Abstract
Purpose: To systematically search the scientific literature concerning the influence of playing a wind instrument on tooth position and/or facial morphology. Methods: The PubMed, EMBASE and Cochrane databases were searched up to September 2019. Orthodontic journals were hand searched and grey literature was sought via Google Scholar. Observational studies and (randomized) controlled clinical trials that assessed tooth position and/or facial morphology by profile cephalograms, dental casts or clinical examination were included. The potential risk of bias was assessed. Data from wind instrument players and controls were extracted. Descriptive analysis and meta-analysis were performed. Results: In total, 10 eligible studies with a cross-sectional (n = 7) or longitudinal design (n = 3) and an estimated low to serious risk of bias were included. Sample sizes ranged from 36 to 170 participants, varying from children to professional musicians. Descriptive analysis indicated that adults playing a single-reed instrument may have a larger overjet than controls. Playing a brass instrument might be associated with an increase in maxillary and mandibular intermolar width among children. Longitudinal data showed less increase in anterior facial height among brass and single-reed players between the age of 6 and 15. Children playing a wind instrument showed thicker lips than controls. Meta-analysis revealed that after a follow-up of 6 months to 3 years, children playing brass instruments had a significant reduction in overjet as compared to controls. The magnitude of the effect was of questionable clinical relevance and the generalizability was limited. Conclusions: Playing a wind instrument can influence tooth position and facial morphology in both children and adults. Aspects that stand out are overjet, arch width, facial divergence/convergence and lip thickness. However, evidence was sparse and the strength of the premise emerging from this review was graded to be “very low”.
| Original language | English |
|---|---|
| Pages (from-to) | 267-285 |
| Number of pages | 19 |
| Journal | Journal of Orofacial Orthopedics |
| Volume | 81 |
| Issue number | 4 |
| DOIs | |
| Publication status | Published - 1 Jul 2020 |
Funding
This research received no specific grant from any funding agency in the public, commercial, or nonprofit sectors. Work for this paper is funded by a regular academic appointment of the authors at the Academic Center for Dentistry Amsterdam (ACTA). The authors gratefully acknowledge the support of Sonja S?lzer, who helped to translate the abstract into German, and the support of Joost Bouwman, the head librarian of the ACTA, who helped retrieve the full-text papers. The authors are also grateful to Else Aalbersberg for her support while preparing the manuscript, and Arjen van Wijk and Fae Van der Weijden for their help with the statistics. This research received no specific grant from any funding agency in the public, commercial, or nonprofit sectors. Work for this paper is funded by a?regular academic appointment of the authors at the Academic Center for Dentistry Amsterdam (ACTA). Open Access funding provided by Vrije Universiteit Amsterdam. Acknowledgements Funding
| Funders | Funder number |
|---|---|
| Academic Center for Dentistry Amsterdam | |
| Joost Bouwman | |
| Vrije Universiteit Amsterdam |