Functional orthodontic appliances have limited effect on mandibular growth

shutterstock_41854831 - removable orthodontic appliance

The ADA Centre for Evidence-Based Dentistry has published a critical summary of a systematic review published earlier this year  (see Dental Elf 20-07-11)

The commentator noted that although the review was conducted thoroughly  only 4 studies were included two with a low risk of bias one with a high risk and the other an unclear risk. This together with  heterogeneity in the baselines , interventions and outcomes  means that the evidence to address the main question  of assessing the short term effectiveness of function appliances on  mandibular growth was limited.

Go to the ADA critical summary

Go to the PubMed abstract of the original review




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Derek Richards

Derek Richards is a specialist in dental public health, Director of the Centre for Evidence-Based Dentistry and Specialist Advisor to the Scottish Dental Clinical Effectiveness Programme (SDCEP) Development Team. A former editor of the Evidence-Based Dentistry Journal and chief blogger for the Dental Elf website until December 2023. Derek has been involved with a wide range of evidence-based initiatives both nationally and internationally since 1994. Derek retired from the NHS in 2019 remaining as a part-time senior lecturer at Dundee Dental School until the end of 2023.

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