Prospective randomized clinical trial to compare pain levels associated with 2 orthodontic fixed bracket systems

Pringle, A.; Petrie, Aviva; Cunningham, Susan; McKnight, Mary

doi:10.1016/j.ajodo.2007.08.032

Cited by 75 publications

(105 citation statements)

References 31 publications

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“…Six trials had acceptable allocation concealment. 11,12,14,17,18,24 Group allocation was not concealed in the split-mouth studies. 13,19,20 Outcome assessment was blind in five studies.…”

Section: Methodological Quality Of Included Studiesmentioning

confidence: 99%

“…11,12,14,18,21,24 Generation of the random-number sequence was considered adequate in six trials using computer-generated random allocation. 11,12,14,17,18,24 In many of the studies, allocation was performed using a quasi-random method, with consecutive subjects being alternated between appliances. Six trials had acceptable allocation concealment.…”

Section: Methodological Quality Of Included Studiesmentioning

confidence: 99%

“…11,13,17,18 Of these, one split-mouth study considered pain reports after both the first and second visits, with patients indicating which system was associated with the greatest discomfort. 13 Data in three of the trials are presented as continuous pain scores from 0 to 100 on a 100-mm VAS.…”

Section: Subjective Pain Experiencementioning

confidence: 99%

“…However, after we contacted the authors of published trials, a further five studies were included. Of the 17 papers selected, 6 were randomized controlled trials (Table 1 [11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27] ).…”

Section: Description Of Studiesmentioning

confidence: 99%

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Self-Ligating Brackets in Orthodontics

Fleming

Johal

2010

The Angle Orthodontist

141

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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 selfligating fixed orthodontic appliances over conventional appliance systems or vice versa. (Angle Orthod. 2010;80:575-584.)

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“…Six trials had acceptable allocation concealment. 11,12,14,17,18,24 Group allocation was not concealed in the split-mouth studies. 13,19,20 Outcome assessment was blind in five studies.…”

Section: Methodological Quality Of Included Studiesmentioning

confidence: 99%

Section: Methodological Quality Of Included Studiesmentioning

confidence: 99%

Section: Subjective Pain Experiencementioning

confidence: 99%

Section: Description Of Studiesmentioning

confidence: 99%

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Self-Ligating Brackets in Orthodontics

Fleming

Johal

2010

The Angle Orthodontist

141

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“…However, a painless procedure contributes to the satisfaction of the patient 4 . Compared to conventional brackets, one study reported less discomfort with Damon Ò selfligating brackets than with conventional brackets 37 , that was corroborated during alignment by Harradine's 18 review that he attributed without a cause and effect proof to the lightweight wires and to the optimal gliding.…”

Section: Painmentioning

confidence: 66%

Are self-ligating brackets an advantageous alternative for non-extraction treatments?

Gebeile-Chauty¹

2014

J Dentofacial Anom Orthod

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The objective of this nonsystematic review of the literature is to determine whether or not self-ligating brackets are an equally effective alternative to traditional brackets for non-extraction treatments. The agreed upon criteria are indications for extractions, the biomechanical approach, the stability of the treatment results, the iatrogenic effects and the ergonomics.The studies discuss arch expansion with the use of self-ligating brackets. One study mentions a lack of control of osseous management including tipping and buccal bone thickness in the lateral sectors. The mandibular incisor inclination that was obtained does not appear to be correlated to the type of bracket but rather to initial factors specific to the patient. We didn't find any study dealing with the long-term stability of the results.Regarding patients, self-ligating brackets do not reduce the pain, the number of extractions, the incidence of resorption or the risk for caries.Self-ligating brackets shortened the clinical time for an experienced practitioner but not the length of the time of comprehensive treatment and alignment. Some studies report an increase in cases of emergency. Finally, these brackets are more difficult to position.

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Self‐Ligation

Rcs²,

Registrar³

2011

Evidence‐Based Orthodontics

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Prospective randomized clinical trial to compare pain levels associated with 2 orthodontic fixed bracket systems

Cited by 75 publications

References 31 publications

Self-Ligating Brackets in Orthodontics

Self-Ligating Brackets in Orthodontics

Are self-ligating brackets an advantageous alternative for non-extraction treatments?

Self‐Ligation

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