Non-Cochrane · intervention · PM42582448
Effectiveness of Miniscrew-assisted Rapid Palatal Expansion in the Management of Obstructive Sleep Apnea: A Systematic Review and Meta-analysis.
Abdurahman Raheesa, Umar Dilshad, Koya Shafees, et al. · International journal of clinical pediatric dentistry · 2026 · PubMed · doi:10.5005/jp-journals-10005-3551
Findings
Population Patients of any age with obstructive sleep apnea (AHI >=5) and maxillary constriction
1 finding
| Miniscrew-assisted rapid palatal expansion (MARPE) | Pretreatment baseline (pre-post change) | Apnea-hypopnea index (AHI) Post-treatment versus baseline · Not specified | MD -5.46 [-6.01, -4.90] -5.46 [-6.01, -4.90] events/hour GRADE not reported 2 studies |
Included primary studies 10
Open in Studies| Study | Year | Also included by | Outcomes it informs here | Trial data |
|---|---|---|---|---|
| Brunetto 2022 Mini-implant assisted rapid palatal expansion (MARPE) effects on adult obstructive sleep apnea (OSA) and quality of life: a multi-center… PMID:35102477 | 2022 | this review only | Apnea-hypopnea index (AHI) | not extracted yet |
| Kavand 2019 Retrospective CBCT analysis of airway volume changes after bone-borne vs tooth-borne rapid maxillary expansion. PMID:30768911 | 2019 | this review only | not stated | not extracted yet |
| Kim 2018 Assessment of changes in the nasal airway after nonsurgical miniscrew-assisted rapid maxillary expansion in young adults. PMID:29561652 | 2018 | this review only | not stated | not extracted yet |
| Kim 2022 Correlation between craniofacial changes and respiratory improvement after nasomaxillary skeletal expansion in pediatric obstructive sleep… PMID:34181174 | 2022 | this review only | Apnea-hypopnea index (AHI) | not extracted yet |
| Li 2020 Comparison of dimensions and volume of upper airway before and after mini-implant assisted rapid maxillary expansion. PMID:33378437 | 2020 | this review only | not stated | not extracted yet |
| Li 2023 Three-Dimensional Evaluation Effects of Microimplant-Assisted Rapid Palatal Expansion on the Upper Airway Volume: A Systematic Review and… PMID:36902577 | 2023 | this review only | PM42582448-P2-O1 | not extracted yet |
| Sader 2023 Comparison of maxillary transversal changes between auxiliary beta-titanium expansion arch and miniscrew-assisted rapid palatal expansion. PMID:38124269 | 2024 | this review only | not stated | not extracted yet |
| Song 2020 matched by author and year (probable) | NR | this review only | not stated | not extracted yet |
| Storto 2019 Assessment of respiratory muscle strength and airflow before and after microimplant-assisted rapid palatal expansion. PMID:30896250 | 2019 | this review only | not stated | not extracted yet |
| Tang 2021 matched by author and year (probable) | NR | this review only | not stated | not extracted yet |
Review question
| Element | Planned (methods) | Found (results) |
|---|---|---|
| Population | Patients of any age with OSA (AHI >=5 events/hour) | Adults with moderate to severe OSA; adolescents with transverse maxillary constriction; children with nasomaxillary deficiency (n=412 overall) |
| Intervention | MARPE (bone-borne or hybrid devices, with or without surgical support) | MARPE, bone-borne or hybrid devices |
| Comparison | Pretreatment baseline, sham, no intervention, or other expansion such as conventional RPE | No intervention; pre-post; bone-borne vs tooth-borne expansion |
| Outcomes | AHI (primary); SpO2, Epworth Sleepiness Scale, volumetric airway measurements, adverse events | AHI (2 studies pooled); SpO2; ESS; CBCT airway volume; adverse events |
| Study designs | RCTs, nonrandomized trials, prospective and retrospective cohorts, case-control studies | Prospective controlled trials (n=2), retrospective cohorts (n=5), cross-sectional (n=1), systematic reviews with meta-analysis (n=2) |
| Timing | Not specified | Follow-up under 12 months |