Evidence map›Paper›PMID 39465357›Full record

SynthesisBMC oral health2024

Effectiveness of mandibular advancement orthodontic appliances with maxillary expansion device in children with obstructive sleep apnea: a systematic review.

Yue Sun, Yifan Jia, Shaotai Wang, Chengjing Xu, Yue Qu, Min Hu, Huan Jiang

Abstract readSystematic Review
In one paragraph

Synthesis in BMC oral health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
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

10 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
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

7 authors.

Yue SunDepartment of Orthodontics, School and Hospital of Stomatology, Jilin University, Changchun, 130021, China.
Yifan JiaDepartment of Orthodontics, School and Hospital of Stomatology, Jilin University, Changchun, 130021, China.
Shaotai WangDepartment of Orthodontics, School and Hospital of Stomatology, Jilin University, Changchun, 130021, China.
Chengjing XuDepartment of Orthodontics, School and Hospital of Stomatology, Jilin University, Changchun, 130021, China.
Yue QuDepartment of Orthodontics, School and Hospital of Stomatology, Jilin University, Changchun, 130021, China.
Min HuDepartment of Orthodontics, School and Hospital of Stomatology, Jilin University, Changchun, 130021, China. humin@jlu.edu.cn.
Huan JiangDepartment of Orthodontics, School and Hospital of Stomatology, Jilin University, Changchun, 130021, China. jianghuan@jlu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe current review aims to explore the evidence regarding the effectiveness of mandibular advancement orthodontic appliances with maxillary expansion device in treating pediatric Obstructive Sleep Apnea (OSA). MATERIALS AND

methodsA systematic literature search was conducted across PubMed, Cochrane Central, Web of Science, Embase, Scopus databases, Chinese Biomedical Database, Chinese National Knowledge Infrastructure, and Wanfang. The research involved children and adolescents (under 16 years old) who received mandibular advancement and maxillary expansion functional orthopedic appliances for OSA treatment. We performed narrative reviews and subsequently amalgamated the findings from the studies.

resultsSix articles were included for review. Although a small number of studies were included, the research suggested the potential advantages of mandibular advancement for children with OSA. Following treatment, there was a decrease in AHI/RDI, an improvement in sleep quality, and the increase in oxygen saturation.

conclusionsThe limited quantity and quality of existing studies necessitate caution when drawing conclusions about the effectiveness of mandibular advancement and maxillary expansion for OSA. In the future, larger and well-designed randomized controlled trials (RCTs) are needed to provide more robust evidence. Patients should be carefully selected, and their orthodontic indications should be thoroughly evaluated before inclusion in such trials.We encourage researchers to design studies that monitor patients over several years to provide a comprehensive understanding of the long-term effectiveness.

trial registrationThis study was registered in PROSPERO(CRD42023480407) on November 20, 2023.

Indexed as

Mandibular AdvancementPalatal Expansion TechniqueSleep Apnea, ObstructiveAdolescentChildHumansOrthodontic AppliancesTreatment OutcomeAdolescentChildrenMandibular advancementMaxillary expansionObstructive sleep apnea (OSA)

Identifiers

PMID39465357
PMCPMC11514814

What OpenQuestion holds

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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.