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Table 6 Summary of findings according to GRADE

From: The effectiveness of the early orthodontic correction of functional unilateral posterior crossbite in the mixed dentition period: a systematic review and meta-analysis

RME compared with untreated control group for treatment of functional posterior cross bite

Patient or population: patients in mixed dentition had functional posterior crossbite

Intervention: RME

Comparison: untreated control group

Outcomes

Anticipated absolute effects* (95% CI)

Relative effect (95% CI)

№ of participants (studies)

Certainty of the evidence (GRADE)

Comments

Risk with untreated control group

Risk with RME

Maxillary intermolar width

 

MD 4.3 higher (2.05 higher to 6.55 higher)

66 (1 RCT)

VERY LOWa,b

RME may increase the maxillary intermolar width compared with control group but the evidence is very uncertain

Maxillary intercanine width

 

MD 2.6 higher (0.93 higher to 4.27 higher)

66 (1 RCT)

VERY LOWa,b

RME may increase the maxillary intercanine width compared with control group but the evidence is very uncertain

Mandibular intermolar width

 

MD 0 (1.51 lower to 1.51 higher)

66 (1 RCT)

VERY LOWa,b,c

The evidence is very uncertain about the effect of RME on mandibular intermolar width

Mandibular intercanine width

 

MD 0.8 higher (0.38 lower to 1.98 higher)

66 (1 RCT)

VERY LOWa,b,d

The evidence is very uncertain about the effect of RME on mandibular intercanine width

Mandibular midline correction

 

MD 1.8 lower (2.56 lower to 1.04 lower)

66 (1 RCT)

VERY LOWa,b

RME may reduce the mandibular midline deviation compared with control group but the evidence is very uncertain

*The risk in the intervention group (and its 95% confidence interval) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI)

CI: Confidence interval; MD: Mean difference

GRADE Working Group grades of evidence

High certainty: We are very confident that the true effect lies close to that of the estimate of the effect

Moderate certainty: We are moderately confident in the effect estimate: The true effect is likely to be close to the estimate of the effect, but there is a possibility that it is substantially different

Low certainty: Our confidence in the effect estimate is limited: The true effect may be substantially different from the estimate of the effect

Very low certainty: We have very little confidence in the effect estimate: The true effect is likely to be substantially different from the estimate of effect

  1. Explanations
  2. aHigh risk due to reporting bias
  3. bThe number of patients who provide data is low
  4. cThe boundaries of the CI are not on the same side of their decision-making threshold
  5. dhe recommendation will be altered if the lower versus the upper boundary of the CI represent the true underlying effect