Can shielded brackets reduce mucosa alteration and increase comfort perception in orthodontic patients in the first 3 days of treatment? A single-blind randomized controlled trial

Pires, Lívia Pereira Brocos; Oliveira, Augusto Henrique Alves de; Silva, Hillionne Ferreira da; Oliveira, Patrícia Teixeira de; Santos, Patrícia Bittencourt Dutra dos; Pinheiro, Fábio Henrique

doi:10.1016/j.ajodo.2015.07.028

Cited by 6 publications

(7 citation statements)

References 18 publications

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“…Out of these six clinical trials, a significant impact of trauma was observed in individuals in all but one paper [15]. Males were found to be more susceptible to dental trauma than females in two of the trials [14,17], whereas in a couple of other trials, no significant correlation could be deduced [18,19]. In the remaining two studies [15,16], the predilection remained unspecified.…”

Section: Resultsmentioning

confidence: 95%

“…The study by Kallunki et al [16] had no information regarding the risk of bias in some domains and some concerns in others. The study by Kalra et al [17] had a low risk of bias in some domains and a high risk of bias in others, particularly with respect to funding sources. The study by Pires et al [18] had a low risk of bias in some domains and a high risk of bias in others, particularly with respect to data extraction and statistical methods.…”

Section: Resultsmentioning

confidence: 98%

“…At the end of this search protocol, a total of six RCTs were selected for inclusion in the investigation [14][15][16][17][18][19]. Table 1 represents the demographic variables pertaining to these included studies, whereas Table 2 provides with the technical description of their methodologies and the assessments that were observed in them respectively.…”

Section: Resultsmentioning

confidence: 99%

“…Table 1 represents the demographic variables pertaining to these included studies, whereas Table 2 provides with the technical description of their methodologies and the assessments that were observed in them respectively. One study was published in 2011 [14], one in 2015 [18], and the remaining four studies were published after 2019 [15][16][17]19]. The search strategy and screening process were carried out in a systematic and thorough manner to ensure that only the most relevant and up-to-date studies were included in the final meta-analysis.…”

Section: Resultsmentioning

confidence: 99%

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Impact of Dental Trauma on Orthodontic Parameters—A Systematic Review and Meta-Analysis

et al. 2023

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Background and objectives: Investigation into the impact of dental trauma on the results of orthodontic treatment is crucial because it can have a major influence on patient care. However, there has not yet been a thorough review or meta-analysis of the available data, which is inconsistent and scant. Therefore, the goal of this systematic review and meta-analysis is to investigate the impact of dental trauma on orthodontic parameters. Search methods and criterion of selection: Major online databases were searched (beginning from the year 2011) for relevant articles using a properly defined search strategy. Analysis protocol: Risk of bias (RoB) and the Cochrane risk of bias tool were utilized for the purposes of bias evaluation within the individual studies and within the review, respectively. Results: Out of the six clinical trials selected, a significant impact of trauma was observed in individuals in all but one paper. Gender predilection varied across studies and could not be conclusively determined. The follow-up period ranged from two months to two years in the trials. The odds ratio (OR) 0.38 [0.19, 0.77] and the risk ratio (RR) 0.52 [0.32, 0.85] indicated that both the odds as well as the relative risk of experiencing dental trauma were lower in the group with negligible impact compared to the group with noticeable impact. Conclusion and further implications: The findings show that dental trauma significantly affects orthodontic parameters, with lower risk and likelihood of suffering dental trauma in the group with negligible impact than in the group with noticeable impact. However, given the substantial heterogeneity among the studies, it is advised to exercise caution when extrapolating the findings to all populations. Registration and protocol: Registration in the PROSPERO database was carried out before initiating the investigation [CRD42023407218].

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Section: Resultsmentioning

confidence: 95%

Section: Resultsmentioning

confidence: 98%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Impact of Dental Trauma on Orthodontic Parameters—A Systematic Review and Meta-Analysis

et al. 2023

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“…Corrosion of metallic surfaces and the presence of biofilm promote metallic ion release and roughness, which may increase friction between brackets and archwires [134][135][136][137][138] and extend the treatment time. Another pointed aging implication is the friction enhancement between the appliance and the mucosa, which causes oral mucosa lesions (from minor wounds to large ulcers), resulting in patients' pain and discomfort [68,[139][140][141]. Moreover, aging decreases the resistance to fracture of metallic alloys under repeated cyclic loading [30,136]-fatigue-and could lead to premature failure of archwires [95,142] ruining the in vivo function of the biomaterial.…”

Section: Harmful Effects and Clinical Implicationsmentioning

confidence: 99%

Corrosion of Fixed Orthodontic Appliances: Causes, Concerns, and Mitigation Strategies

Fróis,

Santos,

Louro

2023

Metals

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The orthodontic supply market is a prosperous billion-dollar industry, driven by an increasing demand for orthodontic appliances. The supremacy of metallic first-generation biomaterials is evident for manufacturing brackets, archwires, bands, and other components due to their well-recognized chemical inertness, spontaneous passivation, biocompatibility, and favorable mechanical properties combination. However, the oral cavity is the ultimate corrosion-promoting environment for any metallic material. In this work, the general picture of the intraoral degradation of fixed orthodontic appliances is first addressed, from the causes to the harmful effects and their oral clinical implications. Current mitigation strategies are also pointed out, including the alloys’ bulk composition adjustment combined with new and advanced manufacturing processes and/or their surface treatment or coating deposition. The versatile use of thin films and coatings stands out with different deposition technologies: Many in vivo and in vitro efforts have been devoted to oral aging, from monolithic to composite architectures and micro- to nano-scale materials, to meet the best and safest oral practice demands. Unfortunately, literature data suggest that even the existing commercially available protective coatings have drawbacks and are fallible. Further multidisciplinary research is still required to effectively mitigate the corrosion behavior of fixed orthodontic appliances.

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Effects of orthodontic wax and ora-aid on pain and discomfort at the beginning of orthodontic treatment

Pasaoglu Bozkurt,

Buyukbasaran

2024

Clin Oral Invest

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Can shielded brackets reduce mucosa alteration and increase comfort perception in orthodontic patients in the first 3 days of treatment? A single-blind randomized controlled trial

Cited by 6 publications

References 18 publications

Impact of Dental Trauma on Orthodontic Parameters—A Systematic Review and Meta-Analysis

Impact of Dental Trauma on Orthodontic Parameters—A Systematic Review and Meta-Analysis

Corrosion of Fixed Orthodontic Appliances: Causes, Concerns, and Mitigation Strategies

Effects of orthodontic wax and ora-aid on pain and discomfort at the beginning of orthodontic treatment

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