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Research Article
Khaled Khalaf
University of Sharjah
Corresponding Author
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Background: The aim of this systematic review was to address the clinical effectiveness of space maintainers and space regainers in the prevention and correction of dental arch decrease in the mixed dentition.
Methods: An electronic search was conducted using five databases and 6 relevant journals. Inclusion criteria were: Randomized Controlled Clinical Trials (RCTs), Controlled Clinical Trials (CCTs), cohort studies and case-control studies of children in the mixed dentition requiring a space maintainer or a space regainer, children with mild to moderate crowding, and with Class I and mild Class II or Class III skeletal pattern.
Results: Following the three phases of a systematic search, 11 were included for the final analysis, of which 1 article was found to be of critical risk, 2 articles of serious risk and 8 articles of moderate risk of bias.
Conclusions: Space maintainers may preserve arch length and prevent crowding in mildly to moderately crowded cases, but at the cost of proclination of the lower incisors. Space regainers were somehow effective in distalizing the maxillary and mandibular first permanent molars and thus contributing to the resolution of mild to moderate crowding in the mixed dentition. However, considering the low evidence provided by this systematic review, high-quality studies are needed.
Registration: PROSPERO (CRD42020170035).
Keywords
Distalizing, Appliances, Agenesis, Pediatric dentistry, Space Maintenance, crowding
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No competing interests reported.
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View the published article at The Saudi Dental Journal.
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A new preprint design is coming!
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This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Research Article
Khaled Khalaf
University of Sharjah
Corresponding Author
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
History
CURRENT STATUS: Posted
View the published article at The Saudi Dental Journal.
Version 1
Posted 31 Mar, 2021
No community comments so far
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Dentistry
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published article at The Saudi Dental Journal.
Background: The aim of this systematic review was to address the clinical effectiveness of space maintainers and space regainers in the prevention and correction of dental arch decrease in the mixed dentition.
Methods: An electronic search was conducted using five databases and 6 relevant journals. Inclusion criteria were: Randomized Controlled Clinical Trials (RCTs), Controlled Clinical Trials (CCTs), cohort studies and case-control studies of children in the mixed dentition requiring a space maintainer or a space regainer, children with mild to moderate crowding, and with Class I and mild Class II or Class III skeletal pattern.
Results: Following the three phases of a systematic search, 11 were included for the final analysis, of which 1 article was found to be of critical risk, 2 articles of serious risk and 8 articles of moderate risk of bias.
Conclusions: Space maintainers may preserve arch length and prevent crowding in mildly to moderately crowded cases, but at the cost of proclination of the lower incisors. Space regainers were somehow effective in distalizing the maxillary and mandibular first permanent molars and thus contributing to the resolution of mild to moderate crowding in the mixed dentition. However, considering the low evidence provided by this systematic review, high-quality studies are needed.
Registration: PROSPERO (CRD42020170035).
Figure 1
Figure 2
Figure 3
Figure 4
No competing interests reported.
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