scholarly journals Soft tissue changes following extraction vs. nonextraction orthodontic fixed appliance treatment: a systematic review and meta-analysis

2018 ◽  
Vol 126 (3) ◽  
pp. 167-179 ◽  
Author(s):  
Dimitrios Konstantonis ◽  
Dimitrios Vasileiou ◽  
Spyridon N. Papageorgiou ◽  
Theodore Eliades
Author(s):  
Dr. Janani Jayapal ◽  
Dr. Abinaya Somaskandhan ◽  
Dr. Ratna Parameswaran ◽  
Dr. Devaki Vijayalakshmi

Bac kground:The principlegoal of orthognathic surgery is to establish a balanced and stable dento-skeleto facial complex. This mandates the surgeon and the orthodontist to be able to predict the soft tissue changes to the orthognathic surgery precisely, which is accurately possible using 3-D imaging. Aims: To evaluate the soft tissue changes following class III orthognathic surgery using 3-D imaging. Settings and Design: Systematic review. Methods and Material:This review was conducted according to Preferred Reporting Items for Systematic Reviews and meta-Analyses guidelines systematically searching the six databases including PubMed, Cochrane, Google Scholar, LILACS, Directory of Open Access Journals, and OpenGrey. Statistical analysis used:Not applicable. Results: This systematic review comprises of most UpTo Date evidence from eleven articles answering the review questions. Conclusion: Le Fort I advancement shows significant increase in the alar width, alar cinch, upper lip, chelion, labiale superius, crista philtri, pronasale and subnasale. Mandibular setback shows significant backward movement of soft tissue point B, labialeinferius and subnasale and chin.


2017 ◽  
Vol 88 (9) ◽  
pp. 876-886 ◽  
Author(s):  
Bassam M. Kinaia ◽  
Filip Ambrosio ◽  
Monica Lamble ◽  
Kristyn Hope ◽  
Maanas Shah ◽  
...  

Author(s):  
Ethan Ng ◽  
John Tay ◽  
Clement Lai ◽  
Alvin Yeo ◽  
Lum Peng Lim ◽  
...  

Although the efficacy of ridge preservation is well-documented, there is a lack of robust evidence regarding the influence of different surgical techniques. Flapless approaches are thought to be better at preserving soft tissue architecture and have been suggested for mild to moderate defects. This review investigates the efficacy of different flapless techniques for ridge preservation in mild to moderate defects with <50% buccal bone loss. PubMed, EMBASE, and Cochrane Library databases were searched to obtain relevant articles published in English from 1974 to December 2019. The primary outcome was horizontal and vertical hard tissue dimensional changes. Soft tissue changes were evaluated as a secondary outcome. The Bio-Col technique, subperiosteal tunnel technique, and hard tissue with autogenous soft tissue graft/collagen matrix technique were identified. Eight studies were included, and quantitative analyses were performed for four studies for the primary outcome variables. The meta-analysis revealed significant reductions for horizontal changes (WMD = 2.56 mm, 95% CI [2.18, 2.95]), vertical mid-buccal (WMD = 1.47 mm, 95% CI [1.04, 1.90]), and vertical mid-lingual (WMD = 1.28 mm, 95% CI [0.68, 1.87]), in favor of flapless ridge preservation techniques. Subgroup analysis based on technique suggest minimal hard tissue differences. The efficacy of flapless ridge preservation techniques on soft tissue changes was inconclusive. In conclusion, flapless ridge preservation techniques are effective for mild to moderate defects. The technique or material used to close the extraction socket does not seem to significantly affect hard tissue changes, while the effect on soft tissue changes warrants further investigation.


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