Evaluation of the Changes of the Intercanine and Intermolar Widths Following Palatal Expansion in the Mixed Dentition Patients with Bilateral Posterior Crossbite: A Systematic Review

Yen Nie Lim; Fadzlinda Baharin; Galvin Sim Siang Lin; Rozita Hassan; Milton Hongli Tsai; Lim Chia Wei; Suzanne Yeoh; Mark Ko Xiang Ping

doi:10.3390/dj11020052

Evaluation of the Changes of the Intercanine and Intermolar Widths Following Palatal Expansion in the Mixed Dentition Patients with Bilateral Posterior Crossbite: A Systematic Review

Dent J (Basel). 2023 Feb 13;11(2):52. doi: 10.3390/dj11020052.

Authors

Yen Nie Lim¹, Fadzlinda Baharin¹, Galvin Sim Siang Lin², Rozita Hassan³, Milton Hongli Tsai⁴, Lim Chia Wei⁵, Suzanne Yeoh⁶, Mark Ko Xiang Ping⁷

Affiliations

¹ Paediatric Dentistry Unit, School of Dental Sciences, Universiti Sains Malaysia, Health Campus, Kubang Kerian 16150, Malaysia.
² Department of Dental Materials, Faculty of Dentistry, Asian Institute of Medicine, Science and Technology (AIMST) University, Bedong 08100, Malaysia.
³ Orthodontic Unit, School of Dental Sciences, Universiti Sains Malaysia, Health Campus, Kubang Kerian 16150, Malaysia.
⁴ Discipline of Orthodontics, Department of Family Oral Health, Faculty of Dentistry, Universiti Kebangsaan Malaysia (UKM), Kuala Lumpur 50300, Malaysia.
⁵ Taman Intan Dental Clinic, Ministry of Health Malaysia, Sungai Petani 08000, Malaysia.
⁶ Tudan Dental Clinic, Tudan Health Clinic, Ministry of Health Malaysia, Miri 98000, Malaysia.
⁷ RTC Sibuti Dental Clinic, Bangunan RTC Sibuti, Ministry of Health Malaysia, Bekenu 98150, Malaysia.

Abstract

This systematic review aimed to identify the intercanine and intermolar width changes following palatal expansion in bilateral posterior crossbite (PXB) in mixed dentition. This review was registered in the PROSPERO database (CRD42021275833). All randomized controlled trials (RCT) and non-RCT articles between 1980 and August 2022 on the palatal expansion of bilateral PXB in mixed dentition were searched in seven online databases (Google Scholar, Ovid, Web of Science, Scopus, EBSCOHost, Cochrane Library and PubMed). The risk of bias (RoB) of the articles included was analyzed using the Joanna Briggs Institute (JBI) critical appraisal tool. Three non-RCT studies were included and showed a low risk of bias. Meta-analysis on the changes in intercanine and intermolar widths was not performed due to study design heterogeneity. One study reported an over-correction of the bilateral PXB. There is a need for more RCT studies with standardized landmark measurements, outcome assessment methods and retention periods to investigate the interdental changes following palatal expansion.

Keywords: crossbites; malocclusion; mixed dentition; orthodontics; palatal expansion technique; systematic review.

Publication types

Review

Grants and funding

304/PPSG/6315496/Universiti Sains Malaysia