Evidence map›Paper›PMID 39569259›Full record

ReviewCureus2024

Effect of Anchorage Modifications on the Efficacy of Miniscrew-Assisted Rapid Palatal Expansion: A Systematic Review and Meta-Analysis.

Yury A Villa-Obando, Sandra M Correa-Osorio, Robinson A Castrillon-Marin, Anny M Vivares-Builes, Carlos M Ardila

Abstract readReview
In one paragraph

Review in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

5 authors.

Yury A Villa-ObandoOrthodontics, School of Dentistry, Institución Universitaria Visión de las Américas, Medellín, COL.
Sandra M Correa-OsorioOrthodontics, School of Dentistry, Institución Universitaria Visión de las Américas, Medellín, COL.
Robinson A Castrillon-MarinOrthodontics, School of Dentistry, Institución Universitaria Visión de las Américas, Medellín, COL.
Anny M Vivares-BuilesOrthodontics, School of Dentistry, Institución Universitaria Visión de las Américas, Medellin, COL.
Carlos M ArdilaBasic Sciences, Faculty of Dentistry, University of Antioquia, Medellin, COL.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mini-implant-assisted rapid palatal expansion (MARPE) offers a non-surgical alternative for expanding the basal bone, increasing skeletal effects while minimizing undesirable dental side effects. This systematic review and meta-analysis evaluate the effectiveness of MARPE in terms of transverse skeletal development, dentoalveolar changes, and periodontal effects, with consideration of appliance design. A review was conducted across multiple databases, including PubMed, MEDLINE, Embase, Scopus, and Springer, covering studies published between 2005 and 2024. Randomized controlled trials involving MARPE, with specific attention to design variations (e.g., miniscrew type, number, diameter, length, position, and activation protocol), were selected. Transverse skeletal expansion, assessed via changes in the nasal width, was reported in six of seven studies, with an average increase ranging from 0.31 mm to 2.90 mm for MARPE, compared to 0.11 mm to 2.46 mm for conventional Hyrax expanders. Maxillary width expansion ranged from 2.89 mm to 9.08 mm with MARPE and from 2.59 mm to 8.51 mm with Hyrax. Periodontal changes were reported in six studies, although details were generally unclear. The use of four self-drilling miniscrews with once-daily activation over an extended period produced greater nasal width expansion, greater average skeletal expansion of the maxilla, and less dental inclination and dentoalveolar expansion compared to Hyrax. No significant differences were observed between short and long miniscrews, although wider miniscrews resulted in improved outcomes. The MARPE technique, especially when using a design with four self-drilling miniscrews and daily activation until the targeted expansion is reached, offers notable benefits compared to the conventional Hyrax appliance. This method improves both nasal and maxillary skeletal expansion, lessens dental inclination, and reduces negative effects relative to traditional approaches.

Indexed as

maxillary expansionminiscrewsorthodontic anchorage procedurespalatal expansion techniquerandomized controlled trials

Identifiers

PMID39569259
PMCPMC11577497

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.