Clinical outcomes of orthodontic traction–based treatment strategies for impacted maxillary central incisors: A systematic review

Active orthodontic traction-based management strategies have been associated with favourable clinical outcomes in selected cases; however, the certainty of evidence remains low, and results should be interpreted cautiously due to heterogeneity in interventions, including surgical exposure, type of traction, and space creation protocols. Treatment efficiency may be influenced by creating preoperative space, and periodontal health should be a key consideration. The conclusions are based on low-certainty evidence, highlighting the need for more rigorous and long-term studies.