scholarly journals Post-Treatment Status of Impacted Maxillary Central Incisors following Surgical-Orthodontic Treatment: A Systematic Review

Medicina ◽  
2021 ◽  
Vol 57 (8) ◽  
pp. 783
Author(s):  
Alvyda Žarovienė ◽  
Dominyka Grinkevičienė ◽  
Giedrė Trakinienė ◽  
Dalia Smailienė
Keyword(s):  
Systematic Review ◽  
Clinical Trial ◽  
Orthodontic Treatment ◽  
Alveolar Bone ◽  
Post Treatment ◽  
Publication Date ◽  
Treatment Status ◽  
The Status ◽  
Forced Eruption ◽  
Eruption Duration

Background and Objectives: The aim of this systematic review was to summarize currently available data of published articles that have investigated the post-treatment status of impacted maxillary central incisors (ICI) treated by the surgical-orthodontic approach. Materials and Methods: MEDLINE, Scopus, Cochrane Oral Health Group’s Trials Register, and ScienceDirect electronic databases were systematically searched with no publication date restrictions up to January 2021. Data assessing the status of ICI after combined surgical-orthodontic treatment and forced eruption duration were extracted, and the quality of the studies was evaluated. Results: In total, 7074 studies were identified, of which 42 articles were assessed for eligibility through full-text evaluation. Seven included studies (five retrospective studies, one randomized clinical trial, and one prospective clinical trial) met the inclusion criteria, representing 211 patients with unilaterally impacted maxillary incisors. The risk of bias ranged from moderate to high. The results show that the root length of immature ICIs increased significantly but remained shorter than that of homonym teeth at post-treatment. Periodontal parameters of treated ICIs were in a clinically acceptable range. Measurements of the alveolar bone showed a reduction of bone thickness and support. The average forced eruption duration ranged from 8.0 ± 4.5 to 14.41 ± 4.03 months. Conclusions: Based on existing evidence, it is reasonable to conclude that the surgical-orthodontic treatment affected the post-treatment status of ICI; however, the current literature is insufficient to draw concrete conclusions. Further well-conducted multi-center randomized studies with a large sample are needed to confirm this statement.

scholarly journals The effectiveness of surgical and non-surgical techniques in orthodontic practice in closing post-extraction spaces: a systematic review

2021 ◽  
Vol 19 (1) ◽  
pp. 31-38
Author(s):  
Z. S. Khabadze ◽  
M. E. Balashova
Keyword(s):  
Systematic Review ◽  
Clinical Trials ◽  
Side Effects ◽  
Orthodontic Treatment ◽  
Surgical Techniques ◽  
Long Term Results ◽  
Publication Date ◽  
Controlled Clinical Trials ◽  
Surgical Methods

Reducing the orthodontic treatment duration is an important issue, especially for adult patients who want to complete treatment faster due to social or aesthetic reasons. In addition, an increase in the duration of orthodontic treatment has a number of side effects, therefore, orthodontists and patients are interested in the use of techniques that can accelerate the movement of teeth. Shorter treatment times can be achieved through a combination of orthodontic and surgical or non-surgical techniques.Aim. To systematically evaluate scientific data on the effectiveness and side effects of surgical and non-surgical methods in accelerating orthodontic treatment in situations with the removal of premolars and subsequent closure of the post-extraction spaces.Materials and methods. Electronic search of articles was carried out using search engines and databases: Cyberleninka, eLIBRARY, Google Scholar, Pub Med, SCOPUS. The publication date criterion was selected from January 2010 to January 2021. Articles included in the systematic review had to meet the following inclusion criteria: controlled clinical trials and randomized controlled clinical trials conducted in humans and published in the last 11 years in English language. The systematic review included and analyzed 15 full-text articles.Result. According to the systematic review, the speed of movement of teeth increases 2 times with corticotomy, and 1.5 times with piezocorticotomy, which is consistent with the data of other studies. At the same time, the effectiveness of the movement remains for no more than 2 months after the intervention.Conclusions. The corticotomy procedure reduces the treatment time in comparison with traditional methods by 30-50% (6-8 months). The investigated techniques did not have a significant effect on the depth of probing, the level of attachment, on the density of bone tissue, rotation and inclination of the moved teeth. Since no complications were identified for 2-4 months of observation, further studies are required to assess long-term results in the long term.

scholarly journals Effect of orthodontic treatment on alveolar bone thickness in adults: a systematic review

2019 ◽  
Vol 24 (4) ◽  
pp. 34-45 ◽  
Author(s):  
Michelle Sendyk ◽  
Daniele Sigal Linhares ◽  
Claudio Mendes Pannuti ◽  
João Batista de Paiva ◽  
José Rino Neto
Keyword(s):  
Systematic Review ◽  
Clinical Studies ◽  
Clinical Relevance ◽  
Orthodontic Treatment ◽  
Alveolar Bone ◽  
Tooth Movement ◽  
Thickness Reduction ◽  
Bone Thickness ◽  
Treatment Methods ◽  
Treatment Techniques

ABSTRACT Objectives: This review aimed at evaluating changes in alveolar bone thickness after completion of orthodontic treatment. Methods: Only prospective clinical studies that reported bone thickness in adult patients undergoing non-surgical orthodontic treatment were considered eligible. MEDLINE, EMBASE and LILACS databases were searched for articles published up to July 2018. Results: A total of 12 studies met the selected criteria. Most of the studies showed that orthodontic treatment produces a reduction in bone thickness of incisors, mainly at the palatal side. Conclusion: On patients undergoing different orthodontic treatment techniques, there was a significant bone thickness reduction, mainly on the palatal side. Clinical relevance: These findings are relevant and have to be considered in diagnosis and planning of tooth movement, in order to prevent the occurrence of dehiscence and fenestration in alveolar bone.

scholarly journals Nutrition screening and assessment tools for patients with cancer and survivors of cancer: a systematic review protocol

BMJ Open ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. e037844
Author(s):  
Marianne Boll Kristensen ◽  
Irene Wessel ◽  
Kim Skov Ustrup ◽  
Karin B Dieperink ◽  
Ann-Dorthe Zwisler ◽  
...  
Keyword(s):  
Systematic Review ◽  
Systematic Reviews ◽  
Hospital Setting ◽  
Post Treatment ◽  
Assessment Tools ◽  
Rehabilitation Services ◽  
Publication Date ◽  
Community Based ◽  
Nutrition Screening ◽  
Patients With Cancer

IntroductionNutritional challenges are common consequences of cancer, and they do not only occur in the hospital setting. They are also frequent after completion of treatment, and nutritional interventions in community-based post-treatment rehabilitation services are important. The first step towards initiating any nutritional intervention is to identify the individual in need hereof, but evidence is limited on the applicability of different nutrition screening and assessment tools in the post-treatment rehabilitation services. The aim is to systematically review and identify nutrition screening and assessment tools appropriate for use in patients with cancer and survivors of cancer in hospital or community-based healthcare settings.Methods and analysisIn this systematic review, the electronic databases PubMed, CINAHL Complete and Embase were searched systematically using comprehensive search strategies. Primary searches were carried out in August 2018 with updated searches performed in November 2019. Clinicaltrials.gov and PROSPERO International Prospective Register of Systematic Reviews will be searched for additional relevant studies. Studies will be included if they validate a nutrition screening or assessment tool in adult patients with cancer or survivors of cancer. No restriction on publication date will be applied, and full-text articles in English, Danish, Norwegian and Swedish are eligible for inclusion. Two reviewers will independently conduct screening of search results, study selection, data extraction and quality assessment. Data will be synthesised narratively.Ethics and disseminationNo ethical approval is required. Results will be reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement and published in an international peer-reviewed journal. Furthermore, results will be presented in relevant research and clinical fora to facilitate transfer of results to clinical practice in benefit of patients.PROSPERO registration numberCRD42018096678.

scholarly journals Perbandingan Tinggi Tulang Maksila dan Mandibula di Regio Interisisivi Sentral antara Pra dan Pasca Perawatan Ortodontik dengan Pencabutan ke Empat Gigi Premolar Pertama (Kajian pada Foto Panoramik)

2012 ◽  
Vol 19 (2) ◽  
pp. 114
Author(s):  
Wayan Ardhana
Keyword(s):  
Orthodontic Treatment ◽  
Alveolar Bone ◽  
Panoramic Radiograph ◽  
T Test ◽  
Post Treatment ◽  
Mandibular Bone ◽  
Before And After ◽  
Kolmogorov Smirnov ◽  
Treatment Research ◽  
Bone Height

Latar belakang. Perawatan ortodontik pada kasus-kasus gigi berjejal dan protusif sering membutuhkan pencabutan gigi premolar untuk penyediaan ruang agar gigi berjejal dapat dirapikan dan gigi depan yang protusif dapat diundurkan. Gigi insisivus sentral merupakan salah satu gigi yang paling banyak mengalami pergerakan selama proses retrusi. Pergerakan gigi insisivus mengakibatkan terjadinya perubahan pada puncak tulang alveolar selama perawatan yang mungkin akan mempengaruhi tinggi tulang maksila dan mandibula pasca perawatan. Tujuan penelitian. Membandingkan tinggi tulang maksila dan mandibula di daerah interdental gigi insisivi sentral pada foto panoramic antara pra dan pasca perawatan maloklusi dengan pencabutan ke empat gigi premolar pertama. Metode penelitian. Digunakan 30 pasang foto panoramic pra dan pasca perawatan yang dipilih sesuai dengan kriteria penelitian dari pasien-pasien peneliti yang telah selesai mendapat perawatan aktif dengan teknik edgewise. Analisis Kolmogorov-Smirnov dan Shaviro-Wilk digunakan untuk uji normalitas dan Student t-test data berpasangan digunakan untuk menguji perbedaan tinggi tulang maksila dan mandibula antara pra dan pasca perawatan. Hasil Penelitian. Tidak didapatkan perbedaan (p>0,05) tinggi tulang maksila dan amndibula antara pra dan pasca perawatan ortodontik dengan pencabutan keempat gigi premolar pertama. Background. In orthodontic treatment, premolar extractions are often needed in crowding and prostrusive cases to provide space for the teeth can be aligned and retracted to their desire position. Central incisor teeth are the teeth that mostly undergone more movement during retrusion. The change of the alveolar bone crest in this incisors might affect the maxillary and mandibular bone height post-treatment. Research objectives. The present study aimed to compare the bone height in the interdental maxillary and mandibular central incisors regions before and after orthodontic treatment with four first premolars extractions on panaromic radiograph. Research Methods. Thirty pairs of panoramic radiograph of pre and post treatment were selected according to the criteria of the study f the patients who have completed their active treatment with edgewise technique. The results were analyzed by the Kolmogorov-Smirnov and Shaviro-Wilk for testing the data normality and the Student paired t-test for testing the significancy of maxillary and mandibula bone heights differences between pre and post treatment. Results. There were no differences (p>0,05) between the maxillary and mandibular bone height were shown in pre and post orthodontic treatment with four first premolars extractions.

349 Cognitive Behavioral Therapy for Insomnia in Patients with Chronic Pain - A Systematic Review and Meta-Analysis

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A139-A140
Author(s):  
Janannii Selvanathan ◽  
Chi Pham ◽  
Mahesh Nagappa ◽  
Philip Peng ◽  
Marina Englesakis ◽  
...  
Keyword(s):  
Systematic Review ◽  
Cognitive Behavioral Therapy ◽  
Cancer Pain ◽  
Behavioral Therapy ◽  
Meta Analysis ◽  
Post Treatment ◽  
Cognitive Behavioral ◽  
Comorbid Insomnia ◽  
Patient Reported

Abstract Introduction Patients with chronic non-cancer pain often report insomnia as a significant comorbidity. Cognitive behavioral therapy for insomnia (CBT-I) is recommended as the first line of treatment for insomnia, and several randomized controlled trials (RCTs) have examined the efficacy of CBT-I on various health outcomes in patients with comorbid insomnia and chronic non-cancer pain. We conducted a systematic review and meta-analysis on the effectiveness of CBT-I on sleep, pain, depression, anxiety and fatigue in adults with comorbid insomnia and chronic non-cancer pain. Methods A systematic search was conducted using ten electronic databases. The duration of the search was set between database inception to April 2020. Included studies must be RCTs assessing the effects of CBT-I on at least patient-reported sleep outcomes in adults with chronic non-cancer pain. Quality of the studies was assessed using the Cochrane risk of bias assessment and Yates quality rating scale. Continuous data were extracted and summarized using standard mean difference (SMD) with 95% confidence intervals (CIs). Results The literature search resulted in 7,772 articles, of which 14 RCTs met the inclusion criteria. Twelve of these articles were included in the meta-analysis. The meta-analysis comprised 762 participants. CBT-I demonstrated a large significant effect on patient-reported sleep (SMD = 0.87, 95% CI [0.55–1.20], p < 0.00001) at post-treatment and final follow-up (up to 9 months) (0.59 [0.31–0.86], p < 0.0001); and moderate effects on pain (SMD = 0.20 [0.06, 0.34], p = 0.006) and depression (0.44 [0.09–0.79], p= 0.01) at post-treatment. The probability of improving sleep and pain following CBT-I at post-treatment was 81% and 58%, respectively. The probability of improving sleep and pain at final follow-up was 73% and 57%, respectively. There were no statistically significant effects on anxiety and fatigue. Conclusion This systematic review and meta-analysis showed that CBT-I is effective for improving sleep in adults with comorbid insomnia and chronic non-cancer pain. Further, CBT-I may lead to short-term moderate improvements in pain and depression. However, there is a need for further RCTs with adequate power, longer follow-up periods, CBT for both insomnia and pain, and consistent scoring systems for assessing patient outcomes. Support (if any):

scholarly journals A systematic review of potential habitat suitability for the jaguar Panthera onca in central Arizona and New Mexico, USA

Oryx ◽  
2021 ◽  
pp. 1-12
Author(s):  
Eric W. Sanderson ◽  
Kim Fisher ◽  
Rob Peters ◽  
Jon P. Beckmann ◽  
Bryan Bird ◽  
...  
Keyword(s):  
Systematic Review ◽  
New Mexico ◽  
Carrying Capacity ◽  
Panthera Onca ◽  
Mountain Ranges ◽  
Potential Habitat ◽  
The Status ◽  
The Usa ◽  
Mexico Border ◽  
Conservation Plan

Abstract In April 2019, the U.S. Fish and Wildlife Service (USFWS) released its recovery plan for the jaguar Panthera onca after several decades of discussion, litigation and controversy about the status of the species in the USA. The USFWS estimated that potential habitat, south of the Interstate-10 highway in Arizona and New Mexico, had a carrying capacity of c. six jaguars, and so focused its recovery programme on areas south of the USA–Mexico border. Here we present a systematic review of the modelling and assessment efforts over the last 25 years, with a focus on areas north of Interstate-10 in Arizona and New Mexico, outside the recovery unit considered by the USFWS. Despite differences in data inputs, methods, and analytical extent, the nine previous studies found support for potential suitable jaguar habitat in the central mountain ranges of Arizona and New Mexico. Applying slightly modified versions of the USFWS model and recalculating an Arizona-focused model over both states provided additional confirmation. Extending the area of consideration also substantially raised the carrying capacity of habitats in Arizona and New Mexico, from six to 90 or 151 adult jaguars, using the modified USFWS models. This review demonstrates the crucial ways in which choosing the extent of analysis influences the conclusions of a conservation plan. More importantly, it opens a new opportunity for jaguar conservation in North America that could help address threats from habitat losses, climate change and border infrastructure.

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