative analyses of the data were performed. Pairwise meta-analysis using a random-effects model were used to compare periodontal indices between FA and CA treat-ment in different follow-up periods.Results: From the 129 potential studies, finally 12 studies were included. Only 8 could be included in the quantita-tive analysis. CA seems to slightly maintain better periodontal health indices. Only plaque index in a mid-term follow-up (mean difference (MD):-0.99; 95%; Confidence interval (CI) [-1.94 to-0.03]; P=.04; I2=99%), and pocket probing depth at a long-term follow-up (MD: -0.93mm; 95% CI [-1.16 to 0.7]; P<0.0001) reported statisti-cally significant results favoring CA.Conclusions: Up to the date there is not enough evidence to conclude that CA maintains better periodontal health during an orthodontic treatment than FA.
publishDate 2023
dc.date.none.fl_str_mv 2023
2023
2023
2023
dc.type.none.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/201423
url https://hdl.handle.net/2445/201423
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.4317/medoral.25760
Medicina Oral Patología Oral y Cirugia Bucal, 2023, vol. 28, num. 4, p. e330-e340
https://doi.org/10.4317/medoral.25760
dc.rights.none.fl_str_mv (c) Medicina Oral S.L., 2023
info:eu-repo/semantics/openAccess
rights_invalid_str_mv (c) Medicina Oral S.L., 2023
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 11 p.
application/pdf
dc.publisher.none.fl_str_mv Medicina Oral, S.L.
publisher.none.fl_str_mv Medicina Oral, S.L.
dc.source.none.fl_str_mv Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))
reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
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