¿Es realmente eficaz el MARPE en adolescentes y adultos jóvenes?revisión sistemática de la literatura

Resum

Introduction: the increase in the demand for orthodontic treatment in adolescents and young adults, in whom growth is limited, led us to consider this systematic review of the literature. The objectives were to verify whether MARPE is an alternative in the treatment of transverse malocclusions, to determine the percentage of dental, dentoalveolar and skeletal expansion, to analyze the most suitable activation protocol, and to review the rate and determinants of clinical success. Material and methods: in January 2021, following the PRISMA statement, a manual and electronic search was carried out in the main databases, the PICO question was established and the Newcastle-Ottawa scales were used to assess the quality of the included studies. , Cochrane Handbook, and the STROBE statement. Results: a total of 149 articles were identified. After eliminating duplicates and applying the inclusion and exclusion criteria, a total of 13 articles were included. Conclusion: MARPE is an effective treatment option, mainly skeletal and dental expansion. The most suitable activation protocol is 2 rounds a day until the appearance of the interincisal diastema. The success rate was 89.81%. The factors that infl uenced this success were the age of initiation of the treatment, the stage of maturation of the MPS, the bicortical anchorage, the location of the screw, the bone density and the length of the palate