NDLI: Miniscrew-Assisted Rapid Palatal Expansion (MARPE): An Umbrella Review

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Miniscrew-Assisted Rapid Palatal Expansion (MARPE): An Umbrella Review

Content Provider	MDPI
Author	Ventura, Vanda Botelho, João Machado, Vanessa Mascarenhas, Paulo Pereira, François Durand Mendes, José João Delgado, Ana Sintra Pereira, Pedro Mariano
Copyright Year	2022
Description	In postpubertal patients, maxillary transverse discrepancy is a common condition often requiring surgical approaches. To overcome the excess morbidity and discomfort, maxillary expansion through miniscrew-assisted rapid palatal expansion (MARPE) was proposed and studied in the last few years. This umbrella review aims to critically appraise the quality of evidence and the main clinical outcomes of available systematic reviews (SRs) on MARPE. An extensive search was carried out in five electronic databases (PubMed-Medline, Cochrane Database of SRs, Scielo, Web of Science, and LILACS) until December 2021. The methodological quality was appraised using the A Measurement Tool to Assess SRs criteria 2 (AMSTAR2). The primary outcome was the methodological quality of SRs. Overall, four SRs were included and analyzed, one of high methodological quality, one of low and two of critically low. Despite the verified methodological constraints, MARPE seems to present significant clinical changes when compared to conventional RPE, SARPE or controls and less adverse clinical outcomes. The quality of evidence produced by the available SRs was not favorable. Future high standard SRs and well-designed clinical trials are warranted to better clarify the clinical protocols and outcomes success of MARPE.
Starting Page	1287
e-ISSN	20770383
DOI	10.3390/jcm11051287
Journal	Journal of clinical medicine
Issue Number	5
Volume Number	11
Language	English
Publisher	MDPI
Publisher Date	2022-02-26
Access Restriction	Open
Subject Keyword	Journal of clinical medicine Journal of Clinical Medicine Dentistry and Oral Surgery Miniscrew-assisted Rapid Palatal Expansion Marpe Maxillary Expansion Umbrella Review Orthodontics Orthopedics
Content Type	Text
Resource Type	Article

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