Effect of rapid maxillary expansion on the apnoea-hypopnoea index during sleep in children. Systematic review

Martos-Cobo, E.; Mayoral-Sanz, P.; Expósito-Delgado, A.; Durán-Cantolla, Joaquín

doi:10.4317/jced.59750

Cited by 5 publications

(7 citation statements)

References 33 publications

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“…Total (N=1274) opción alternativa terapéutica para la AOS (13); consiste en un procedimiento enfocado en la separación de los dos huesos palatinos y mantenerlos posicionados de esta manera hasta la generación ósea parcial de la sutura palatomedia a través del anclaje esquelético y la unión a los órganos dentales (14). El protocolo de expansión depende de cada paciente, pero por lo general la activación del aparato oscila entre 0,25 y 0,5 mm al día hasta lograr la expansión calculada en la fase de planificación (14). Existe la clasificación de las etapas de la sutura media palatina según su maduración y Lima M menciona que la RME se realiza en pacientes en estadio A, B y C (15).…”

Section: Combinación De Resultados Buscadosunclassified

Eficacia de la expansión rápida maxilar en pacientes con apnea obstructiva del sueño. Revisión de literatura

Gualán Paladines,

Cabrera Padrón

2023

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Introducción. La expansión rápida del maxilar es uno de los tratamientos indicados en los casos de constricción transversal del maxilar con el fin de mejorar aspectos funcionales y estéticos orofaciales. Objetivo. Efectuar una revisión de la literatura científica sobre la eficacia de la expansión rápida maxilar en pacientes con apnea obstructiva del sueño. Metodología. Se realizó una revisión literaria descriptiva y crítica a través de bases de datos digitales como: PubMed, Scielo y Google Academic. Se incluyeron artículos desde marzo del 2018 hasta febrero del 2023 publicados en los idiomas: portugués, inglés y español. Resultados. Se recopiló un total de 29 artículos y se analizó la eficacia de la expansión rápida maxilar como tratamiento para la apnea del sueño. Conclusión. Podemos concluir que la mayoría de estudios evaluados mencionan la existencia notable de un cambio positivo en el síndrome de apnea obstructivo del sueño tras la aplicación de tratamientos que expandan el hueso palatino como lo es la RME.

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Section: Combinación De Resultados Buscadosunclassified

Eficacia de la expansión rápida maxilar en pacientes con apnea obstructiva del sueño. Revisión de literatura

Gualán Paladines,

Cabrera Padrón

2023

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“…These changes indicate that the TBB design might be superior to the TB design concerning its influence on the nasal width, and consequently, the nasal airflow, and could be justified in patients suffering from obstructed upper airways. A systematic review indicated a reduction of apnea–hypopnoea index (AHI) following RME in growing patients ( 20 ), and the TBB-RME might be the design of choice in these cases due to its superiority in expanding the nasal width.…”

Section: Discussionmentioning

confidence: 99%

Three-dimensional comparison of tooth-borne and tooth-bone-borne RME appliances: a randomized controlled trial with 5-year follow-up

Bazargani,

Knode,

Plaksin

et al. 2023

European Journal of Orthodontics

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Summary Objectives To compare the long-term skeletal effects of tooth-borne (TB) and tooth-bone-borne (TBB) rapid maxillary expansion in growing children, using 3D imaging. Materials and methods In total, 52 consecutive patients who met the eligibility criteria were recruited and allocated to either the TB group, mean age 9.3 years (SD 1.3), or the TBB group, mean age 9.5 years (SD 1.2). Cone-beam computed tomography records and plaster models were taken before (T0), directly after (T1), 1 year after (T2), and 5 years after expansion (T3). Randomization Participants were randomly allocated in blocks of different sizes, using the concealed allocation principle in a 1:1 ratio. The randomization list was also stratified by sex to ensure homogeneity between groups. Blinding Due to clinical limitations, only the outcome assessors were blinded to the groups to which the patients were allocated. Results At T1, the midpalatal suture at its anterior part showed a statistically significant difference between the groups with a mean of 0.6 mm (CI 0.2–1.1) more expansion in the TBB group (P < 0.01). This difference was also more evident in boys at T1 with a mean of 0.8 mm (CI 0.2–1.4) (P < 0.01). These differences, however, blotted out at T2 and T3. The nasal width also showed similar differences between the groups, with a significantly larger expansion in the TBB group by a mean of 0.7 mm (CI 0.1–1.4) (P = 0.03). This group difference in favour of the TBB group was maintained at T2 (1.6 mm) and T3 (2.1 mm) (P < 0.01 T2 and T3, respectively). Conclusions Skeletal expansion in the midpalatal suture was significantly higher in the TBB group; however, the magnitude of this expansion was around 0.6 mm more and may not be clinically significant. Skeletal expansion at the level of the nasal cavity was significantly higher in the TBB group. There were no differences between boys and girls with regard to skeletal expansion. Trial registration This trial was not registered on any external sites.

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“…Literature quality assessment was conducted by 2 researchers using Cochrane’s bias risk assessment method [ 17 ] and Review Manager 5.4 software to systematically evaluate and analyze the included literature. We evaluated the 3 levels of low risk, high risk, and unclear risk in the 7 aspects of random allocation method, allocation scheme hiding, blind method of subjects and implementers, blind method of result measurers, data integrity, selective reporting, and other bias risks.…”

Section: Methodsmentioning

confidence: 99%

Traditional Chinese exercises on depression: A network meta-analysis

Feng,

Liu,

Liu

et al. 2024

Medicine

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Background: Exercise is an important factor for the treatment and rehabilitation of depression. Traditional Chinese exercise is considered as an effective treatment for depression. In recent years, many studies have shown that Chinese exercise therapy may be safe in the treatment of depression. To evaluate the therapeutic effect of traditional Chinese exercise on depression using network meta-analysis. Methods: PubMed, Cochrane Library, Web of Science, China National Knowledge Infrastructure, VIP shop Database, China Biomedical Literature Database, and Wan Fang Data Knowledge Service Platform were included in randomized controlled studies on traditional Chinese exercises for the treatment of depression from the establishment of the library to July 2023. The literature was extracted and assessed for risk of bias using the Cochrane Risk of Bias Assessment and statistically analyzed using Review Manager 5.4 and Stata 14.2. Results: A total of 25 studies involving 3 exercises with a total of 1605 cases were included. The results of the network meta-analysis showed that each exercise significantly reduced the 24-item Hamilton Depression Scale (HAMD-24), Hamilton Anxiety Scale, Beck Depression Inventory, and Self-rating Depression Scale scores. However, conventional treatments have the advantage of improving the sleep quality of patients with depression. Conclusions: The 3 exercises included in this study were effective for depression. Baduanjin and Tai Chi were better at improving the outcomes related to depression and anxiety. The effect of sleep quality intervention was slightly worse. Larger, high-quality randomized controlled trials are needed to compare interventions across exercises in a more granular manner.

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Effect of rapid maxillary expansion on the apnoea-hypopnoea index during sleep in children. Systematic review

Cited by 5 publications

References 33 publications

Eficacia de la expansión rápida maxilar en pacientes con apnea obstructiva del sueño. Revisión de literatura

Eficacia de la expansión rápida maxilar en pacientes con apnea obstructiva del sueño. Revisión de literatura

Three-dimensional comparison of tooth-borne and tooth-bone-borne RME appliances: a randomized controlled trial with 5-year follow-up

Traditional Chinese exercises on depression: A network meta-analysis

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