Orthodontic treatment of posterior crossbite

shutterstock_161863670

Treatment of posterior crossbite was rated in the top 10 most important orthodontic reviews by an international panel of oral health professionals as part of a Cochrane Oral Health Group prioritisation exercise. This new update to this Cochrane review found some evidence to suggest that the quad-helix (fixed) appliance may be more successful than removable expansion plates at correcting posterior crossbites. However, it is mainly low to very low quality.

[read the full story...]

Review finds limited evidence for the effectiveness of the Fränkel regulator for class III malocclusions

shutterstock_94503853

Treatment of class III malocclusions frequently involves the use of functional appliances. The Fränkel regulator type III (FR-3) is a wire and acrylic appliance developed to treat class III malocclusions but there is controversy over its effectiveness. The aim of this review was to evaluate the effectiveness of the FR-3 in patients with Class III [read the full story…]

Review suggests twin-block appliance produces changes- but are they clinically important?

shutterstock_183933941

Fixed and removable functional appliances are used in the management of class II malocclusions. The Twin-block consists of upper and lower acrylic bite blocks with occlusal inclined planes that interlock at a 70 degree angle and guide the mandible forward and downward. It is considered that the twin-block is better tolerated by patients. The aim [read the full story…]

Few trials on improving adherence amongst orthodontic patients

shutterstock_60699226

Successful orthodontic treatment requires that the patients to agree with and follow the treatment proposed. This requires the patients to keep appointments, maintaining good oral hygiene, wearing elastics, appliances and avoid damage. The aim of this review was to investigate the effectiveness of interventions to enhance adherence among orthodontic patients aged 12 to 18 years. [read the full story…]

Limited evidence to make recommendations about initial archwires or specific archwire sequences for orthodontic treatment

iStock_000002259334XSmall braces on teeth

The aim of this review was to assess the effectiveness, efficiency, and potential side effects of the various archwires used during fixed appliance orthodontic treatment. Searches were conducted in Medline, Cochrane Library, Biomed Central, BBO including LILACS, Ind Med, Sceilo, Clinical trials.gov, Conference paper Index, Digital Dissertations, German National Library of Medicine (ZB MED), Google [read the full story…]

Review suggests a modest quality of life benefit from orthodontic treatment

shutterstock_101866108

There is increasing interest in patient reported outcomes (PROMs) from health care interventions. Oral health–related quality of life (OHRQoL) has been defined as, ‘the absence of negative impacts of oral conditions on social life and a positive sense of dentofacial self-confidence’ and a number of validated tools are available. The aim of this review was [read the full story…]

Second group of reviewers find some evidence for use of facemask for class III malocclusions

shutterstock_147084917

The aim of this review was to evaluate the short-term skeletal effects of facemask treatment on growing Class III patients. Searches were conducted in PubMed, Medline, Embase, Cochrane Central Register of Controlled Trials, Web of Science, LILACS, and Google Scholar. Randomised controlled trials (RCTs) conducted on growing class III patients using protraction facemask were included. [read the full story…]

Review finds insufficient evidence to determine whether Hawley or vacuum-formed retainers are most effective following orthodontic treatment

shutterstock_69850990- vacuum splint

Retention is an essential phase of orthodontic treatment without which there is a tendency for teeth to return to their initial position. The aim of this review was to compare the effects of Hawley retainers (HRs) and vacuum-formed retainers (VFRs) Searches were conducted in Cochrane Central Register of Controlled Trials (CENTRAL), Medline, Embase, ISI Web [read the full story…]

Review finds that orthodontic treatment using self-ligated bracket systems take longer than conventional approaches

shutterstock_101866108

This review aims to assess the role of the various characteristics of orthodontic brackets (material, slot size, ligation type, etc) and their combination with specific wires on their clinical effectiveness and associated side-effects during fixed-appliance orthodontic treatment. Searches were conducted in Medline, Cochrane Library, Biomed Central, BBO including LILACS, Ind Med, Sceilo, Clinical trials.gov, Conference [read the full story…]

Study finds initial stages of fixed orthodontic treatment result in subjective pain experience and impact on oral health-related quality of life

iStock_000002551343XSmall colourful braces on teeth

Pain is a common side effect of orthodontic treatment and it is particularly common in the first 24 hours following appliance placement. The aims of this prospective controlled longitudinal study were to assess subjective pain experience and oral health-related quality of life (OHQoL) in patients over a 3-month period, following placement of their fixed appliances. [read the full story…]