Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

161 questions · 189 findings · 10 reviews · Orthodontics

No studies found 77 · 40.7%GRADE not reported 61 · 32.3%Very low 35 · 18.5%Low 13 · 6.9%Moderate 3 · 1.6%High 0 · 0%

Vibratory stimulation (vibratory adjuncts) vs No vibration or placebo vibration

Dose/intensity and frequency of pain relief needed (analgesic/rescue medication use) · Adolescents and adults undergoing orthodontic treatment

Vibratory stimulation (vibratory adjuncts) led to lower dose/intensity and frequency of pain relief needed (analgesic/rescue… compared with no vibration or placebo vibration; GRADE not reported.

1 finding from 1 review

Experimental chewing adjuncts (bite wafers or chewing gum) vs No chewing gum, placebo, or control (no adjunct)

Quality of life or patient satisfaction · Adolescents/teenagers undergoing orthodontic treatment

Experimental chewing adjuncts (bite wafers or chewing gum) led to lower quality of life or patient satisfaction compared with no chewing gum, placebo, or control (no adjunct); GRADE not reported.

1 finding from 1 review

Experimental chewing adjuncts (bite wafers or chewing gum) vs No chewing gum, placebo, or control (no adjunct)

Dose/intensity and frequency of pain relief needed (analgesic/rescue medication use) · Adolescents/teenagers undergoing orthodontic treatment
1 finding from 1 review

Orthodontic appliances (palatal crib) vs no treatment

Occlusion (change in maxillary arch length, short term) · Children with a non-nutritive sucking habit (digit or pacifier)
1 finding from 1 review

Orthodontic appliances (palatal crib) vs no treatment

Adverse events · Children with a non-nutritive sucking habit (digit or pacifier)
1 finding from 1 review

Orthodontic appliances (palatal crib) vs no treatment

Sucking cessation (long term) · Children with a non-nutritive sucking habit (digit or pacifier)

Orthodontic appliances (palatal crib) led to higher sucking cessation (long term) compared with no treatment; GRADE not reported.

1 finding from 1 review

Palatal arch vs Palatal crib (alternative orthodontic appliance)

Sucking cessation (short term) · Children with a non-nutritive sucking habit (digit or pacifier)

It is very uncertain whether palatal arch changes sucking cessation (short term) compared with palatal crib (alternative orthodontic appliance) (very low certainty).

1 finding from 1 review

Pacifier withdrawal vs No treatment

Outcome not reported · Children with a non-nutritive sucking habit (digit or pacifier)

The review found no eligible studies for this question.

1 finding from 1 review

Orthodontic appliances (palatal crib) vs no treatment

Sucking cessation (short term) · Children with a non-nutritive sucking habit (digit or pacifier)

Orthodontic appliances (palatal arch/palatal crib) may leads to higher sucking cessation (short term) compared with no treatment (low certainty).

1 finding from 1 review

Orthodontic appliances (palatal crib) vs no treatment

Occlusion (net change in overjet, short term) · Children with a non-nutritive sucking habit (digit or pacifier)
1 finding from 1 review
  • Table 1 (reduction in malocclusion), Villa 1997 (n=24), palatal crib vs no treatment: net change in overjet (mm) - no treatment 0.02; palatal crib -0.2; no statistically significant net change in overjet between…
    1 study · 24 participants
    GRADE not reported

Psychological intervention + orthodontic treatment (palatal crib or palatal arch) vs no treatment

Adverse events · Children with a non-nutritive sucking habit (digit or pacifier)
1 finding from 1 review

Psychological intervention + palatal arch vs Psychological intervention + palatal crib

Sucking cessation (short term) · Children with a non-nutritive sucking habit (digit or pacifier)

Psychological intervention + palatal arch led to lower sucking cessation (short term) compared with psychological intervention + palatal crib; GRADE not reported.

1 finding from 1 review

Aversive tasting substance applied to digit vs Psychological intervention (habit reversal)

Sucking cessation (short term) · Children with a non-nutritive sucking habit (digit or pacifier)

Aversive tasting substance applied to digit showed no clear difference in sucking cessation (short term) compared with psychological intervention (habit reversal); GRADE not reported.

1 finding from 1 review

Orthodontic appliances (palatal crib) vs no treatment

Occlusion (change in mandibular arch length, short term) · Children with a non-nutritive sucking habit (digit or pacifier)
1 finding from 1 review

Psychological intervention + orthodontic treatment (palatal crib or palatal arch) vs no treatment

Sucking cessation (short term) · Children with a non-nutritive sucking habit (digit or pacifier)

Psychological intervention + orthodontic treatment (palatal crib or… showed no clear difference in sucking cessation (short term) compared with no treatment; GRADE not reported.

1 finding from 1 review

Barrier techniques (gloves/plasters) vs No treatment

Outcome not reported · Children with a non-nutritive sucking habit (digit or pacifier)

The review found no eligible studies for this question.

1 finding from 1 review

Orthodontic appliances (palatal crib) vs no treatment

Correction of posterior crossbite · Children with a non-nutritive sucking habit (digit or pacifier)

The review found no eligible studies for this question.

1 finding from 1 review