Periodontal parameters in orthodontically tractioned teeth: A systematic review and meta-analysis
- Author:
Paola Marques de MATTOS
1
;
Flavio Magno GONÇALVES
;
Isabela Bittencourt BASSO
;
Aline Xavier FERRAZ
;
Bianca Simone ZEIGELBOIM
;
José STECHMAN-NETO
;
Rosane Sampaio SANTOS
;
Cristiano Miranda de ARAUJO
;
Odilon GUARIZA-FILHO
Author Information
- Publication Type:Original Article
- From:The Korean Journal of Orthodontics 2022;52(6):420-431
- CountryRepublic of Korea
- Language:English
-
Abstract:
Objective:This systematic review aimed to evaluate periodontal parameters in orthodontically tractioned teeth compared with the respective non-tractioned contralateral teeth.
Methods:Search strategies were developed for six electronic databases and gray literature. Random-effects meta-analyses were performed for the outcomes of interest. Furthermore, the certainty of the evidence was assessed using the GRADE (Grading of Recommendations Assessment, Development, and Evaluation) tool.
Results:Overall, 2,082 articles were identified, of which 24 were selected for the qualitative synthesis. A significant difference was observed between the impacted and contralateral teeth (mean difference [MD] = 0.25; 95% confidence interval [CI] = 0.10–0.40; I 2 = 0%) when the gingival index was evaluated. Additionally, impacted teeth showed a greater probing depth, with a significant mean difference between the groups (MD = 0.14; 95% CI = 0.07–0.20; I 2 = 6%). Most studies had a low risk of bias; however, the certainty of the evidence was very low owing to the design of existing studies.
Conclusions:The evidence in the literature indicated that tractioned teeth might show worsening of periodontal parameters related to the gingival index and probing depth; however, the evidence remains uncertain about this outcome. Furthermore, probing depth should be considered regarding its clinical significance because of the small effect size observed.
