Microesthetics in orthodontics: A systematic review and meta-analysis

BACKGROUND: Microesthetics in orthodontics, which focuses on subtly and precisely enhancing a patient's smile's esthetics, has seen a rise in popularity in recent years. The objective of this systematic study was to assess our present understanding of orthodontic microesthetics. METHODS: A...

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Main Authors: Mohammad Khursheed Alam, Nawadir Hamoud Alanazi, Tethkar Mukhlef Alanzi, Shahad Mohammad Alrwuili, Mona Saleh Alazmi, Awsaf Murdhi Alruwaili, Aynaa Fawaz AlRashed, Yahya Abdullah Alogaibi
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Journal of Orthodontic Science
Subjects:
Online Access:http://www.jorthodsci.org/article.asp?issn=2278-0203;year=2023;volume=12;issue=1;spage=78;epage=78;aulast=Alam
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author Mohammad Khursheed Alam
Nawadir Hamoud Alanazi
Tethkar Mukhlef Alanzi
Shahad Mohammad Alrwuili
Mona Saleh Alazmi
Awsaf Murdhi Alruwaili
Aynaa Fawaz AlRashed
Yahya Abdullah Alogaibi
author_facet Mohammad Khursheed Alam
Nawadir Hamoud Alanazi
Tethkar Mukhlef Alanzi
Shahad Mohammad Alrwuili
Mona Saleh Alazmi
Awsaf Murdhi Alruwaili
Aynaa Fawaz AlRashed
Yahya Abdullah Alogaibi
author_sort Mohammad Khursheed Alam
collection DOAJ
description BACKGROUND: Microesthetics in orthodontics, which focuses on subtly and precisely enhancing a patient's smile's esthetics, has seen a rise in popularity in recent years. The objective of this systematic study was to assess our present understanding of orthodontic microesthetics. METHODS: A thorough search was done using the terms “microesthetics in orthodontics,” “aesthetic orthodontics,” “orthodontic aesthetics,” and “orthodontic smile design” across different databases. Articles published between 2011 and 2022 were considered for selection in this review. RESULTS: Five studies were selected for the review. The meta-analysis found a statistically significant and clinically relevant improvement in microesthetic parameters due to orthodontic treatment. The odds ratio estimate was 0.32 (95% confidence interval (95% CI): 0.28 to 0.37), suggesting a noticeable effect of orthodontic treatment on microesthetic parameters. The forest plot also showed an overall risk ratio of 0.57 (95% CI: 0.53 to 0.61) and a risk difference of -0.28 (95% CI: -0.31 to -0.24) for noticeable versus negligible effects of orthodontic treatment on microesthetic parameter in patients. The heterogeneity was significant among the studies, with a Chi-square value of 15.34 (P = 0.004) and 14.79 (P = 0.005) for the odds ratio and risk difference, respectively, indicating a moderate level of heterogeneity. CONCLUSION: The results of this study's review and meta-analysis point to a statistically significant and clinically meaningful difference in the microesthetic parameters between individuals who received orthodontic treatment and those who did not. The heterogeneity statistics, however, indicates significant variation between research studies. REGISTRATION: This review protocol was registered on the International Prospective Register of Systematic Reviews (PROSPERO; registration number: CRD42022397219).
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spelling doaj.art-3c2a82354200460292c09b632daaf2b32024-04-04T16:28:55ZengWolters Kluwer Medknow PublicationsJournal of Orthodontic Science2278-02032023-01-01121787810.4103/jos.jos_84_23Microesthetics in orthodontics: A systematic review and meta-analysisMohammad Khursheed AlamNawadir Hamoud AlanaziTethkar Mukhlef AlanziShahad Mohammad AlrwuiliMona Saleh AlazmiAwsaf Murdhi AlruwailiAynaa Fawaz AlRashedYahya Abdullah AlogaibiBACKGROUND: Microesthetics in orthodontics, which focuses on subtly and precisely enhancing a patient's smile's esthetics, has seen a rise in popularity in recent years. The objective of this systematic study was to assess our present understanding of orthodontic microesthetics. METHODS: A thorough search was done using the terms “microesthetics in orthodontics,” “aesthetic orthodontics,” “orthodontic aesthetics,” and “orthodontic smile design” across different databases. Articles published between 2011 and 2022 were considered for selection in this review. RESULTS: Five studies were selected for the review. The meta-analysis found a statistically significant and clinically relevant improvement in microesthetic parameters due to orthodontic treatment. The odds ratio estimate was 0.32 (95% confidence interval (95% CI): 0.28 to 0.37), suggesting a noticeable effect of orthodontic treatment on microesthetic parameters. The forest plot also showed an overall risk ratio of 0.57 (95% CI: 0.53 to 0.61) and a risk difference of -0.28 (95% CI: -0.31 to -0.24) for noticeable versus negligible effects of orthodontic treatment on microesthetic parameter in patients. The heterogeneity was significant among the studies, with a Chi-square value of 15.34 (P = 0.004) and 14.79 (P = 0.005) for the odds ratio and risk difference, respectively, indicating a moderate level of heterogeneity. CONCLUSION: The results of this study's review and meta-analysis point to a statistically significant and clinically meaningful difference in the microesthetic parameters between individuals who received orthodontic treatment and those who did not. The heterogeneity statistics, however, indicates significant variation between research studies. REGISTRATION: This review protocol was registered on the International Prospective Register of Systematic Reviews (PROSPERO; registration number: CRD42022397219).http://www.jorthodsci.org/article.asp?issn=2278-0203;year=2023;volume=12;issue=1;spage=78;epage=78;aulast=Alamesthetic orthodonticsmicroesthetics in orthodonticsorthodontic estheticsorthodontic smile design
spellingShingle Mohammad Khursheed Alam
Nawadir Hamoud Alanazi
Tethkar Mukhlef Alanzi
Shahad Mohammad Alrwuili
Mona Saleh Alazmi
Awsaf Murdhi Alruwaili
Aynaa Fawaz AlRashed
Yahya Abdullah Alogaibi
Microesthetics in orthodontics: A systematic review and meta-analysis
Journal of Orthodontic Science
esthetic orthodontics
microesthetics in orthodontics
orthodontic esthetics
orthodontic smile design
title Microesthetics in orthodontics: A systematic review and meta-analysis
title_full Microesthetics in orthodontics: A systematic review and meta-analysis
title_fullStr Microesthetics in orthodontics: A systematic review and meta-analysis
title_full_unstemmed Microesthetics in orthodontics: A systematic review and meta-analysis
title_short Microesthetics in orthodontics: A systematic review and meta-analysis
title_sort microesthetics in orthodontics a systematic review and meta analysis
topic esthetic orthodontics
microesthetics in orthodontics
orthodontic esthetics
orthodontic smile design
url http://www.jorthodsci.org/article.asp?issn=2278-0203;year=2023;volume=12;issue=1;spage=78;epage=78;aulast=Alam
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