{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:10:38Z","timestamp":1787019038968,"version":"build-2736575974"},"reference-count":33,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2022,11,28]],"date-time":"2022-11-28T00:00:00Z","timestamp":1669593600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Cleft Palate Craniofacial Journal"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The aim of this systematic review was to elucidate the role of orthodontic retainers on the stability of compensatory orthodontic treatment in patients with unilateral cleft lip and palate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Five electronic databases (PubMed, Scopus, Web of Science, LILACS, and LIVIVO) and the grey literature (OpenGrey and Google Scholar) were investigated, according to the population, exposure, comparator, outcomes and Study design eligibility criterion. The risk of bias assessment was determined based on the Risk of Bias In Nonrandomized Studies of Exposure (ROBINS-E) and the level of evidence with the GRADE tool.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Three studies were included: two presented moderate risk of bias and one high. A moderate level of evidence revealed a mean value of 0.6\u2005mm of intercanine relapse distance, and great variability between the data, regardless of the use or type of retention or rehabilitation. Relapse in the posterior region showed clinical significance, from \u22121 to \u22121.7 mm, especially in individuals who did not use retention, except in patients with symmetrical arches with Hawley retainer, where this value varies from \u22120.2\u2009\u00b1\u20090.63 mm.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Orthodontic retainers do not seem essential to prevent relapse at anterior maxillary dimensions after compensatory orthodontic treatment in patients with unilateral cleft lip and palate. Relapse in the posterior region can achieve greater clinical significance, which highlights the need for prolonged use of Hawley retainers and periodic evaluation of the stability of treatment results. Prospective studies with a longer follow-up can improve the certainty of the evidence.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10556656221133954","type":"journal-article","created":{"date-parts":[[2022,11,29]],"date-time":"2022-11-29T03:20:34Z","timestamp":1669692034000},"page":"433-442","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Orthodontic Retainers and the Stability of the Maxillary Arch in Unilateral Cleft lip and Palate Patients: A Systematic Review"],"prefix":"10.1177","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4572-1074","authenticated-orcid":false,"given":"Cibelle Cristina Oliveira","family":"dos Santos","sequence":"first","affiliation":[{"name":"Department of Orthodontics, School of Dentistry, Federal University of Par\u00e1, Belem, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Renata Travassos da Rosa Moreira","family":"Bastos","sequence":"additional","affiliation":[{"name":"Department of Orthodontics, School of Dentistry, Federal University of Par\u00e1, Belem, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Normando","sequence":"additional","affiliation":[{"name":"Department of Orthodontics, School of Dentistry, Federal University of Par\u00e1, Belem, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,11,28]]},"reference":[{"key":"bibr1-10556656221133954","doi-asserted-by":"publisher","DOI":"10.1590\/S1678-77572012000200024"},{"key":"bibr2-10556656221133954","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijom.2014.08.004"},{"key":"bibr3-10556656221133954","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2842.1997.tb01078.x"},{"key":"bibr4-10556656221133954","doi-asserted-by":"publisher","DOI":"10.1590\/1679-775720130127"},{"key":"bibr5-10556656221133954","doi-asserted-by":"publisher","DOI":"10.1093\/ejo\/26.4.385"},{"key":"bibr6-10556656221133954","doi-asserted-by":"publisher","DOI":"10.2319\/070506-272.1"},{"key":"bibr7-10556656221133954","doi-asserted-by":"publisher","DOI":"10.1597\/07-053"},{"key":"bibr8-10556656221133954","doi-asserted-by":"publisher","DOI":"10.1177\/1055665619860038"},{"key":"bibr9-10556656221133954","first-page":"71:372","volume":"29","author":"Page MJ","journal-title":"Br Med J."},{"key":"bibr10-10556656221133954","unstructured":"ROBINS-E Development Group (Higgins J, Morgan R, Rooney A, Taylor K, Thayer K, Silva R, Lemeris C, Akl A, Arroyave W, Bateson T, et al.). Risk of bias in non-randomized studies of exposure (ROBINS-E). Launch version, 1 June 2022. Available from: https:\/\/www.riskofbias.info\/welcome\/robins-e-tool"},{"key":"bibr11-10556656221133954","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2010.07.015"},{"issue":"1","key":"bibr12-10556656221133954","first-page":"121","volume":"8","author":"Johanson B","year":"1974","journal-title":"Scand J Plast Reconstr Surg"},{"issue":"2","key":"bibr13-10556656221133954","doi-asserted-by":"crossref","first-page":"14","DOI":"10.17096\/jiufd.85884","volume":"51","author":"Aras I","year":"2017","journal-title":"J Istanb Univ Fac Dent"},{"key":"bibr14-10556656221133954","first-page":"54","volume":"7","author":"Graf-Pinthus B","year":"1970","journal-title":"Cleft Palate J"},{"key":"bibr15-10556656221133954","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000004140"},{"key":"bibr16-10556656221133954","doi-asserted-by":"publisher","DOI":"10.1054\/bjom.1999.0132"},{"key":"bibr17-10556656221133954","doi-asserted-by":"publisher","DOI":"10.1590\/1678-7757-2018-0434"},{"key":"bibr18-10556656221133954","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-020-01143-1"},{"issue":"2","key":"bibr19-10556656221133954","first-page":"152","volume":"5","author":"Subtelny JD","year":"2004","journal-title":"World J Orthod"},{"issue":"9","key":"bibr20-10556656221133954","first-page":"585","volume":"53","author":"Li WR","year":"2018","journal-title":"Zhonghua Kou Qiang Yi Xue Za Zhi"},{"issue":"12","key":"bibr21-10556656221133954","first-page":"1542","volume":"101","author":"Br\u00e4gger U","year":"1991","journal-title":"Schweiz Monatsschr Zahnmed"},{"key":"bibr22-10556656221133954","unstructured":"Sumin P. Change in the maxillary dental arch dimension by fixed orthodontic treatment: well-aligned vs. constricted arches in patients with unilateral cleft lip and palate [thesis]. Seoul National University; 2017. 32 p."},{"key":"bibr23-10556656221133954","doi-asserted-by":"publisher","DOI":"10.1597\/1545-1569_1992_029_0405_asciso_2.3.co_2"},{"key":"bibr24-10556656221133954","first-page":"34","volume":"10","author":"Ramstad T","year":"1973","journal-title":"Cleft Palate J"},{"key":"bibr25-10556656221133954","doi-asserted-by":"publisher","DOI":"10.1016\/j.prosdent.2020.10.025"},{"key":"bibr26-10556656221133954","doi-asserted-by":"publisher","DOI":"10.4103\/2231-0762.168645"},{"key":"bibr27-10556656221133954","unstructured":"World Health Organization. Possibilities for improving the treatment of CFA. In:\n                      Global strategies to reduce the health-care burden of craniofacial anomalies: Report of WHO Meetings on International Collaborative Research on Craniofacial Anomalies\n                      . Geneva: World Health Organizations; 2002. pp. 14-40."},{"key":"bibr28-10556656221133954","doi-asserted-by":"publisher","DOI":"10.1177\/1055665617718825"},{"key":"bibr29-10556656221133954","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjoms.2019.04.011"},{"key":"bibr30-10556656221133954","doi-asserted-by":"publisher","DOI":"10.1597\/1545-1569_1997_034_0520_poeiig_2.3.co_2"},{"key":"bibr31-10556656221133954","doi-asserted-by":"publisher","DOI":"10.1016\/S0377-1237(09)80130-5"},{"key":"bibr32-10556656221133954","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajodo.2015.11.022"},{"key":"bibr33-10556656221133954","doi-asserted-by":"publisher","DOI":"10.1177\/1055665619896675"}],"container-title":["The Cleft Palate Craniofacial Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10556656221133954","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10556656221133954","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10556656221133954","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T16:20:45Z","timestamp":1777393245000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10556656221133954"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,11,28]]},"references-count":33,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2024,3]]}},"alternative-id":["10.1177\/10556656221133954"],"URL":"https:\/\/doi.org\/10.1177\/10556656221133954","relation":{},"ISSN":["1055-6656","1545-1569"],"issn-type":[{"value":"1055-6656","type":"print"},{"value":"1545-1569","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,11,28]]}}}