Cochrane · intervention · CD002282

Adhesives for fixed orthodontic brackets

Mandall, NA, Hickman, J, Macfarlane, TV, et al. · Cochrane Database of Systematic Reviews · 2018 · Cochrane Library

Oral Health Orthodontics2 versionsAMSTAR 2: not assessed

Full textEvery question was extracted from the full review (methods and results), not only its Summary of Findings table.

Questions

current version

GRADE rated

No studies

Included studies

as reported

No studies 2 · 33.3%Ungraded 4 · 66.7%Very low 0 · 0%Low 0 · 0%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Review question

Element	Planned (methods)	Found (results)
Population	Patients with fixed appliances attached to their teeth. Patients with cleft lip or palate or both or any other syndrome were excluded. Additionally patients involved in any type of surgery including surgical uncovering (exposure) of buried teeth, but not surgical extraction of teeth as part of the orthodontic treatment plan were excluded.	The three trials recruited between 45 and 60 patients who were between 10 years 8 months and 29 years of age
Intervention	Adhesives used to fix orthodontic appliances to teeth (attach the metal brackets to the front teeth, not the metal bands to the molar teeth). Groups compared: Conventional composite; Conventional glass ionomer cement (GIC); Polyacid-modified composites (compomers); Resin-modified glass ionomer cement. Comparisons made between these groups and within groups, between chemical and light cured adhesives.	Chemical cured composite (n=3)
Comparison	Light cured adhesives/Chemical cured adhesives/A different group of adhesives	Light cured composite (n=1); Conventional glass ionomer cement (n=1); Compomer (n=1)
Outcomes	Primary outcome: binary data on the failure of each adhesive (whether the metal bracket stays stuck to the tooth or not); annualised failure rate where available (no trial reported it). Secondary outcome: binary data on the presence or absence of decay (decalcification) associated with or around the brackets.	Bracket/adhesive failure (n=3); Decalcification (n=1)
Study designs	Only randomised controlled trials (RCTs) and controlled clinical trials (CCTs) (using quasi-methods of randomisation e.g. alternation) that compared adhesives to attach fixed orthodontic appliances to teeth; the fixed appliance should be attached to most of the teeth in at least one jaw; trials should compare at least two different groups of adhesives.	RCT (n=2); CCT (n=1)
Timing	Patients followed to the end of appliance treatment (studies not following patients to the end of treatment were excluded)	Split-mouth trials followed to end of appliance treatment; specific follow-up times not reported

Search date: 2017-09. Databases: Cochrane Oral Health's Trials Register; Cochrane Central Register of Controlled Trials (CENTRAL); MEDLINE Ovid; Embase Ovid