Periodontal, occlusal, and aesthetic outcomes of missing maxillary lateral incisor replacement: A systematic review and network meta-analysis

IF 1.8 Q2 DENTISTRY, ORAL SURGERY & MEDICINE International Orthodontics Pub Date : 2024-12-11 DOI:10.1016/j.ortho.2024.100957

Marco Migliorati , Arianna Zuffanti , Margherita Capuano , Luigi Canullo , Vito Carlo Alberto Caponio , Maria Menini

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Abstract

Introduction

The aim of this systematic review was to determine the best treatment alternatives for patients with maxillary lateral incisor agenesis (MLIA) by comparing orthodontic space closure, implant and tooth supported dental prostheses by assessing studies that evaluated their periodontal, occlusal (function) and aesthetic results.

Methods

The present systematic review was reported according to the indications of the preferred reporting items for systematic reviews and meta-analysis (PRISMA) incorporating network meta-analysis, and the protocol was registered with PROSPERO (CRD42023487245). The PRISMA systematic search, without restriction on language or initial date, was carried out using electronic databases: MEDLINE (PubMed), Scopus and central register of controlled trials. To assess the aesthetic effects of the different treatment methods, an arm-based network meta-analysis was carried out.

Results

The systematic search initially produced 1177 studies. At the end 10 studies met the inclusion criteria. These studies used various methods of treatment for maxillary lateral incisor agenesis including orthodontic space closure, implant-supported and tooth-supported dental prostheses. Data were extracted from the articles selected, and a network meta-analysis was carried out.

Conclusions

Within the limits of this network meta-analysis, no significant difference was found regarding the aesthetic results between orthodontic space closure or dental implant. Tooth-supported dental prostheses for MLIA reported worse scores in the periodontal indexes than orthodontic space closure treatment but the impact of orthodontic and prosthetic treatment on periodontal health remained contentious. Furthermore, no signs of TMJ dysfunction were observed in patients treated with either orthodontic space closure or prosthetic replacement.

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缺失上颌侧切牙置换的牙周、咬合和美学结果：系统回顾和网络荟萃分析。

简介：本系统综述的目的是通过对正畸间隙封闭、种植体和牙齿支撑式义齿的牙周、咬合功能和美学结果进行评估，以确定上颌侧切牙发育不全（MLIA）患者的最佳治疗方案。方法：本系统综述按照纳入网络荟萃分析的首选报告项目（PRISMA）的适应症进行报告，方案在PROSPERO注册（CRD42023487245）。PRISMA系统检索不受语言和起始日期的限制，使用电子数据库：MEDLINE （PubMed）、Scopus和central register of controlled trials。为了评估不同治疗方法的美学效果，进行了基于臂的网络meta分析。结果：系统检索最初产生了1177项研究。最终有10项研究符合纳入标准。这些研究使用了各种治疗上颌侧切牙发育不全的方法，包括正畸间隙封闭、种植体支持和牙齿支持的义齿。从所选文章中提取数据，并进行网络meta分析。结论：在网络荟萃分析的范围内，正畸间隙封闭和种植体的美学效果没有显著差异。牙支撑修复体治疗MLIA的牙周指标得分低于正畸间隙封闭治疗，但正畸和修复体治疗对牙周健康的影响仍存在争议。此外，在正畸间隙关闭或假体置换治疗的患者中，没有观察到TMJ功能障碍的迹象。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Orthodontics DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

2.50

自引率

13.30%

发文量

审稿时长

26 days

期刊介绍： Une revue de référence dans le domaine de orthodontie et des disciplines frontières Your reference in dentofacial orthopedics International Orthodontics adresse aux orthodontistes, aux dentistes, aux stomatologistes, aux chirurgiens maxillo-faciaux et aux plasticiens de la face, ainsi quà leurs assistant(e)s. International Orthodontics is addressed to orthodontists, dentists, stomatologists, maxillofacial surgeons and facial plastic surgeons, as well as their assistants.