Miniscrew-Assisted Rapid Palatal Expansion (MARPE): An Umbrella Review

Research output: Contribution to journalReview articlepeer-review

16 Citations (Scopus)

Abstract

In 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.

Original languageEnglish
Article number1287
JournalJournal of Clinical Medicine
Volume11
Issue number5
DOIs
Publication statusPublished - 1 Mar 2022

Keywords

  • MARPE
  • Maxillary expansion
  • Miniscrew-assisted rapid palatal expansion
  • Orthodontics
  • Orthopedics
  • Umbrella review

Fingerprint

Dive into the research topics of 'Miniscrew-Assisted Rapid Palatal Expansion (MARPE): An Umbrella Review'. Together they form a unique fingerprint.

Cite this