Department of Orthodontics and Oral Biology (Head of the department: Prof. A.M. Kuijpers-Jagtman, DDS, PhD, FDSRCS (Eng)), Radboud University Nijmegen Medical Centre, The Netherlands.
J Craniomaxillofac Surg. 2010 Apr;38(3):166-74. doi: 10.1016/j.jcms.2009.06.006. Epub 2009 Aug 6.
A systematic literature review was conducted to find out if bone-borne maxillary expansion with corticotomies is an effective and secure orthodontic/orthopaedic treatment modality, eliminating orthodontic and periodontal side effects of tooth-borne maxillary expansion with corticotomies.
Randomized controlled trials (RCT), controlled clinical trials (CCT) and case series with a sample size >or=5 were electronically searched in PubMED, MEDLINE, EMBASE Excerpta Medica, CINAHL, Biological Abstracts and CENTRAL till June 2008. Data were extracted by 2 observers.
Ten studies fulfilled the inclusion criteria, of which 9 were prospective and 1 was a retrospective case series.
No RCT's or CCT's were published on bone-borne surgically assisted rapid maxillary expansion (SARME). For expected advantages compared to tooth-borne SARME, only weak evidence was found for less buccal tipping of the teeth used as anchor teeth in tooth-borne expansion. The heterogeneity of the retrieved publications and the wide variety of outcome variables posed serious restrictions on the review of the literature in a quantitative systematic manner. There is a need for well designed clinical trials research on the effects of tooth-borne and bone-borne SARME.
系统文献回顾发现，骨内上颌扩张伴皮质切开术是一种有效且安全的正畸/矫形治疗方式，可以消除牙内上颌扩张伴皮质切开术的正畸和牙周副作用。
通过电子检索 PubMED、MEDLINE、EMBASE Excerpta Medica、CINAHL、Biological Abstracts 和 CENTRAL 数据库，检索截止 2008 年 6 月的随机对照试验（RCT）、对照临床试验（CCT）和样本量>或=5 的病例系列。由 2 名观察者提取数据。
10 项研究符合纳入标准，其中 9 项为前瞻性研究，1 项为回顾性病例系列研究。
目前尚未发表关于骨内手术辅助快速上颌扩张（SARME）的 RCT 或 CCT。与牙内 SARME 相比，预计其优势在于，作为牙内扩张中使用的锚牙，牙齿颊侧倾斜的发生率较低，但这方面的证据较弱。检索到的出版物的异质性和各种结果变量严重限制了对文献的定量系统评价。有必要对牙内和骨内 SARME 的效果进行精心设计的临床试验研究。
