Non-Cochrane · intervention · PM42114023
The effect of eruption guidance appliances on occlusal traits: a systematic review and meta-analysis.
Pelkonen Lotta, Suominen Auli, Svedström-Oristo Anna-Liisa · European journal of orthodontics · 2026 · PubMed · doi:10.1093/ejo/cjag020
Findings
Population Children in the mixed dentition
7 findings
| Prefabricated eruption guidance appliances | Control group without EGA treatment | Overjet Change T1 to T2 (treatment periods 10 months to 3.3 years) · Orthodontic treatment of mixed dentition | SMD -1.51 [-1.74, -1.28] Low Downgraded: risk of bias 3 studies · 204 participants |
| Prefabricated eruption guidance appliances | Control group without EGA treatment | Overbite Change T1 to T2 (treatment periods 10 months to 3.3 years) · Orthodontic treatment of mixed dentition | SMD -1.67 [-2.6, -0.73] Low Downgraded: risk of bias 3 studies · 204 participants |
| Prefabricated eruption guidance appliances | Control group without EGA treatment | SNA angle Change T1 to T2 (treatment periods 10 months to 3.3 years) · Orthodontic treatment of mixed dentition | SMD -0.02 [-0.44, 0.39] Very low Downgraded: risk of bias, imprecision 2 studies · 43 participants |
| Prefabricated eruption guidance appliances | Control group without EGA treatment | Inter-incisal angle Change T1 to T2 (treatment periods 10 months to 3.3 years) · Orthodontic treatment of mixed dentition | SMD 0.52 [-0.37, 1.42] Very low Downgraded: risk of bias, imprecision, inconsistency 2 studies · 43 participants |
| Prefabricated eruption guidance appliances | Control group without EGA treatment | SNB angle Change T1 to T2 (treatment periods 10 months to 3.3 years) · Orthodontic treatment of mixed dentition | SMD 0.44 [0.02, 0.86] Very low Downgraded: risk of bias 2 studies · 43 participants |
| Prefabricated eruption guidance appliances | Control group without EGA treatment | PP-MP angle Change T1 to T2 (treatment periods 10 months to 3.3 years) · Orthodontic treatment of mixed dentition | SMD 0.0 [-0.41, 0.42] Very low Downgraded: risk of bias 2 studies · 43 participants |
| Prefabricated eruption guidance appliances | Control group without EGA treatment | ANB angle Change T1 to T2 (treatment periods 10 months to 3.3 years) · Orthodontic treatment of mixed dentition | SMD -0.57 [-0.99, -0.15] Very low Downgraded: risk of bias 2 studies · 43 participants |
Included primary studies 7
Open in Studies| Study | Year | Also included by | Outcomes it informs here | Trial data |
|---|---|---|---|---|
| Chen 2022 Evaluation of skeletal and dentoalveolar changes in class II division I pediatric patients receiving myofunctional appliance therapy: A… PMID:35248444 | 2022 | this review only | not stated | not extracted yet |
| Janson 1997 Cephalometric evaluation of the eruption guidance appliance in Class II, division 1 treatment. PMID:9511561 | 1997 | this review only | not stated | not extracted yet |
| Janson 2000 Eruption Guidance Appliance effects in the treatment of Class II, Division 1 malocclusions. PMID:10672211 | 2000 | this review only | not stated | not extracted yet |
| Keski-Nisula 2008a Orthodontic intervention in the early mixed dentition: a prospective, controlled study on the effects of the eruption guidance appliance. PMID:18249292 | 2008 | this review only | not stated | not extracted yet |
| Keski-Nisula 2008b Dentofacial changes after orthodontic intervention with eruption guidance appliance in the early mixed dentition. PMID:18251597 | 2008 | this review only | not stated | not extracted yet |
| Methenitou 1990 Prevention of overbite and overjet development in the 3 to 8 year old by controlled nighttime guidance of incisal eruption: a study of 43… PMID:2098075 | 1990 | this review only | not stated | not extracted yet |
| Myrlund 2015 One year treatment effects of the eruption guidance appliance in 7- to 8-year-old children: a randomized clinical trial. PMID:25005108 | 2015 | this review only | not stated | not extracted yet |
Review question
| Element | Planned (methods) | Found (results) |
|---|---|---|
| Population | Children in mixed dentition; excluded cleft lip/palate, syndromes or medical disorders affecting craniofacial complex | Children of early to late mixed dentition, mean age 5.1 to 9.3 years (n=277 treated) |
| Intervention | Prefabricated eruption guidance appliances; personalized appliances excluded | Occlus-o-Guide (5 studies), Nite-Guide then Occlus-o-Guide (1), Education Fonctionnelle (1), LM-Activator (1) |
| Comparison | Control group required (studies with no control group excluded) | Untreated controls (n=219) |
| Outcomes | Occlusal traits (dental) as primary aim; skeletal changes as secondary aim | Overjet, overbite, SNA, SNB, ANB, PP/MP angle, inter-incisal angle (meta-analysed); crowding, molar relationship, tooth contacts (narrative) |
| Study designs | Not specified (reviews, case reports excluded; English language only) | 1 RCT, 3 prospective, 1 retrospective, 2 follow-up reports (7 articles, 5 studies); 4 in meta-analysis |
| Timing | Not specified | Treatment 10 months to 3.3 years |