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Figure 1.

Flow diagram of the studies retrieved through the selection process.
Flow diagram of the studies retrieved through the selection process.

The electronic databases searched, the search strategies used, and the corresponding results

Electronic databases Search strategy used Extend of search Hits
Pubmed searched via PubMed on 8th April 2021 http://www.ncbi.nlm.nih.gov/pubmed/ (((canine OR canines)) AND (impaction OR embedded OR displaced OR impacted OR displacement)) AND (RPE OR rapid palatal expansion OR RME OR rapid maxillary expansion OR maxillary expansion OR palatal expansion) All fields 90
Web of Science on 8th April 2021 https://webofknowledge.com/ (canine OR canines) AND ALL FIELDS: (impaction OR embedded OR displaced OR impacted OR displacement) AND ALL FIELDS: (RPE OR rapid palatal expansion OR RME OR rapid maxillary expansion OR maxillary expansion OR palatal expansion) All fields 64
Scopus on 8th April 2021 http://www.scopus.com/ (TITLE-ABS-KEY (canine OR canines) AND TITLE-ABS-KEY (impaction OR embedded OR displaced OR impacted OR displacement)AND TITLE-ABS-KEY (rpe OR rapid AND palatal AND expansion OR rme OR rapid AND maxillary AND expansion OR maxillary AND expansion OR palatal AND expansion)) All fields 21
EMBASE on 8th April 2021 https://www.embase.com (canine OR canines OR cuspid) AND (impaction OR impacted OR displaced OR displacement) AND (rpe OR rme OR ‘rapid maxillary expansion’ OR ‘rapid palatal expansion’) All fields 21

Summary of characteristics of the included studies.

Author Study design Criteria for impacted canine Intervention Participant gender and age Method/measurement Criteria for successful treatment Follow-up duration and dropout Outcome
Armi (2011) RCT PDCs: Intraosseous palatal position of maxillary permanent canine diagnosed from panoramic radiographs or periapical radiographs 3 groups 1. HG group 2. RPE/HG group 3. CG Total 60 subjects 1. HG group: 17 subjects (with 25 PDCs) M/F = 9/8, 11.9 years 2. RPE/HG group: 21 subjects (with 30 PDCs) M/F = 9/12, 11.1 years 3. CG, 22 subjects (with 26 PDCs) M/F = 9/13,11.6 years Panoramic radiographs, lateral cephalogram and measurement on dental cast Full eruption of the tooth which permitting bracket positioning for final arch alignment All groups: 18 months and 4 dropouts Successful eruption of the permanent canine were 82.3% in the HG group and 85.7% in the RPE/HG group significantly greater than those of the CG. No statistically significant difference was found for the prevalence of successful subjects between the HG and RME/HG groups (P < 0.001)
Bacetti (2009) RCT PDCs: diagnosed from PA radiographs according to the method by Sambataro et al. 2 groups 1. RPE group 2. CG Total 54 subjects 1. RPE group: 32 subjects (with 42 PDCs) M/F = 12/20 8.8 years ± 9 months 2. CG: 22 subjects (with 31 PDCs) M/F = 8/14, 8.4 years ± 1 year PA cephalograms, panoramic radiographs and measurement on dental cast Full eruption of maxillary canine 1. TG: 4.4 years, 3 dropouts 2. CG: 4.11 years, 3 dropouts The rates for successful eruption of the maxillary canines were 65.7% in the RPE group, and 13.6% in the CG. The different is statistically significant (P<0.001)
Bacetti (2011) RCT PDCs: diagnosed from panoramic radiographs according to the method by Ericson and Kurol 4 groups 1. RPE/TPA/EC group: RPE followed by TPA therapy, and extraction of deciduous canines 2. TPA/EC group: TPA extraction of deciduous canines 3. EC group: extraction of deciduous canines 4. CG Total 117 subjects 1. RPE/TPA/EC group: 40 subjects (with 66 PDCs) M/F = 15/25, 10y5m ± 10m 2.TPA/EC group: 24 subjects (with 36 PDCs) M/F = 10/14, 10y9m ± 11m 3. EC group:24 subjects (with 34 PDCs) M/F = 10/14 11y1m ± 11m 4. CG:29 subjects (with 42 PDCs) M/F = 11/18, 10y5m ± 10m Clinical examination, panoramic and lateral cephalogram The full eruption of the canine, thus permitting bracket positioning for final arch alignment with an early permanent dentition and a post-pubertal stage of cervical vertebral maturation (CS 5 or CS 6) 1. RPE/TPA/EC group: 3y6m ± 16m, no dropout 2. TPA/EC group: 2y9m ± 13m, 1 dropout 3. EC group: 2y2m ± 10 m, 1 dropout 4. CG: 3y1m ± 14m, 1 dropout The rate of successful eruption of the maxillary canines was 80% for the RME/TPA/EC group, 79.2% for the TPA/EC group, 62.5% for the EC group, and 27.6% in the CG. There are statistically significant differences between all the groups (P<0.05), with the exception of the RME/TPA/EC group vs. TPA/EC group
Barros (2018) pCCT Ectopic eruption of at least 1 maxillary canine overlapping sector II, III, or IV of the lateral incisor roots, diagnosed from panoramic radiographs, according to the method of Lindauer et al. 3 groups 1. ECC: ectopically erupting canines with RPE 2. NEC: normally erupting canines with RPE 3. CG Total 77 subjects 1. EEC group: 32 subjects (with 49 ectopically erupting canines) (M/F = 13/19, 9.53 years ± 1.10 year 2. NEC group: 18 subjects (9 expanded subjects from the EEC group with unilateral normally erupting canines) (with 27 normally erupting canines) M/F = 8/10, 9.25 years ± 1.06 year 3. CG: 36 subjects (with 54 normally erupting canines) M/F = 17/19 ,9.03 years ± 0.72 year Panoramic radiographs All groups: 1 year The ECC and NEC groups had greater angular, vertical, and horizontal canine improvements. RME had a positive impact on the eruption path of both the ectopically and normally erupting canines
Sigler 2011 pCCT PDCs: intraosseous malposition of maxillary permanent canine diagnosed from panoramic radiographs according to the method of Ericson and Kurol 2 groups 1. RPE/TPA/EC group: RPE followed by TPA and extraction of deciduous canines 2. CG Total 68 subjects 1. RPE/TPA/EC group: 39 subjects (with 65 PDCs) M/F = 15/24, 10y5m ± 10 m 2. CG: 29 subjects (with 48 PDCs) M/F = 12/17,10y5 m ± 10 m Panoramic radiograph, lateral cephalogram and measurement on dental cast The full eruption of the canine, thus permitting bracket positioning for final arch alignment when needed 1. RPE/TPA/EC group: 3 years 7 months, 1 dropout 2. CG: 3 years 1 month, 1 dropout The rates for successful eruption of the maxillary canines were 80% in the RPE/TPA/EC group, and 28% in the CG. The different is statistically significant (P<0.001)

Quality assessment of the included studies.

Study Year Study design Evidence level
Bacetti et al. 2009 RCT 1b
Sigler et al. 2011 pCCT 2b
Armi et al. 2011 RCT 1b
Bacetti et al. 2011 RCT 1b
Barros et al. 2018 pCCT 2b

Inclusion and exclusion criteria.

Inclusion criteria Exclusion criteria
1. Randomized controlled trials and prospective clinical controlled trails 1. Review article, retrospective studies, case report, personal opinion, systematic review
2. Human studies 2. Animal studies, In vitro studies
3. Published in English only 3. Non-English articles
4. Clear study design
eISSN:
2207-7480
Język:
Angielski
Częstotliwość wydawania:
Volume Open
Dziedziny czasopisma:
Medicine, Basic Medical Science, other