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- DOI 10.18231/j.jds.15842.1759123468
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CrossMark
3D analysis of effects of MARPE on skeletal, dental and airway structures – A systematic review
- Author Details:
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Swaroopa Rani Ponnada *
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Snigdha Pattanaik
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Pragnya Dittakavi
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Chandrasekhar Gandikota
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Smruti Bhusan Nanda
Swaroopa Rani Ponnada *
Background: MARPE represents a non-surgical approach to treating transverse maxillary deficiency. Nevertheless, the available evidence regarding the effectiveness of MARPE is limited.
Objectives: This systematic review aims to evaluate the efficacy of MARPE on factors such as skeletal and dental transverse maxillary dimensions, success rate, maxillary sinus width, upper airway dimension, effects on obstructive sleep apnea and periodontium.
Materials and Methods: Four electronic databases were searched: PubMed, SCOPUS, Science Direct and COCHRANE with Publication date restriction from 2000 to till date.
Selection criteria: observational studies, non- randomized and randomized clinical trials done on patients aged up to 25 years with transverse maxillary deficiency, undergoing treatment with MARPE were considered.
Data collection and analysis: Inclusion eligibility screening, data extraction, and assessment of risk of bias were conducted independently.
Results: A total of seven articles were included in the study. MARPE showed a high success rate ranging from 83.9-100%, with significant skeletal transverse width increase (1.04- 3.37 mm) and intermolar dental width increase (2.85- 6.7 mm). A significant increase in the airway dimensions and apnea/hypopnea index was present (p<0.05). A significant decrease in the maxillary sinus width (- 2.11 ± 0.72 mm) and the buccal plate thickness by 0.6 mm could be observed.
Conclusion: MARPE has a high success rate as a treatment method in skeletal and dental expansion. As some amount of bias is associated with the studies selected further research involving superior quality is recommended.
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