“…[15][16][17][18][19]21,[23][24][25][26][27] This finding has been attributed to higher masticatory forces exerted on posterior teeth, 19,23,28,29 access difficulties during bonding, [15][16][17]19,25,26 and differences in the micromorphology and structure of the superficial enamel layer between posterior and anterior teeth. 19,23,30 Because more failures were found in boys than in girls (P ϭ .040), it seems that the boys who participated in this study were less attentive to diet and care of the fixed appliances during the observation period.…”