Accès libre

Evaluation of exaggerated claims in the abstracts of systematic reviews reporting accelerated orthodontic tooth movement: a meta research analysis

À propos de cet article

Citez

Figure 1.

Flowchart for the selection and inclusion of articles assessing spin in accelerated orthodontic tooth movement related systematic review articles and reasons for exclusion.
Flowchart for the selection and inclusion of articles assessing spin in accelerated orthodontic tooth movement related systematic review articles and reasons for exclusion.

Orthodontic Journals selected along with their impact factor based on Metrics based on Scopus® data as of April 2021.

Sl.No Journal Name Impact Factor
1. European Journal of Orthodontics (EJO) 1.252
2. American Journal of Orthodontics and Dentofacial Orthopedics (AJODO) 1.183
3. Angle Orthodontist 1.116
4. The Korean Journal of Orthodontics 0.715
5. Orthodontics and Craniofacial Research 0.664

Search terminologies and phrases.

Cochrane Database of Systematic Reviews searched via The Cochrane Library and five impactful journals on orthodontics
“accelerated orthodontic tooth movement AND systematic review”
“interventions for accelerated orthodontic tooth movement AND systematic review”
“low-level laser therapy assisted accelerated orthodontic tooth movement AND systematic review”
“corticotomy assisted accelerated orthodontic tooth movement AND systematic review”
“electrical current assisted accelerated orthodontic tooth movement AND systematic review”
“pulsed electromagnetic fields assisted accelerated orthodontic tooth movement AND systematic review”
“piezocision assisted accelerated orthodontic tooth movement AND systematic review”
“low-intensity pulsed ultrasound assisted accelerated orthodontic tooth movement AND systematic review”
“dentoalveolar or periodontal distraction assisted accelerated orthodontic tooth movement AND systematic review”
“microsteoperforation assisted accelerated orthodontic tooth movement AND systematic review”
“vibration assisted accelerated orthodontic tooth movement AND systematic review”.

Studies having different types of spin.

Type of Spin Study Year
Misleading Reporting Fau V et al.13 Orthod Fr. 2017 Adverse Effect not mentioned
Darwiche F et al.14 J Contemp Dent Pract. 2020 There is limited available evidence about effectiveness of corticotomy assisted accelerated orthodontics. Although the current review indicates that the corticotomy assisted accelerated orthodontic treatment method can fasten the treatment duration by 2.2–3 folds compared to conventional orthodontic treatment.
Elmotaleb M et al.15 J Int Soc Prev Community Dent. 2019 Adverse Effect not mentioned
Figueiredo D et al.16 J Clin Exp Dent. 2019 Study limitations not mentioned
Li Z et al.17 Angle Orthod. 2021 Study limitations not mentioned
Camacho A et al.18 Photobiomodul Photomed Laser Surg. 2020 Adverse Effect not mentioned
Bakdach W et al. 19 Dent Med Probl. 2020 Low level laser therapy can speed up the rate of tooth movement. However, the overall quality of evidence ranged from low to very low and the clinical significance of the obtained statistically significant differences is questionable.
Imani M et al.20 Acta Inform Med. 2018 Adverse Effect not mentioned
Jedlinski M et al.21 Photobiomodul Photomed Laser Surg. 2020 Adverse Effect not mentioned
Keerthana P et al.22 J Oral Biol Craniofac Res. 2020 Study limitations not mentioned
Kalemaj Z et al.23 Eur J Oral Implantol. 2015 There is some evidence that LLLT can slightly accelerate OTM but this result is not significant and the effect estimated is not clinically relevant.
Sousa M et al.24 Photomed Laser Surg. 2014 LLL seems to have a demonstrated efficacy, but further studies are warranted to determine the best protocols with regard to energy and frequency.
Mohaghegh S et al.25 Int Orthod. 2021 Adverse Effect not mentioned
Li J et al.26 Photobiomodul Photomed Laser Surg. 2021 Adverse Effect not mentioned
Ge M et al.27 Lasers Med Sci. 2015 Adverse Effect not mentioned
Mheissen S.28 PLOS ONE 2020 Low quality evidence suggests that piezocision is an effective surgical procedure in accelerating the rate of canine retraction in the first two months and reducing the treatment duration.However, this effect appears to be clinically insignificant.
Alfawal A et al.29 Progress in Orthodontics 2016 There is limited available evidence about the effectiveness of minimally invasive surgically accelerated orthodontics (MISAO). Although the current review indicated that MISAO can help in accelerating canine retraction.
Al- Shahrani I et al.30 Complementary Therapies in Medicine 2019 Findings of the current systematic review suggest a possible benefit with photobiomodulation therapy and tooth movement in orthodontia. However these findings need to be further validated in larger trails using specific standardized characteristics of laser settings to uniform the methodological design that can be used in routine clinical practice.
Gil A et al.31 J Craniomaxillofac Surg. 2018 Corticotomy facilitated orthodontics resulted in decreased treatment time. Few complications and low morbitidy were found. More solid evidence based research is required to support these results.
Kamal A et al.32 International Orthodontics 2019 Adverse Effect not mentioned
Gkantidis N et al.33 Journal of Dentistry 2014 Adverse Effect not mentioned
Iglesias-Linares A et al.34 Orthod Craniofac Res 2011 Adverse Effect not mentioned
Misleading Interpretation Jing D et al.35 BMC Oral Health. 2017 Aim of study was to systematically evaluate the available evidences on the efficacy of vibrational stimulus to accelerate OTM, to which they concluded :Within the limitations of this review, weak evidence indicates that vibrational stimulus is effective for accelerating canine retraction but not for alignment. The effects of vibration on pain intensity and root resorption during orthodontic treatment are inconclusive
Aljabaa A et al.36 Am J Orthod Dentofacial Orthop. 2018 Treatment is beneficial despite lack of evidence.
Dab S et al.37 Orthod Craniofac Res. 2019 Current evidence suggests a very low to low level of certainty (GRADE assessment) in regard to quantified effects after CAOOT. Although CAOOT procedures show insignificant increase in the density following the use of bone graft and anchorage loss, they appear to accelerate the tooth movement during the first few months, to increase the buccal bone thickness and to show good tolerance by the patients; the clinical significance of these changes may be considered questionable.
Viwattanatipa N et al.38 Korean J Orthod. 2018 Treatment is beneficial despite lack of evidence.
Farshidfar N et al.39 Int Orthod. 2021 According to the low certainty of evidence about this topic, providing a definite conclusion is not possible. However, applying I-PRF seems to be efficient in accelerating the OTM of the canines.
Apalimova A et al.40 Heliyon 2020 High heterogeneity among studies made it difficult to draw clear conclusions. However, within the limitations of this review, the corticotomy procedures were able to statistically and clinically produce significant temporary decrease in orthodontic tooth movement rate.
Gkantidis N et al.33 J Dent. 2014 Treatment is beneficial despite lack of evidence.
Almeida V et al.41 J Photochem Photobiol B. 2016 Three articles detected statistically significant differences in induced movement by comparing the orthodontic movement between the experimental and control groups. For the maxilla, there was a statistically significant influence of the laser in three months and, for the mandible, in one month. It may be concluded that there is no evidence that laser therapy can accelerate the induced tooth movement.
Fleming P et al.42 Cochrane Database Syst rev. 2015 The available evidence is of low quality, which indicates that further research is likely to change the estimate of the effect. Based on measured outcomes in the short-term, these procedures do appear to show promise as a means of accelerating tooth movement.
Yi J et al.43 Angle Orthod. 2017 Treatment is beneficial despite lack of evidence.
Misleading Extrapolation Cronshaw M et al.44 Photobiomodul Photomed Laser Surg. 2019 Overgeneralisation of result for clinical logistics associated with frequent applications supports the concept of patient home delivery use of LED devices.
Hassan A et al.45 Saudi Med J. 2015 Results of study said CAOT was found to accelerate tooth movement by 2–2.5 folds when compared with conventional orthodontic tooth movement. Conclusion- CAOT should be considered with caution.
Eltimamy A et al.46 Open Access Maced J Med Sci. 2019 Prostaglandin showed a marked increase in rate of OTM; while inconclusive evidence was found regarding Prostaglandin in the acceleration of OTM
Parcianello R et al.47 Orthod Craniofac Res. 2021 Twenty-four studies were included in the systematic review. On a specific dose level, epidermal growth factor + liposomes, fibroblast growth factor and prostaglandin E2 + Ca were supported by a moderate level of evidence and rated as highly effective in increasing tooth movement in animal models. Hormones and growth factors may have a relevant impact upon orthodontic tooth movement rate. In specific formulations, prostaglandin E2, fibroblast growth factor and epidermal growth factor showed promising results.
Long Hu et al.48 Angle Orthod. 2013 Among the five interventions, corticotomy is effective and safe to accelerate orthodontic tooth movement, low-level laser therapy was unable to accelerate orthodontic tooth movement, current evidence does not reveal whether electrical current and pulsed electromagnetic fields are effective in accelerating orthodontic tooth movement, and dentoalveolar or periodontal distraction is promising in accelerating orthodontic tooth movement but lacks convincing evidence.
Yi J et al.49 Journal of Oral Rehabilitation 2017 The quality of evidence ranged from very low to low. The short-term (1–3 months) effects of low-level laser therapy (LLLT, 5 and 8 J cm2) and corticotomy were supported by low-quality evidence.We conclude that low quality evidence indicates that LLLT (5 and 8 J cm2) and corticotomy are effective to promote OTM in the short term.

Prevalence of different types of spin.

Spin Type N ∑X Mean Std.Dev. Mean ± Std. Dev. F p-value
Misleading Reporting 38 22 (57.89%) 0.5789 0.5004 0.5789 ± 0.5004
Misleading Interpretation 38 10 (26.3%) 0.2632 0.4463 0.2632 ± 0.4463 9.339 0.0001*
Misleading Extrapolation 38 6 (15.7%) 0.1579 0.3695 0.1579 ± 03695
eISSN:
2207-7480
Langue:
Anglais
Périodicité:
Volume Open
Sujets de la revue:
Medicine, Basic Medical Science, other