Pain during Rapid Maxillary Expansion: A Systematic Review
Abstract
:1. Background
2. Materials and Methods
2.1. Selection of Studies
2.2. Data Extraction
2.3. Study Quality Assessment
3. Results
3.1. Study Selection
3.2. Study Characteristics
3.3. Quality Assessment of the Selected Studies
4. Discussion
4.1. Pain and Gender
4.2. Pain and Age
4.3. Pain and Type of Expander Used
4.4. Pain and Activation Protocol Used
4.5. Pain and Strategy of Pain Management Used
4.6. Limitation and Future Suggestions
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Conflicts of Interest
References
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Sr No. | Items | Scoring |
---|---|---|
A | Design of randomized clinical trial | 1 |
B | Eligibility criteria for study participants | 1 |
C | Sample size determination | 1 |
D | Details about clinical diagnostic criteria | 1 |
E | Ethical considerations | 1 |
F | Method of blinding | 1 |
G | Methods and type of randomization | 1 |
H | Description of recruitment period and follow-up | 1 |
I | Withdrawals and dropouts | 1 |
J | Clearly defined outcomes | 1 |
K | Appropriate statistical analysis | 1 |
Total score | 11 |
Author/Year | Patients/Problem/ Population | Intervention |
---|---|---|
Caccianiga et al., 2022 [2] | 30 patients (15 PBMT G, 15 no PBMT G). 16 F, 14 M. M.a. 7.8 years (7.6 years PBMT G, 8 no PBMT G). |
|
de Araújo et al., 2021 [3] | 39 patients with posterior crossbite or maxillary atresia: 20 Hyrax G, 19 Haas G. M.a.: 9.35 years (9.56 Hyrax G, 9.13 Haas G). Hyrax G: 56.5% F, 43.7% M. Haas G: 43.5% F, 56.3% M. |
|
Matos et al., 2021 [15] | 34 patients (18 PBMT G, 16 no PMBT G). PMBT G: 45.5% F, 55.5% M. M.a. 9.2 years. No PBMT G: 55.6% F, 44.4% M. M.a.8.2 years. |
|
Nieri et al., 2021 [16] | 56 patients (28 LE G, 28 RME G) equally divided in two Italian centers. LE G: 61% F, 39% M. M.a. 8 years. RME G: 43% F, 57% M. M.a. 8.4 years. |
|
Altieri et al., 2020 [1] | 38 patients (18 TBE G, BBE G) 44% F, 56% M. M.a. 12.3 years. |
|
Ugolini et al., 2019 [12] | 101 patients (48 RME G, 53 LE G). RME G: 26 F, 23 M. M.a. 9.4 years. LE G: 28 F, 25 M. M.a. 9.1. years. |
|
Cesur et al., 2018 [5] | 62 patients (32 F, 30 M). F m.a.: 13.16 years. M m.a.: 12.91 years. |
|
Cossellu et al., 2018 [9] | Phase 1: 101 patients. KLS G: 28 patients (17 F, 11 M), m.a. 8.5 ± 1.8 years. P G: 35 patients (17 F, 18 M), m.a. 8.7 ± 1.8 years. CTRL G: 35 patients (17 F, 19 M), m.a. 8.9 ± 1.2 years. Phase 2: added KLS-B 31 patients (15 F, 16 M), m.a. 8.7 ± 1.6 years. |
|
Feldmann et al., 2017 [17] | 50 patients (25 TBE G, 25 TBBE G). M.a.: 9.7 years TBE G, 10 years TBBE G. |
|
Needleman et al., 2000 [10] | 97 patients: 61% F, 39% M. M.a.: 7.7 years. |
|
Comparison | Outcome | Study Design |
---|---|---|
PBMT G with no PBMT G. |
| Randomized clinical trial. |
Hyrax G with Haas G. |
| Prospective study. |
PBMT G with no PBMT G. |
| Two-arm parallel-group randomized clinical trial. |
LE G with RME G. |
| Multicenter randomized controlled trial. |
TBE G with BBE G. |
| Parallel cohort study. |
LE G with RME G. |
| Multicentric randomized study. |
None. |
| Not defined by authors. |
| Phase 1:
|
|
TBE G with TBBE G. |
| Randomized controlled trial. |
None. |
| Not defined by authors. |
Authors | Items for Methodological Quality Criteria | Total Score | Methodological Quality of the Study | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
A | B | C | D | E | F | G | H | I | J | K | |||
Caccianiga et al., 2022 [2] | 1 | 1 | 0 | 0.5 | 1 | 0.5 | 1 | 1 | 1 | 1 | 1 | 9 | Moderate (7–9 points) |
de Araújo et al., 2021 [3] | 0.5 | 1 | 1 | 0.5 | 1 | 0 | 1 | 1 | 1 | 0.5 | 1 | 8.5 | Moderate (7–9 points) |
Matos et al., 2021 [15] | 1 | 1 | 1 | 0.5 | 1 | 0.5 | 1 | 1 | 1 | 1 | 1 | 10 | Good (>9 points) |
Nieri et al., 2021 [16] | 1 | 1 | 1 | 1 | 1 | 0.5 | 1 | 1 | 1 | 1 | 1 | 10.5 | Good (>9 points) |
Altieri et al., 2020 [1] | 0.5 | 1 | 0 | 0.5 | 1 | 0.5 | 1 | 1 | 1 | 0.5 | 1 | 8 | Moderate (7–9 points) |
Ugolini et al., 2019 [12] | 1 | 1 | 1 | 1 | 1 | 0.5 | 1 | 1 | 1 | 1 | 1 | 10.5 | Good (>9 points) |
Cesur et al., 2018 [5] | 0 | 1 | 0 | 0.5 | 1 | 0 | 0 | 1 | 1 | 0.5 | 1 | 6 | Poor (<7) |
Cossellu et al., 2018 [9] | 1 | 1 | 1 | 0.5 | 1 | 0.5 | 1 | 1 | 1 | 1 | 1 | 10 | Good (>9 points) |
Feldmann et al., 2017 [17] | 1 | 1 | 0 | 0.5 | 1 | 0.5 | 1 | 1 | 1 | 0.5 | 1 | 8.5 | Moderate (7–9 points) |
Needleman et al., 2000 [10] | 0 | 1 | 0 | 0.5 | 1 | 0 | 0 | 1 | 1 | 0.5 | 1 | 6 | Poor (<7) |
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Barone, M.; De Stefani, A.; Cavallari, F.; Gracco, A.; Bruno, G. Pain during Rapid Maxillary Expansion: A Systematic Review. Children 2023, 10, 666. https://doi.org/10.3390/children10040666
Barone M, De Stefani A, Cavallari F, Gracco A, Bruno G. Pain during Rapid Maxillary Expansion: A Systematic Review. Children. 2023; 10(4):666. https://doi.org/10.3390/children10040666
Chicago/Turabian StyleBarone, Martina, Alberto De Stefani, Filippo Cavallari, Antonio Gracco, and Giovanni Bruno. 2023. "Pain during Rapid Maxillary Expansion: A Systematic Review" Children 10, no. 4: 666. https://doi.org/10.3390/children10040666
APA StyleBarone, M., De Stefani, A., Cavallari, F., Gracco, A., & Bruno, G. (2023). Pain during Rapid Maxillary Expansion: A Systematic Review. Children, 10(4), 666. https://doi.org/10.3390/children10040666