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Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet]. York (UK): Centre for Reviews and Dissemination (UK); 1995-.

Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews.

Self-ligating brackets in orthodontics: a systematic review

Review published: 2010.

Bibliographic details: Fleming PS, Johal A.  Self-ligating brackets in orthodontics: a systematic review. Angle Orthodontist 2010; 80(3): 575-584. [PubMed: 20050755]

Quality assessment

This review concluded that there was insufficient evidence to support use of self-ligating fixed orthodontic appliances over conventional appliances or vice versa and found no advantages for self-ligating brackets for subjective pain experience. This review was generally well-conducted, but the limited body of evidence requires that the conclusions be treated with a note of caution. Full critical summary

Abstract

OBJECTIVE: To evaluate the clinical differences in relation to the use of self-ligating brackets in orthodontics.

MATERIALS AND METHODS: Electronic databases were searched; no restrictions relating to publication status or language of publication were applied. Randomized controlled trials (RCTs) and controlled clinical trials (CCTs) investigating the influence of bracket type on alignment efficiency, subjective pain experience, bond failure rate, arch dimensional changes, rate of orthodontic space closure, periodontal outcomes, and root resorption were selected. Both authors were involved in study selection, validity assessment, and data extraction. Disagreements were resolved by discussion.

RESULTS: Six RCTs and 11 CCTs were identified. Meta-analysis of the influence of bracket type on subjective pain experience failed to demonstrate a significant advantage for either type of appliance. Statistical analysis of other outcomes was unfeasible because of inadequate methodological design and heterogenous designs.

CONCLUSIONS: At this stage there is insufficient high-quality evidence to support the use of self-ligating fixed orthodontic appliances over conventional appliance systems or vice versa.

CRD has determined that this article meets the DARE scientific quality criteria for a systematic review.

Copyright © 2012 University of York.

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