Periodontal Outcomes in Anterior Teeth following Presurgical Orthodontic Decompensation in Patients with Skeletal Class III Malocclusion: A Single-Arm Systematic Review and Meta-Analysis

Objective. This study aims to systematically review and analyze the periodontal outcomes of presurgical orthodontic decompensation (POD) in patients with skeletal Class III malocclusion and to identify the key influencing factors. Material and Methods. We searched the Web of Science, PubMed, Scopus,...

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Main Authors: Yun He, Siyuan Wang, Hui Xiong
Format: Article
Language:English
Published: Wiley 2024-01-01
Series:International Journal of Dentistry
Online Access:http://dx.doi.org/10.1155/2024/5020873
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author Yun He
Siyuan Wang
Hui Xiong
author_facet Yun He
Siyuan Wang
Hui Xiong
author_sort Yun He
collection DOAJ
description Objective. This study aims to systematically review and analyze the periodontal outcomes of presurgical orthodontic decompensation (POD) in patients with skeletal Class III malocclusion and to identify the key influencing factors. Material and Methods. We searched the Web of Science, PubMed, Scopus, Embase, and Cochrane Library databases. The outcomes included measurements related to periodontal soft or hard tissues. Results. A total of 3,904 records were found, of which 10 were included. The meta-analysis revealed significant alveolar bone loss in mandibular incisors on both the lingual and labial sides during POD, with a more pronounced loss on the lingual side at the apex level and on the labial side near the crown. The maxillary incisors demonstrated significant bone loss, primarily on the lingual side. No significant bone loss was observed during postsurgical orthodontic treatment. Gingival recession was statistically significant but had a minor clinical impact. Incisor proclination was found to influence the gingival recession. However, no correlation was observed between bone loss and incisor proclination, vertical facial type, or sex. Conclusions. POD for skeletal Class III patients results in alveolar bone loss, particularly on the lingual side at the mandibular incisors’ apex level and labial side at the crown level, and clinically acceptable gingival recession.
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spelling doaj-art-a321128523b34c69824bc467bb7aa5c22025-01-03T01:41:34ZengWileyInternational Journal of Dentistry1687-87362024-01-01202410.1155/2024/5020873Periodontal Outcomes in Anterior Teeth following Presurgical Orthodontic Decompensation in Patients with Skeletal Class III Malocclusion: A Single-Arm Systematic Review and Meta-AnalysisYun He0Siyuan Wang1Hui Xiong2Hospital of Stomatology Wuhan UniversityHospital of Stomatology Wuhan UniversityDepartment of OrthodonticsObjective. This study aims to systematically review and analyze the periodontal outcomes of presurgical orthodontic decompensation (POD) in patients with skeletal Class III malocclusion and to identify the key influencing factors. Material and Methods. We searched the Web of Science, PubMed, Scopus, Embase, and Cochrane Library databases. The outcomes included measurements related to periodontal soft or hard tissues. Results. A total of 3,904 records were found, of which 10 were included. The meta-analysis revealed significant alveolar bone loss in mandibular incisors on both the lingual and labial sides during POD, with a more pronounced loss on the lingual side at the apex level and on the labial side near the crown. The maxillary incisors demonstrated significant bone loss, primarily on the lingual side. No significant bone loss was observed during postsurgical orthodontic treatment. Gingival recession was statistically significant but had a minor clinical impact. Incisor proclination was found to influence the gingival recession. However, no correlation was observed between bone loss and incisor proclination, vertical facial type, or sex. Conclusions. POD for skeletal Class III patients results in alveolar bone loss, particularly on the lingual side at the mandibular incisors’ apex level and labial side at the crown level, and clinically acceptable gingival recession.http://dx.doi.org/10.1155/2024/5020873
spellingShingle Yun He
Siyuan Wang
Hui Xiong
Periodontal Outcomes in Anterior Teeth following Presurgical Orthodontic Decompensation in Patients with Skeletal Class III Malocclusion: A Single-Arm Systematic Review and Meta-Analysis
International Journal of Dentistry
title Periodontal Outcomes in Anterior Teeth following Presurgical Orthodontic Decompensation in Patients with Skeletal Class III Malocclusion: A Single-Arm Systematic Review and Meta-Analysis
title_full Periodontal Outcomes in Anterior Teeth following Presurgical Orthodontic Decompensation in Patients with Skeletal Class III Malocclusion: A Single-Arm Systematic Review and Meta-Analysis
title_fullStr Periodontal Outcomes in Anterior Teeth following Presurgical Orthodontic Decompensation in Patients with Skeletal Class III Malocclusion: A Single-Arm Systematic Review and Meta-Analysis
title_full_unstemmed Periodontal Outcomes in Anterior Teeth following Presurgical Orthodontic Decompensation in Patients with Skeletal Class III Malocclusion: A Single-Arm Systematic Review and Meta-Analysis
title_short Periodontal Outcomes in Anterior Teeth following Presurgical Orthodontic Decompensation in Patients with Skeletal Class III Malocclusion: A Single-Arm Systematic Review and Meta-Analysis
title_sort periodontal outcomes in anterior teeth following presurgical orthodontic decompensation in patients with skeletal class iii malocclusion a single arm systematic review and meta analysis
url http://dx.doi.org/10.1155/2024/5020873
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AT siyuanwang periodontaloutcomesinanteriorteethfollowingpresurgicalorthodonticdecompensationinpatientswithskeletalclassiiimalocclusionasinglearmsystematicreviewandmetaanalysis
AT huixiong periodontaloutcomesinanteriorteethfollowingpresurgicalorthodonticdecompensationinpatientswithskeletalclassiiimalocclusionasinglearmsystematicreviewandmetaanalysis