Question · asked by 1 review

Early treatment (two-phase) with headgear vs Late treatment (one-phase in adolescence) with headgear: Final overjet

Population
Children (7 to 11 years) and adolescents (12 to 16 years) with prominent upper front teeth (Class II malocclusion)
Intervention
Early treatment (two-phase) with headgear
Comparison
Late treatment (one-phase in adolescence) with headgear
Outcome
Final overjet

Early treatment (two-phase) with headgear showed no clear difference in final overjet compared with late treatment (one-phase in adolescence) with headgear (low certainty).

What each review found

Include earlier review versions
No studies found 0 · 0%GRADE not reported 1 · 50%Very low 0 · 0%Low 1 · 50%Moderate 0 · 0%High 0 · 0%
FindingEffectStudiesGRADE certainty
Early treatment (two-phase) with headgear vs Late treatment (one-phase in adolescence) with headgear
Final overjet · Children (7 to 11 years) and adolescents (12 to 16 years) with prominent upper front teeth (Class II malocclusion) · End of orthodontic treatment (phase II)
Early treatment (two-phase) with headgear showed no clear difference in final overjet compared with late treatment (one-phase in adolescence) with headgear (low certainty).
Orthodontic treatment for prominent upper front teeth (Class II malocclusion) in children and adolescents (2018) · Cochrane All outcomes
MD -0.22 [-0.56, 0.12]2 studies · 238 participantsLow
Early treatment (two-phase) with headgear vs Late treatment (one-phase in adolescence) with headgear
Final overjet · Children (7 to 11 years) and adolescents (12 to 16 years) with prominent upper front teeth (Class II malocclusion) · End of phase I (growth modification phase)
Early treatment (two-phase) with headgear led to lower final overjet compared with late treatment (one-phase in adolescence) with headgear; GRADE not reported.
Orthodontic treatment for prominent upper front teeth (Class II malocclusion) in children and adolescents (2018) · Cochrane All outcomes
MD -1.07 [-1.63, -0.51]2 studies · 278 participantsGRADE not reported

Findings are shown side by side, never pooled across reviews.

The reviews

ReviewSearched up toIncluded studiesAMSTAR 2
Orthodontic treatment for prominent upper front teeth (Class II malocclusion) in children and adolescents
2018 · Cochrane All outcomes
2017-09Not listedNot assessed

The same intervention and outcome, asked in another population or against another comparator.

How reviews are matched to this question

Reviews word the same question differently. Four decision models (TypeSafe's Jev, Liquid AI's d1-ultra, SubQ Snap and Baseten's Elephant) judged each wording of the population, intervention, comparator and outcome against the others; two wordings count as the same when at least three of them agree and none clearly disagrees, and findings count as this question only when all four elements match. Timing, setting and subgroup never split a question: they are shown on each finding.