Mouthwashes, microorganisms and gingivitis in orthodontic patients

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This review of the efficacy of mouthwashes on oral microorganisms and gingivitis in orthodontic patients included 32 RCTs. While the findings suggest short-term benefits with adjunctive mouthwash use the findings should be intertpreted cautiously as only one RCT was at low risk of bias and for almost all outccomes the certainty of evidence was rated as very low to low.

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Clear aligners v fixed appliances for periodontal health

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This review of periodontal health maintenance and gingival recessions development in patients undergoing an orthodontic treatment with clear aligners (CA) or fixed appliances (FA) included 12 studies. The limited amount and quality of evidence was insufficient to assess whether CA were bettern than FA at maintaining periodontal health.

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Orthodontic Retention – Adjuncts or alternatives to lifelong retainers

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In this blog Aljeeta Kadam looks at a review of adjuncts or alternatives to mechanical retention in preserving post orthodontic treatment outcomes. Only 7 studies were included in the review providing very low quality evidence about the use of adjuncts and alternatives.

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Canine retraction duration using fixed appliances

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This review of canine retraction after maxillary first premolar extraction in adolescent and adult orthodontic patients using fixed appliances included 50 RCTs. However only a small number of studies contributed to the estimate of 4.98 months (95%CI; 2.92 to 12.88 months) to complete canine retraction.

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Prevalence of different orthodontic malocclusions

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This review the prevalence of malocclusions and different orthodontic features in children and adolescents included 123 studies. However the broad range of approaches used in the studies to determine malocclusion and orthodontic features means that the findings need to be interpreted cautiously.

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Multimedia for recruitment in adolescent orthodontic research

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Aoife McDougall and Carly Ross look at this trail comparing multimedia websites & printed information for their quality,ease of understanding, and impact on decision making in adolescents.

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Orthodontic force and dental pulp changes

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This review of the clinical and radiographic findings of orthodontic force application on the dental pulp included 26 studies. While increase in pulpal sensibility clinical response, an immediate decrease in pulpal blood flow, changes in pulp cavity volume, and an increase in the incidence of pulp stone formation the studies were mostly small and of low quality so the certainty of the available evidence is graded as very low.

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Superior labial frenum and maxillary midline diastema

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This review aiming to provide information about the association between a superior labial frenum and maxillary midline diastema included 11 cross-sectional studies. The findings suggest that papillary and papillary penetrating frenum may be associated with maxillary midline diastema but the evidence is limited.

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Enamel demineralisation during multi-bracketed fixed orthodontic treatment

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This overview of systematic reviews of evidence for the prevention of enamel demineralization during fixed appliance orthodontic treatment included 29 reviews. Most of the reviews were considered to have methodological issues with the findings suggesting that professional fluorides, sealants, reminders, and lasers might be useful interventions to prevent enamel demineralization.

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