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

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 u...

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Bibliographic Details
Published in:	Journal of clinical medicine Vol. 11; no. 5; p. 1287
Main Authors:	Ventura, Vanda, Botelho, João, Machado, Vanessa, Mascarenhas, Paulo, Pereira, François Durand, Mendes, José João, Delgado, Ana Sintra, Pereira, Pedro Mariano
Format:	Journal Article
Language:	English
Published:	Switzerland MDPI AG 26-02-2022 MDPI
Subjects:	Bias Clinical medicine Orthodontics Patients Puberty Review Success Sutures miniscrew-assisted rapid palatal expansion MARPE orthopedics maxillary expansion orthodontics umbrella review
Online Access:	Get full text
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Summary:	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.
Bibliography:	ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-3 content type line 23 ObjectType-Review-1
ISSN:	2077-0383 2077-0383
DOI:	10.3390/jcm11051287