ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM
View the CAT printer-friendly / share this CAT
spacer
Title Long Term SARPE in Retained Or Removed Impacted Third Molars
Clinical Question In adolescents and adults, would maxillary SARPE (surgically assisted rapid palatal expansion) in those with prophylactic removal of asymptomatic impacted maxillary third molars be more stable long term versus those that retain their impacted third molars?
Clinical Bottom Line As of March 2011, there appear to be no controlled studies comparing stability of maxillary SARPE in asymptomatic impacted maxillary third molars to retained impacted third molars. (See Comments on the CAT below)
Best Evidence (you may view more info by clicking on the PubMed ID link)
PubMed ID Author / Year Patient Group Study type
(level of evidence)
#1) N/AN/AN/AN/A
Key results
Evidence Search Searched PubMed for: "Palatal Expansion Technique"[Mesh] AND "Molar, Third"[Mesh](("Palatal Expansion Technique"[Mesh]) AND "Molar, Third"[Mesh]) AND "Maxilla"[Mesh]
Comments on
The Evidence
No controlled studies were found comparing the effects of rapid palatal expansion in patients with retained and extracted third molars.
Applicability This information applies to patients with third molars considering whether they should retain or remove third molars before SARPE appliance is placed.
Specialty/Discipline (Oral Surgery) (Orthodontics)
Keywords Palatal expansion, third molars, maxillary
ID# 790
Date of submission: 04/14/2011spacer
E-mail shins@livemail.uthscsa.edu
Author Sarah L. Shin
Co-author(s)
Co-author(s) e-mail
Faculty mentor/Co-author Damon Wilkerson, DDS
Faculty mentor/Co-author e-mail orthodont@aol.com
Basic Science Rationale
(Mechanisms that may account for and/or explain the clinical question, i.e. is the answer to the clinical question consistent with basic biological, physical and/or behavioral science principles, laws and research?)
post a rationale
None available
spacer
Comments on the CAT
(FOR PRACTICING DENTISTS' and/or FACULTY COMMENTS ON PUBLISHED CATs)
post a comment
by Drew Baker (San Antonio, TX) on 10/03/2014
PubMed and TRIP database searches were performed in September 2014, looking at MeSH headings for "Molar, Third," "Palatal Expansion Technique" and SARPE. Non-MeSH terms were also used to expand possible research literature. No studies, animal or human, were found that looked at whether or not extraction of the wisdom teeth would affect success or stability of palatal expansion with SARPE.
spacer

Return to Found CATs list