de Araujo Cristiano Miranda, Trannin Pâmela Dias, Schroder Angela Graciela Deliga, Stechman-Neto José, Cavalcante-Leão Bianca L, Mattos Natanael Henrique Ribeiro, Zeigelboim Bianca Simone, Santos Rosane Sampaio, Guariza-Filho Odilon
Postgraduate Program in Communication Disorders, Tuiuti University of Paraná, Curitiba, Brazil.
Postgraduate Program in Dentistry, Pontifícia Universidade Católica do Paraná, Curitiba, Paraná, Brazil.
Jpn Dent Sci Rev. 2020 Nov;56(1):164-176. doi: 10.1016/j.jdsr.2020.10.001. Epub 2020 Nov 25.
The aim was to determine whether there is a difference in the periodontal aspect (gingival recession, probing pocket depth) of the palatally displaced canine (PDC) compared to the contralateral canine. Also, from a surgical perspective, sought to determine whether there is a difference (surgical duration, postoperative pain) between the surgical techniques. The word combinations were adapted for each electronic database: PubMed, LILACS, Scopus, Web of Science, Cochrane Library and gray literature. Studies that met the following criteria were considered eligible: (P) Patients who received orthodontic-surgical treatment for correction of PDC; (I) Performing orthodontic-surgical treatment for traction of the PDC; (C) Comparison of the tractioned canine with its contralateral or between the two techniques; (O) Gingival recession, probing pocket depth, postoperative complications and surgical duration; (S) Randomized and nonrandomized clinical studies or observational studies. The overall prevalence of gingival recession was estimated to be 10.53% [95% CI, 3.87% - 25.59%; I = 88%]. No statistically significant difference (p > 0.05) was found between the means of the variables gingival recession, probing pocket depth and surgical duration. The evidence suggests that traction of palatally displaced canines can be considered a reliable and acceptable procedure.
目的是确定与对侧尖牙相比，腭侧移位尖牙（PDC）在牙周方面（牙龈退缩、探诊袋深度）是否存在差异。此外，从手术角度出发，试图确定手术技术之间是否存在差异（手术持续时间、术后疼痛）。针对每个电子数据库（PubMed、LILACS、Scopus、科学网、Cochrane图书馆和灰色文献）对检索词进行了调整。符合以下标准的研究被认为是合格的：（P）接受正畸 - 外科治疗以矫正PDC的患者；（I）进行正畸 - 外科治疗以牵引PDC；（C）将牵引后的尖牙与其对侧进行比较或两种技术之间进行比较；（O）牙龈退缩、探诊袋深度、术后并发症和手术持续时间；（S）随机和非随机临床研究或观察性研究。牙龈退缩的总体患病率估计为10.53%[95%CI，3.87% - 25.59%；I = 88%]。在牙龈退缩、探诊袋深度和手术持续时间这些变量的均值之间未发现统计学上的显著差异（p > 0.05）。证据表明，腭侧移位尖牙的牵引可被视为一种可靠且可接受的程序。
