Periodontal Parameters in Orthodontically Tractioned Teeth: A Systematic Review and Meta-analysis

Overview

Journal Korean J Orthod

Date 2022 Nov 25

PMID 36424810

Authors

Paola Marques de Mattos

Flavio Magno Goncalves

Isabela Bittencourt Basso

Aline Xavier Ferraz

Bianca Simone Zeigelboim

Jose Stechman-Neto

Rosane Sampaio Santos

Cristiano Miranda de Araujo

Odilon Guariza-Filho

Affiliations

Soon will be listed here.

Abstract

Objective: This systematic review aimed to evaluate periodontal parameters in orthodontically tractioned teeth compared with the respective non-tractioned contralateral teeth.

Methods: Search strategies were developed for six electronic databases and gray literature. Random-effects meta-analyses were performed for the outcomes of interest. Furthermore, the certainty of the evidence was assessed using the GRADE (Grading of Recommendations Assessment, Development, and Evaluation) tool.

Results: Overall, 2,082 articles were identified, of which 24 were selected for the qualitative synthesis. A significant difference was observed between the impacted and contralateral teeth (mean difference [MD] = 0.25; 95% confidence interval [CI] = 0.10-0.40; I = 0%) when the gingival index was evaluated. Additionally, impacted teeth showed a greater probing depth, with a significant mean difference between the groups (MD = 0.14; 95% CI = 0.07-0.20; I = 6%). Most studies had a low risk of bias; however, the certainty of the evidence was very low owing to the design of existing studies.

Conclusions: The evidence in the literature indicated that tractioned teeth might show worsening of periodontal parameters related to the gingival index and probing depth; however, the evidence remains uncertain about this outcome. Furthermore, probing depth should be considered regarding its clinical significance because of the small effect size observed.

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