Question · asked by 0 reviews

Fixed bonded Hyrax appliance followed by U-bow activator therapy vs no treatment: Molar expansion

Population
Children and adults with a posterior crossbite without a Class III skeletal relationship, cleft lip or palate, or other syndrome associated with craniofacial anomalies (all included studies were children aged 5 to 16 years)
Intervention
Fixed bonded Hyrax appliance followed by U-bow activator therapy
Comparison
no treatment
Outcome
Molar expansion

It is very uncertain whether fixed bonded Hyrax appliance followed by U-bow activator therapy changes molar expansion compared with no treatment (very low certainty).

What each review found

Current versions only
FindingEffectStudiesGRADE certainty
Fixed bonded Hyrax appliance followed by U-bow activator therapy vs No treatment
Molar expansion · Children and adults with a posterior crossbite without a Class III skeletal relationship, cleft lip or palate, or… · 12 months after start of treatment
It is very uncertain whether fixed bonded Hyrax appliance followed by U-bow activator therapy changes molar expansion compared with no treatment (very low certainty).
Orthodontic treatment for posterior crossbites (2014) · Cochrane All outcomesearlier version CD000979.PUB2, superseded
U-bow activator 5.1 mm vs no treatment 0.8 mm; P<0.001 (no SD for mean change from baseline reported); statistically significant in favour of treatment1 study · 66 participantsVery low

Findings are shown side by side, never pooled across reviews.

The reviews

ReviewSearched up toIncluded studiesAMSTAR 2
Orthodontic treatment for posterior crossbites
2021 · Cochrane All outcomes
2021-04Not listedNot assessed

The same intervention and outcome, asked in another population or against another comparator.

How reviews are matched to this question

Reviews word the same question differently. Four decision models (TypeSafe's Jev, Liquid AI's d1-ultra, SubQ Snap and Baseten's Elephant) judged each wording of the population, intervention, comparator and outcome against the others; two wordings count as the same when at least three of them agree and none clearly disagrees, and findings count as this question only when all four elements match. Timing, setting and subgroup never split a question: they are shown on each finding.