Maxillary expansion: Bone-borne or tooth-borne approaches?

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This review of bone-borne/hybrid tooth-bone-borne rapid maxillary expansion (RME) with conventional tooth-borne RME in the treatment of maxillary deficiency included 6 small RCTs suggesting some advantage for bone-borne/hybrid tooth-bone-borne appliances.

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Orthodontic anchorage: mini-screws or conventional appliances?

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This review of mini-screws for orthodontic anchorage included 7 small RCTs of variable quality with the findings suggesting that mini-screws are more effective than conventional approaches

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Orthodontic treatment: Do vibrating devices accelerate tooth movement?

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This review of the efficiency of the vibrating devices in accelerating orthodontic tooth movement identified 6 RCTs the majority being short term and at high risk of bias. The RCTs suggested no difference with the use of vibrational devices.

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Fixed orthodontic appliances: What is the most effective debonding technique?

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This review of different methods for reducing pain and discomfort during removal of fixed orthodontic appliances included 6 RCTs providing weak evidence for pre-debonding analgesia and other approaches.

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Fluoride for white spot lesion prevention during orthodontic treatment

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This review of professional topical fluoride application to prevent/reverse enamel white spot lesions during orthdontic treatment included 11 RCTs suggesting a reduction of in incidence of between 25–30% .

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Palatal canines: open or closed surgical approaches?

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Two surgical approaches ( open and closed) for palatally displaced canines were compared in this multi-centre RCT. No differences in operating time was seen between the two approaches but those in the open group had more pain.

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Aligners v fixed appliances for orthodontic treatment

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8 mainly observational studies were included in this review of he effectiveness of clear aligners compared with fixed appliances for orthodontic treatment. The findings suggest no difference between to two approaches however the quality of the availabel evidence is low to very low.

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Orthodontic bracket systems: Is adhesive precoating better than operator coated?

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This review assessing whether adhesive precoated orthodontic brackets are more efficient than operator-coated brackets included 5 RCTs find no differences in failure rate between the two systems.

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Top Dental Elf Blogs: Sep – Dec 2018

The National Elf Service aims to close the gap between research and practice.

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Between September and December 2018 our most popular blogs considered guidelines for non-restorative options for caries management , orthodontic management of the developing dentition and aligners for orthodontic treatment.

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Vibrational devices: Do they accelerate orthodontic tooth movement?

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Only 5 small low quality RCTs were identified for this review of the ability of vibrational devices to increase the rate of orthodontic tooth movement. More well conducted RCTs are needed.

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