Orthodontic treatment with fixed appliances – how long does it take?

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25 studies include 20 RCTs and 5 controlled trials were included this review. They were all conducted in a hospital or university setting and found that treatment duration was on average 19.9 months (95% CI; 19.58 to 20.22 months) over 17.81visits ( 95%CI; 19.71 to 20.32 months)

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Class II malocclusion- fixed or removable functional appliances?

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This review looked at the efficacy of fixed and removable functional appliances for the treatment of class II malocclusion. Just 4 trials were identified 2 of which were randomised. Limited evidence found fixed and removable functional appliances are effective in reducing overjet in children but there is little evidence to differentiate the approaches.

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Orthodontic bonding: trial suggests primer not needed

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This trial of the effects of primer on the bracket failure rate in orthodontic patients involved 49 patients, using a cross-mouth design; and found fewer bonding failures in the non-primer group 5.5%, compared with 3.1% in primer setting and adjusted odd ratio of 1.89 (95% CI 0.97–3.68).

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Social media and care of orthodontic appliances

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This randomised trial examined the use of social media (YouTube ) for the provision of patient information to those undergoing fixed orthodontic treatment. A larger improvement in knowledge was seen in the YouTube group at 6-8 weeks.

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Lingual orthodontics – no high quality evidence of effectiveness

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16 studies were included in this review but the majority were retrospective with only 1 RCT at unclear risk of bias. While the available data suggests satisfactory clinical outcomes, no high quality evidence is available.

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Weak evidence for an effect of chlorhexidine varnish on mutans streptococci in patients with fixed orthodontic appliances

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11 studies were included in this review of chlorhexidine varnish to reduce mutans streptococcus in patients having a fixed orthodontic treatment. A majority of the studies demonstrated a positive effect but the quality of the evidence was weak.

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Fixed functional appliances for class II malocclusions

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This review of fixed functional appliances for treatment of class II malocclusion included 9 studies, only one of which was a RCT. The findings suggest that fixed functional appliances are effective at producing short term improvements in class II malocclusions but should be interpreted with caution because of the quality of the available evidence.

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Anterior crossbite: is fixed or removable treatment most cost effective?

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This cost minimisation study was based on a small RCT comparing fixed or removable appliances for the treatment of anterior crossbite in Sweden. The overall costs were €678 for fixed appliances and €1031 for removable appliances.

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Self-ligating orthodontic bracket system did not increase treatment efficiency

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This 3-centre randomised trial, involving 138 patients, found no clinically significant difference in treatment efficiency between treatment with a self-ligating bracket system and a conventional ligation system.

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Plaque control during orthodontic treatment: study suggests that text messaging may have a positive effect

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This small study in orthodontic patients suggests that text messaging might improve plaque control in short term. Larger better quality studies are needed to provide more definitive answers.

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