Ronsivalle Vincenzo, Nucci Ludovica, Bua Nicolò, Palazzo Giuseppe, La Rosa Salvatore
Department of Medical-Surgical Specialties-Section of Orthodontics, School of Dentistry, University of Catania, Policlinico Universitario "G. Rodolico-San Marco", 95123 Catania, Italy.
Department of Medical-Surgical and Dental Specialties, University of Campania Luigi Vanvitelli, 80100 Naples, Italy.
Children (Basel). 2023 Nov 17;10(11):1821. doi: 10.3390/children10111821.
BACKGROUND: Interceptive orthodontic treatment aims to eliminate factors that prevent the harmonious development of the maxillary and mandibular arches during childhood, and elastodontic appliances (EAs) represent a group of devices with an increasingly important role. This systematic narrative hybrid review (HR) aims to provide an overview of the clinical indications for the use of EAs according to the available evidence and to identify potential research areas for unexplored applications. MATERIALS AND METHODS: To assess the available literature on the subject, selective database searches were performed between July 2023 and September 2023. With the assistance of a health sciences librarian, a search strategy that utilized terms related to elastodontic therapy was developed. Embase, Scopus, PubMed, and Web of Science were the databases used. RESULTS: The current literature addressing the usability of EAs is scarce and mostly limited to case reports and case series. After 2168 citations were found through the searches, 13 studies were ultimately included. In this regard, information about the clinical use and effectiveness of EAs are reported in a narrative form, defining specific domains of the application that are clinically oriented, including sagittal and transversal discrepancies, atypical swallowing, teeth malposition, two-phase orthodontics and a lack of teeth retention. CONCLUSIONS: Within the intrinsic quality limitation of the available literature, it seems that EAs may represent a promising treatment alternative for managing mild-to-moderate malocclusion in children as an adjuvant therapy to the interruption of spoiled habits.
背景:阻断性正畸治疗旨在消除儿童期妨碍上颌和下颌牙弓协调发育的因素,而弹性矫治器(EA)是一类作用日益重要的矫治装置。本系统叙述性混合综述(HR)旨在根据现有证据概述EA的临床应用指征,并确定未探索应用的潜在研究领域。 材料与方法:为评估该主题的现有文献,于2023年7月至2023年9月进行了选择性数据库检索。在健康科学图书馆员的协助下,制定了一种利用与弹性矫治治疗相关术语的检索策略。使用的数据库有Embase、Scopus、PubMed和科学网。 结果:目前关于EA可用性的文献较少,且大多限于病例报告和病例系列。通过检索找到2168条引文后,最终纳入13项研究。在这方面,以叙述形式报告了有关EA临床应用和有效性的信息,定义了临床导向的应用特定领域,包括矢状和横向差异、非典型吞咽、牙齿错位、两期正畸以及牙齿固位不足。 结论:在现有文献的内在质量限制范围内,EA似乎可能是治疗儿童轻至中度错牙合畸形的一种有前景的替代方法,可作为中断不良习惯的辅助治疗。
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