Novel methodologies and technologies to assess mid-palatal suture maturation: a systematic review
Abstract Introduction A reliable method to assess midpalatal suture maturation to drive clinical decision-making, towards non-surgical or surgical expansion, in adolescent and young adult patients is needed. The objectives were to systematically review and evaluate what is known regarding contempora...
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| Format: | Article |
| Language: | English |
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BMC
2017-06-01
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| Series: | Head & Face Medicine |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13005-017-0144-2 |
| _version_ | 1818441026508947456 |
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| author | Darren Isfeld Manuel Lagravere Vladimir Leon-Salazar Carlos Flores-Mir |
| author_facet | Darren Isfeld Manuel Lagravere Vladimir Leon-Salazar Carlos Flores-Mir |
| author_sort | Darren Isfeld |
| collection | DOAJ |
| description | Abstract Introduction A reliable method to assess midpalatal suture maturation to drive clinical decision-making, towards non-surgical or surgical expansion, in adolescent and young adult patients is needed. The objectives were to systematically review and evaluate what is known regarding contemporary methodologies capable of assessing midpalatal suture maturation in humans. Methods A computerized database search was conducted using Medline, PubMed, Embase and Scopus to search the literature up until October 5, 2016. A supplemental hand search was completed of references from retrieved articles that met the final inclusion criteria. Results Twenty-nine abstracts met the initial inclusion criteria. Following assessment of full articles, only five met the final inclusion criteria. The number of subjects involved and quality of studies varied, ranging from an in-vitro study using autopsy material to prospective studies with in vivo human patients. Three types of evaluations were identified: quantitative, semi-quantitative and qualitative evaluations. Four of the five studies utilized computed tomography (CT), while the remaining study utilized non-invasive ultrasonography (US). No methodology was validated against a histological-based reference standard. Conclusions Weak limited evidence exists to support the newest technologies and proposed methodologies to assess midpalatal suture maturation. Due to the lack of reference standard validation, it is advised that clinicians still use a multitude of diagnostic criteria to subjectively assess palatal suture maturation and drive clinical decision-making. |
| first_indexed | 2024-12-14T18:21:42Z |
| format | Article |
| id | doaj.art-606a9961d0294090b0a876a305e1b17b |
| institution | Directory Open Access Journal |
| issn | 1746-160X |
| language | English |
| last_indexed | 2024-12-14T18:21:42Z |
| publishDate | 2017-06-01 |
| publisher | BMC |
| record_format | Article |
| series | Head & Face Medicine |
| spelling | doaj.art-606a9961d0294090b0a876a305e1b17b2022-12-21T22:52:03ZengBMCHead & Face Medicine1746-160X2017-06-0113111510.1186/s13005-017-0144-2Novel methodologies and technologies to assess mid-palatal suture maturation: a systematic reviewDarren Isfeld0Manuel Lagravere1Vladimir Leon-Salazar2Carlos Flores-Mir3Orthodontic Graduate Program, School of Dentistry University of AlbertaSchool of Dentistry, University of Alberta, EdmontonDivision of Pediatric Dentistry, School of Dentistry, University of MinnesotaSchool of Dentistry, University of AlbertaAbstract Introduction A reliable method to assess midpalatal suture maturation to drive clinical decision-making, towards non-surgical or surgical expansion, in adolescent and young adult patients is needed. The objectives were to systematically review and evaluate what is known regarding contemporary methodologies capable of assessing midpalatal suture maturation in humans. Methods A computerized database search was conducted using Medline, PubMed, Embase and Scopus to search the literature up until October 5, 2016. A supplemental hand search was completed of references from retrieved articles that met the final inclusion criteria. Results Twenty-nine abstracts met the initial inclusion criteria. Following assessment of full articles, only five met the final inclusion criteria. The number of subjects involved and quality of studies varied, ranging from an in-vitro study using autopsy material to prospective studies with in vivo human patients. Three types of evaluations were identified: quantitative, semi-quantitative and qualitative evaluations. Four of the five studies utilized computed tomography (CT), while the remaining study utilized non-invasive ultrasonography (US). No methodology was validated against a histological-based reference standard. Conclusions Weak limited evidence exists to support the newest technologies and proposed methodologies to assess midpalatal suture maturation. Due to the lack of reference standard validation, it is advised that clinicians still use a multitude of diagnostic criteria to subjectively assess palatal suture maturation and drive clinical decision-making.http://link.springer.com/article/10.1186/s13005-017-0144-2Cone-beam computed tomographyPalatal sutureMaxillary expansion |
| spellingShingle | Darren Isfeld Manuel Lagravere Vladimir Leon-Salazar Carlos Flores-Mir Novel methodologies and technologies to assess mid-palatal suture maturation: a systematic review Head & Face Medicine Cone-beam computed tomography Palatal suture Maxillary expansion |
| title | Novel methodologies and technologies to assess mid-palatal suture maturation: a systematic review |
| title_full | Novel methodologies and technologies to assess mid-palatal suture maturation: a systematic review |
| title_fullStr | Novel methodologies and technologies to assess mid-palatal suture maturation: a systematic review |
| title_full_unstemmed | Novel methodologies and technologies to assess mid-palatal suture maturation: a systematic review |
| title_short | Novel methodologies and technologies to assess mid-palatal suture maturation: a systematic review |
| title_sort | novel methodologies and technologies to assess mid palatal suture maturation a systematic review |
| topic | Cone-beam computed tomography Palatal suture Maxillary expansion |
| url | http://link.springer.com/article/10.1186/s13005-017-0144-2 |
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