Evidence map›Paper›PMID 38558512›Full record

SynthesisClinical and experimental dental research2024

Systematic review on effects of experimental orthodontic tooth displacement on brain activation assessed by fMRI.

Gelareh Sadvandi, Amir Ehsan Kianfar, Kathrin Becker, Alexander Heinzel, Michael Wolf, Sareh Said-Yekta Michael

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Clinical and experimental dental research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 34% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 2 citations in OpenAlex.

  1. Pooled it
  2. Article
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.

Gelareh SadvandiDepartment of Orthodontics, RWTH Aachen University Hospital, Germany.ORCID 0000-0001-6315-6748
Amir Ehsan KianfarRWTH Aachen University, Germany.
Kathrin BeckerDepartment of Dentofacial Orthopedics and Orthodontics, Charité Universitätsmedizin Berlin, Berlin, CC03, Germany.
Alexander HeinzelDepartment of Nuclear Medicine, Martin-Luther-University Halle-Wittenberg, Halle, Germany.
Michael WolfDepartment of Orthodontics, RWTH Aachen University Hospital, Germany.
Sareh Said-Yekta MichaelDepartment of Orthodontics, RWTH Aachen University Hospital, Germany.ORCID 0000-0003-1186-9417
RWTH Aachen University · DECharité - Universitätsmedizin Berlin · DEMartin Luther University Halle-Wittenberg · DE

Funding

No funding was received to complete this review
6 · The paper itself

Abstract

backgroundOrthodontic treatment is often accompanied by discomfort and pain in patients, which are believed to be a result of orthodontic tooth displacement caused by the mechanical forces exerted by the orthodontic appliances on the periodontal tissues. These lead to change blood oxygen level dependent response in related brain regions.

objectiveThis systematic review aims to assess the impact of experimental orthodontic tooth displacement on alterations in central nervous system activation assessed by tasked based and resting state fMRI. MATERIALS AND

methodsA literature search was conducted using online databases, following PRISMA guidelines and the PICO framework. Selected studies utilized magnetic resonance imaging to examine the brain activity changes in healthy participants after the insertion of orthodontic appliances.

resultsThe initial database screening resulted in 791 studies. Of these, 234 were duplicates and 547 were deemed irrelevant considering the inclusion and exclusion criteria. Of the ten remaining potential relevant studies, two were excluded during full-text screening. Eight prospective articles were eligible for further analysis. The included studies provided evidence of the intricate interplay between orthodontic treatment, pain perception, and brain function. All of the participants in the included studies employed orthodontic separators in short-term experiments to induce tooth displacement during the early stage of orthodontic treatment. Alterations in brain activation were observed in brain regions, functional connectivity and brain networks, predominantly affecting regions implicated in nociception (thalamus, insula), emotion (insula, frontal areas), and cognition (frontal areas, cerebellum, default mode network).

conclusionsThe results suggest that orthodontic treatment influences beyond the pain matrix and affects other brain regions including the limbic system. Furthermore, understanding the orthodontically induced brain activation can aid in development of targeted pain management strategies that do not adversely affect orthodontic tooth movement. Due to the moderate to serious risk of bias and the heterogeneity among the included studies, further clinical trials on this subject are recommended.

Indexed as

BrainMagnetic Resonance ImagingTooth Movement TechniquesHumansOrthodontic AppliancesPain Perceptionbrain activitymagnetic resonance imagingorthodontic tooth movementorthodontic treatment

Identifiers

PMID38558512
PMCPMC10982672
OpenAlexW4393389679

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.