Background
Methods
Inclusion criteria
Search strategy
steps | PubMed | Embase | CENTRAL | Web of science | CNKI | CBM | SIGLE |
---|---|---|---|---|---|---|---|
1 | “Maxillary Sinus” [Mesh] (9226) | Maxillary Sinus.mp. or Maxillary sinus/ (14263) | Maxillary Sinus.mp. or Maxillary Sinus/ (424) | Maxillary Sinus (21210) | Maxillary Sinus (8251) | “Maxillary Sinus” [Mesh] (3483) | Maxillary Sinus (26) |
2 | Maxillary Sinus (15823) | Orthodontics.mp. or Orthodontics/ (34932) | Orthodontics.mp. or Orthodontics/ (636) | Orthodontics (29732) | Orthodontics (12742) | Maxillary Sinus (7208) | Orthodontics (85) |
3 | “Orthodontics” [Mesh] (48362) | Orthodontic*.mp. (51672) | Orthodontic*.mp. (2402) | Orthodontic* (67283) | Tooth movement (1045) | “Orthodontics, Corrective” [Mesh] (11645) | Orthodontic* (235) |
4 | Orthodontics (63379) | Tooth moving.mp. (12) | Tooth movement.mp. or Tooth Movement/ (382) | Tooth moving (54506) | 2 OR 3 (15616) | Orthodontics (16725) | Tooth movement (14) |
5 | Orthodontic* (62688) | Tooth movement.mp. (2970) | 2 OR 3 OR 4 (2423) | Tooth movement (59130) | 1 AND 4 (23) | “Tooth movement” [Mesh] (1104) | Tooth moving (3) |
6 | “Tooth Movement Techniques” [Mesh] (7834) | 2 OR 3 OR 4 OR 5 (52143) | 1 AND 5 (1) | 2 OR 3 OR 4 OR 5 (157498) | Tooth movement (2280) | 2 OR 3 OR 4 OR 5 (245) | |
7 | Tooth movement (10981) | 1 AND 6 (125) | 1 AND 6 (305) | 1 OR 2 (7208) | 1 AND 6 (0) | ||
8 | Tooth moving (327) | 3 OR 4 OR 5 OR 6 (18312) | |||||
9 | 1 OR 2 (15823) | 7 AND 8 (28) | |||||
10 | 3 OR 4 OR 5 OR 6 OR 7 OR 8 (71532) | ||||||
11 | 9 AND 10 (195) |
Data extraction and analysis
Results
Characteristics of the included studies
Author(s) | Country | Age | Sex | Teeth | SRR | Mechanics | Active force system used | Radiographic view | Conclusion |
---|---|---|---|---|---|---|---|---|---|
Cacciafesta (2001) [17] | Denmark | 25 | F | 2(27,28) | type-3 | segment; multibracket | coil spring | panoramic; periapical film | Teeth can be moved into anatomical sites lacking periodontium provided that the orthodontist uses an appliance that generates both constant forces and constant moment to force ratios. |
Re (2001) [22] | Italy | 24 | F | 1(25) | type-4 | segment | T-loop | panoramic; periapical film | The clinical findings of this study indicate that with a proper orthodontic force system, a tooth can be displaced through the sinus area, and the sinus lift surgical augmentation procedure can be avoided. |
Yao (2004) [19] | Taiwan | 31 | F | 2(26,27) | type-3 | segment; miniplate, miniscrew | elastic power chain | panoramic; periapical film 3D digitizer | The biological responses of teeth and the surrounding bony structures to intrusion appeared normal and acceptable. Furthermore, the periodontal health and vitality of the teeth were sufficiently maintained even after a 1-year follow-up. |
Kravitz (2006) [18] | USA | 44 | F | 1(16) | type-3 | miniscrew | elastic power chain; coil spring | panoramic | A supraerupted maxillary molar can be successfully intruded within the maxillary sinus cortical floor using two orthodontic miniscrews. Short-term molar intrusion can be achieved without clinically detectable apical root resorption. |
Oh (2014) [16] | USA | 41 | F | 4(15,17,25,28) | type-2:15,25,28 type-4:17 | multibracket | elastic power chain; coil spring; tip-back bend; double helical loop | panoramic; periapical film; CBCT | Successful tooth movement through the maxillary sinus can be achieved without noticeable side effects. New bone formation along the course of tooth movement and changes in the size and shape of the maxillary sinus were observed. Maintaining light continuous forces and moving teeth at a slow rate were key in accomplishing bodily movement and direct bone resorption. |
Park (2014) [15] | Japan | 31 | M | 4(14,16,24,26) | type-2:14,24 type-3:16,26 | multibracket; TAD | T-loop; Intrusion archwires; TAD | panoramic; CBCT | Spaces from tooth extractions can be closed by bodily movement through anatomic barriers such as the maxillary sinus, but in view of the proximity of the maxillary sinus floor and maxillary root tips, orthodontists must be particularly cautious when doing this. |
Saglam (2014) [21] | Turkey | 54 | M | 1(25) | type-3 | multibracket | coil spring | panoramic; periapical film; | Modification of the sinus floor by orthodontic treatment may be an alternative treatment strategy for patients requiring a sinus lifting procedure due to pneumatization of maxillary sinus. |
Carvalho (2014) [20] | Brazil | 38 | M | 1(15) | type-3 | multibracket | unknown | periapical film | Orthodontic movement is a safe and predictable procedure and may replace sinus lift and graft procedures for patients who smoke or for individuals with a history of sinusitis. The procedure also allows implant placement in an area of mature bone rather than in grafted bone, which may be a favorable factor for osseointegration. |
Kuroda (2016) [14] | Japan | 29 | F | 9(14,15,16,17,23,24,25,26,27) | type-2:14 type-3:15,16,17,23,24,25,26,27 | multibracket; TAD | coil spring | panoramic | Interradicular miniscrews are useful for distalizing the maxillary dentition to correct class II malocclusion. With this new strategy, group distalization with miniscrews enables a simpler treatment with greater predictability. |
Results of quality assessment
Study outcomes analysis
Author(s) | SRR | Force magnitude | Moving distance through sinus | Duration | Tooth movement type | Bone forming and remodeling of the sinus floor | Side effects | Follow-up and relapse |
---|---|---|---|---|---|---|---|---|
Cacciafesta (2001) [17] | type-3 | 50 g | 4–5 mm (half the width of a molar) | unknown | bodily mesially; up-righting | Bone formation took place. | minimal root blunting; No marginal bone loss was visible. | unknown |
Re (2001) [22] | type-4 | 50 g/mm | 6 mm | 6 months | bodily distally (tipping, translation, root movement) | Alveolar bone formation and direct remodeling of the sinus lamina dura occurred. | Pulp vitality, bone support and normal width of the periodontal ligament were maintained. | unknown |
Yao (2004) [19] | type-3 | 150–200 g | 3 mm | 5 months | intrusion, slight distal tipping | The lamina dura followed molar intrusion and bone remodeling was achieved. | Periodontal health and vitality of the teeth were maintained. | 1 year; Periodontal health and vitality of the teeth were well maintained. |
Kravitz (2006) [18] | type-3 | 100–150 g | 4.4 mm | 6 months | intrusion, palatal crown tipping | Radiograph showed intact lamina dura around the first molar within the floor. | no radiographically evident root resorption. | unknown |
Oh (2014) [16] | type-2:15,25,28 type-4:17 | light forces | 25: 6 mm; 28: 10 mm; 10 mm (15–17) | 70 months | 25: bodily distally (tipping, up-righting); 28: bodily mesially (tipping, up-righting); 15: bodily distally; 17: bodily mesially | Signs of sinus wall modeling and new alveolar bone deposition were observed in the direction of tooth movement. | No apparent root resorption was observed, and the alveolar bone level was maintained. | 18 months; Occlusion and normal overjet and overbite were maintained. |
Park (2014) [15] | type-2:14,24 type-3:16,26 | light forces | 14–16: (bodily 2–3 mm, up-righting 15–20°) 24–26: (bodily 1–2 mm, up-righting 20–25°) | 30 months | 14, 24: bodily distally, up-righting; 16, 26: bodily mesially, rotated mesially, up-righting | The floor of the sinus did not displace coronally during orthodontic approximation of these teeth. | Some areas showed signs of apical root resorption. | 1 year; Stable occlusion and the orthodontic treatment results were maintained. |
Saglam (2014) [21] | type-3 | unknown | 7 mm | unknown | bodily distally | Alveolar bone formation and remodeling of the sinus floor occurred. | Maintained pulp vitality and bone support without loss of the connective tissue attachment. | 2 years; Acceptable intraoral tissue health was observed after 2 years. |
Carvalho (2014) [20] | type-3 | mild and moderate | 7 mm | 6 months | bodily distally | The cortical bone and sinus mucosa displaced the maxillary sinus floor during bone and periodontal remodeling. | Radiographically evident root resorption was observed. | unknown |
Kuroda (2016) [14] | type-2: 14 type-3:15,16,17,23,24,25,26,27 | 200 g | 4–5 mm | 28 months | bodily distally (tipping, up-righting) | unknown | No serious root resorption. | 5 years; Occlusion and facial profile were stable. |