Multiloop edgewise archwire technique and denture frame analysis: a systematic review

Background The Multiloop Edgewise Archwire (MEAW) appliance is an orthodontic treatment method suitable for the therapy of severe types of malocclusions such as open bites or anterior crossbites. The cephalometric Denture Frame Analysis (DFA) provides a supportive diagnostic tool for patient-specifi...

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Bibliographic Details
Published in:Head & face medicine Vol. 16; no. 1; pp. 32 - 9
Main Authors: Tabancis, M., Ratzmann, A., Doberschütz, P., Krey, K. F.
Format: Journal Article
Language:English
Published: London BioMed Central 26.11.2020
BioMed Central Ltd
Springer Nature B.V
BMC
Subjects:
Analysis
Cephalometry
Dental compensation
Dental implants
Dentistry
Denture frame analysis
Dentures
Head and Neck Surgery
Health aspects
Humans
Kim
Malocclusion - therapy
MEAW
Medicine
Medicine & Public Health
Multiloop edgewise archwire
Ophthalmology
Oral and Maxillofacial Surgery
Orthodontic Wires
Orthodontics
Otorhinolaryngology
Review
Sato
Search strategies
Teeth
Tooth Movement Techniques
Denture frame analysis
MEAW
Dental compensation
Multiloop edgewise archwire
Kim
Sato
ISSN:1746-160X, 1746-160X
Online Access:Get full text
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Summary:Background The Multiloop Edgewise Archwire (MEAW) appliance is an orthodontic treatment method suitable for the therapy of severe types of malocclusions such as open bites or anterior crossbites. The cephalometric Denture Frame Analysis (DFA) provides a supportive diagnostic tool for patient-specific treatment planning concerning the rearrangement of occlusion within the “denture frame”. The objective of this study is to give a comprehensive overview of the national and international scientific literature about MEAW and DFA regarding the general therapeutic effects, advantages and limitations. Methods and materials A computerized literature search was performed using four principal medical databases (PubMed/Medline, Google Scholar, Web of Science and Cochrane Central Register of Controlled Trials) and supplemented by manual searching of the references listed in the retrieved articles. The results were screened and assessed following the PRISMA guidelines. Results Six hundred seventy-seven full articles were assessed for eligibility. A number of 134 articles went through qualitative analysis and 3 studies were finally involved in comparative synopsis. The findings reveal advantageous characteristics of the MEAW technique such as a high degree of three-dimensional individual tooth control and a comparatively low load deflection rate, causing mostly dentoalveolar changes without significantly influencing the skeletal structures. Conclusion Based on current literature, the MEAW technique appears to have several therapeutic benefits and serves as a sufficient alternative treatment method for dentoalveolar compensation, when measures of orthognathic surgery are rejected. Concerning the deficient data basis of available literature and the low level of scientific evidence, further studies are required in order to expand on the knowledge in this subject area. Several aspects like the effectiveness or the long-term stability have to be evaluated more extensively. Moreover, the transferability of the DFA to ethnic groups other than the Asian ethnicity should be examined further.
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ISSN:1746-160X
1746-160X
DOI:10.1186/s13005-020-00247-x