Question · asked by 1 review

Surgical anchorage (mini-screw or mid-palatal implant) vs Conventional anchorage (headgear, transpalatal/palatal arch, etc.): Mesiodistal movement of the upper first permanent molar

Population
Patients of any age undergoing orthodontic treatment with fixed appliances and requiring anchorage (adolescents to adults up to 48-54 years)
Intervention
Surgical anchorage (mini-screw or mid-palatal implant)
Comparison
Conventional anchorage (headgear, transpalatal/palatal arch, etc.)
Outcome
Mesiodistal movement of the upper first permanent molar

Surgical anchorage (mini-screw or mid-palatal implant) probably leads to lower mesiodistal movement of the upper first permanent molar compared with conventional anchorage (headgear, transpalatal/palatal arch, etc.) (moderate certainty).

What each review found

Current versions only
FindingEffectStudiesGRADE certainty
Surgical anchorage (mini-screw or mid-palatal implant) vs Conventional anchorage (headgear, transpalatal/palatal arch, etc.)
Mesiodistal movement of the upper first permanent molar · Patients of any age undergoing orthodontic treatment with fixed appliances and requiring anchorage (adolescents to… · End of anchorage reinforcement / space closure
Surgical anchorage (mini-screw or mid-palatal implant) probably leads to lower mesiodistal movement of the upper first permanent molar compared with conventional anchorage (headgear, transpalatal/palatal arch, etc.) (moderate certainty).
Reinforcement of anchorage during orthodontic brace treatment with implants or other surgical methods (2014) · Cochrane All outcomes
MD -1.68 [-2.27, -1.09]7 studies · 308 participantsModerate

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

The reviews

ReviewSearched up toIncluded studiesAMSTAR 2
Reinforcement of anchorage during orthodontic brace treatment with implants or other surgical methods
2014 · Cochrane All outcomes
2013-10Not listedNot assessed
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.