IADR Abstract Archives
Novel Methods to Assess Midpalatal Suture Maturation. Systematic Review.
Objectives: Assessment of midpalatal suture maturation is highly important in clinical decision making on whether to correct a transverse discrepancy in a conventional or assisted surgical manner. For this purpose, there are some methods such as hand-wrist bone analysis, cervical vertebral maturation method and occlusal radiography. The aim was to identify in the current literature the use of new methods and technologies to evaluate the maturity of the midpalatal suture before performing a maxillary expansion.
Methods: A systematic review was performed on electronic databases PubMed, Cochrane Library, Scielo, Epistemonikos, Web of Science and ScienceDirect between 2010 and 2020, including all languages; using as search strategy the terms "midpalatal suture" AND "maturation" AND ''maxillary expansion'' AND (evaluation OR assessment OR assess).
Results: 97 articles were found as a result of the first search (algorithm). 15 articles were analysed and fulfilled all the inclusion/exclusion criteria. The reported methods for individual assessment of midpalatal suture maturation were the use of ultrasonography, fractal analysis, bone density and Angelieri method.
Conclusions: The quality of evidence available is insufficient to support the newest technologies and proposed methodologies that evaluate midpalatal suture maturation. The novel methodologies mentioned lack validation with histological reference/gold standard. Therefore, it is still advised that clinicians use a multitude of diagnostic methods to subjectively assess palatal suture maturation and drive clinical decision-making.
Methods: A systematic review was performed on electronic databases PubMed, Cochrane Library, Scielo, Epistemonikos, Web of Science and ScienceDirect between 2010 and 2020, including all languages; using as search strategy the terms "midpalatal suture" AND "maturation" AND ''maxillary expansion'' AND (evaluation OR assessment OR assess).
Results: 97 articles were found as a result of the first search (algorithm). 15 articles were analysed and fulfilled all the inclusion/exclusion criteria. The reported methods for individual assessment of midpalatal suture maturation were the use of ultrasonography, fractal analysis, bone density and Angelieri method.
Conclusions: The quality of evidence available is insufficient to support the newest technologies and proposed methodologies that evaluate midpalatal suture maturation. The novel methodologies mentioned lack validation with histological reference/gold standard. Therefore, it is still advised that clinicians use a multitude of diagnostic methods to subjectively assess palatal suture maturation and drive clinical decision-making.