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Miniscrew-assisted rapid palatal expansion (MARPE) : an umbrella review

2022-03Contribution to journal Open access
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datacite.subject.fosCiências Médicas
datacite.subject.sdg03:Saúde de Qualidade
dc.contributor.authorVentura, Vanda
dc.contributor.authorBotelho, João
dc.contributor.authorMachado, Vanessa
dc.contributor.authorMascarenhas, Paulo
dc.contributor.authorPereira, François Durand
dc.contributor.authorMendes, José João
dc.contributor.authorDelgado, Ana Sintra
dc.contributor.authorPereira, Pedro Mariano
dc.date.accessioned2025-11-20T12:51:32Z
dc.date.available2025-11-20T12:51:32Z
dc.date.issued2022-03
dc.description.abstractIn 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.eng
dc.identifier.citationVentura V, Botelho J, Machado V, Mascarenhas P, Pereira FD, Mendes JJ, Delgado AS, Pereira PM. Miniscrew-Assisted Rapid Palatal Expansion (MARPE): An Umbrella Review. Journal of Clinical Medicine. 2022; 11(5):1287. https://doi.org/10.3390/jcm11051287
dc.identifier.doi10.3390/jcm11051287
dc.identifier.issn2077-0383
dc.identifier.urihttp://hdl.handle.net/10400.26/59903
dc.language.isoeng
dc.peerreviewedyes
dc.publisherMDPI
dc.relation.hasversionhttps://doi.org/10.3390/jcm11051287
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectminiscrew-assisted rapid palatal expansion
dc.subjectMARPE
dc.subjectmaxillary expansion
dc.subjectumbrella review
dc.subjectorthodontics
dc.subjectorthopedics
dc.titleMiniscrew-assisted rapid palatal expansion (MARPE) : an umbrella revieweng
dc.typecontribution to journal
dspace.entity.typePublication
oaire.citation.issue5
oaire.citation.startPage1287
oaire.citation.titleJournal of Clinical Medicine
oaire.citation.volume11
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85

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