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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/A | N/A | N/A | N/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: |
04/14/2011 |
E-mail |
shins@livemail.uthscsa.edu |
Author |
Sarah L. Shin |
Co-author(s) |
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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 | |
|
Comments and Evidence-Based Updates on the CAT
(FOR PRACTICING DENTISTS', FACULTY, RESIDENTS and/or STUDENTS 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. | |
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