Evidence map›Paper›PMID 28397083›Full record

Trial reportJournal of orofacial orthopedics = Fortschritte der Kieferorthopadie : Organ/official journal Deutsche Gesellschaft fur Kieferorthopadie2017

Cephalometric and dental arch changes to Haas-type rapid maxillary expander anchored to deciduous vs permanent molars: a multicenter, randomized controlled trial.

Carmen Cerruto, Alessandro Ugolini, Luca Di Vece, Tiziana Doldo, Alberto Caprioglio, Armando Silvestrini-Biavati

Registry-linked trialAbstract readComparative StudyMulticenter StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Journal of orofacial orthopedics = Fortschritte der Kieferorthopadie : Organ/official journal Deutsche Gesellschaft fur Kieferorthopadie, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02798822 (Dental Arches Response to Haas-type RME Anchored to Deciduous vs Permanent Molars in Children With Unilateral Posterior Crossbite), which is not on this map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
2.7field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02798822 nacompletednot on this map

Dental Arches Response to Haas-type RME Anchored to Deciduous vs Permanent Molars in Children With Unilateral Posterior Crossbite

TypeinterventionalSponsorUniversity of GenovaRan2013 to 2015Enrolled88ConditionsPosterior CrossbiteArmsRapid maxillary expansion
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 38 citations in OpenAlex.

  1. Orthodontic treatment for crowded teeth in children.The Cochrane database of systematic reviews · 2021
    Pooled it
  2. Orthodontic treatment for posterior crossbites.The Cochrane database of systematic reviews · 2021
    Pooled it
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  15. Upper canine response to rapid maxillary expander anchored to deciduous vs. permanent molars.Journal of orofacial orthopedics = Fortschritte der Kieferorthopadie : Organ/official journal Deutsche Gesellschaft fur Kieferorthopadie · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Carmen CerrutoPrivate Practice in Siena, Siena, Italy.
Alessandro UgoliniDivision of Orthodontics, Department of Surgical and Diagnostic Sciences, University of Genoa, Genoa, Italy. alexugolini@yahoo.it.
Luca Di VeceDivision of Orthodontics, Department of Medical Biotechnologies, University of Siena, Siena, Italy.
Tiziana DoldoDivision of Orthodontics, Department of Medical Biotechnologies, University of Siena, Siena, Italy.
Alberto CaprioglioDivision of Orthodontics, Department of Surgical and Morphological Sciences, University of Insubria, Varese, Italy.
Armando Silvestrini-BiavatiDivision of Orthodontics, Department of Surgical and Diagnostic Sciences, University of Genoa, Genoa, Italy.
University of Genoa · ITUniversity of Siena · ITUniversity of Insubria · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess radiographic changes and dental arch changes with Haas-type rapid maxillary expansion (H-RME) anchored to deciduous versus permanent molars in children with unilateral posterior crossbite.

methodsIn all, 70 patients with unilateral posterior crossbite were randomly allocated to group GrE (H-RME on second deciduous molars) or Gr6 (H-RME on first permanent molars) and compared between T0 (before treatment) and T1 (at the RME removal; i.e., 10 months after the end of the activation of the screw). At T0 and T1, cephalometric head films were digitally traced, dental casts were scanned, and rotations of the upper first molars, of the upper central, and of the upper lateral incisors on the models were measured.

resultsBetween T0 and T1, the cephalometric analysis showed a significant decrease of the angulation of the upper central incisors to the SN line and to the palatal plane in GrE together with a significant increase of the lower incisors to the mandibular plane (IMPA). The digital dental cast analysis showed that the central and lateral incisors mesiorotated significantly more in GrE than in Gr6. Patients in GrE also showed a statistically significant distorotation of the upper first permanent molars after RME.

conclusionsGrE showed a significant and spontaneous retraction and alignment of the upper central and lateral incisors compared to Gr6. This is probably due to a more pronounced expansion in the anterior area and more accentuated pressure of the upper lip in GrE. IMPA increased significantly in GrE vs Gr6. GrE also showed a more significant distorotation of the upper first permanent molars compared to Gr6. This is probably due to the design of the H-RME in GrE, where the screw is more anteriorly positioned and the bands are absent on the upper first permanent molars which are, therefore, free to adapt to the best occlusal situation.

trial registrationClinicalTrials.gov Identifier NCT02798822.

Indexed as

CephalometryDentition, PermanentMolarTooth, DeciduousChildDental ArchFemaleHumansImaging, Three-DimensionalIncisorMaleMalocclusionOrthodontic Anchorage ProceduresPalatal Expansion TechniqueCephalometric changesDeciduous vs permanent molarsRapid maxillary expansionThree-dimensional

Identifiers

PMID28397083
OpenAlexW2605658579

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.