de Miranda Ladewig Victor, Miron Stefani Cristine, De Luca Canto Graziela, Pandis Nikolaos, Flores-Mir Carlos
Mike Petryk School of Dentistry, University of Alberta, Edmonton Clinic Health Academy, 5th Floor, 11405 - 87 Avenue NW, Edmonton, Alberta T6G 1C9, Canada.
Department of Dentistry, Health Sciences School, University of Brasilia, Campus Universitário Darcy Ribeiro Brasília-DF | 70910-900, Brasilia, Brazil.
Eur J Orthod. 2025 Apr 8;47(3). doi: 10.1093/ejo/cjaf040.
This mapping review aimed to identify trends, frequently reviewed topics and assess the methodological quality of recent orthodontic systematic reviews (SRs).
SRs published between January 2018 and June 2023 were retrieved from PubMed, EMBASE, SCOPUS, Web of Science, and Google Scholar. Two reviewers independently selected studies and extracted data, with a third resolving discrepancies. Methodological quality was evaluated using AMSTAR-2.
From 3,131 initial articles, 430 SRs were included. A publication increase of over 50% occurred from 2019 to 2022. The most frequent topics were palatal expansion (12.6%), techniques to accelerate orthodontic movement (11.6%), and clear aligners (9.3%). Only 18.2% of SRs were rated as high or moderate quality, with those on clear aligners rated the lowest (4.9%). Common methodological weaknesses included a lack of protocol registration, absence of excluded study lists, and failure to address publication bias.
Orthodontic SRs have increased significantly over the five-year period assessed, with notable increase in contributions from specific countries. However, most SRs exhibited low methodological quality, raising concerns about clinical applicability. Improved adherence to methodological and reporting standards is crucial for enhancing SR quality and credibility.
本映射综述旨在确定近期正畸系统评价(SRs)的趋势、经常被综述的主题,并评估其方法学质量。
从PubMed、EMBASE、SCOPUS、科学网和谷歌学术中检索2018年1月至2023年6月发表的SRs。两名评审员独立选择研究并提取数据,第三名评审员解决分歧。使用AMSTAR-2评估方法学质量。
从3131篇初始文章中,纳入了430篇SRs。2019年至2022年期间,发表量增长超过50%。最常见的主题是腭扩展(12.6%)、加速正畸移动的技术(11.6%)和透明矫治器(9.3%)。只有18.2%的SRs被评为高质量或中等质量,其中关于透明矫治器的SRs评分最低(4.9%)。常见的方法学弱点包括缺乏方案注册、没有排除研究列表以及未解决发表偏倚。
在所评估的五年期间,正畸SRs显著增加,特定国家的贡献显著增加。然而,大多数SRs的方法学质量较低,这引发了对临床适用性的担忧。更好地遵守方法学和报告标准对于提高SRs的质量和可信度至关重要。