Primary study · included by 4 reviews
The impact of non-extraction orthodontic treatment on oral health-related quality of life: clear aligners versus fixed appliances-a randomized controlled trial.
Alfawal 2022 · Alfawal Alaa M H, Burhan Ahmad S, Mahmoud Ghiath, et al. · European journal of orthodontics · 2022
Included by
| Outcome this study informs | Pooled effect | Evidence | Certainty |
|---|---|---|---|
Pain (VAS) Clear aligners vs Within-group change, 7 days versus 24 hours after appliance fit · 24 hours to 7 days | SMD -10.02 [-11.13, -8.91] | 2 studies · 88 participants | GRADE not reported |
| Outcome this study informs | Pooled effect | Evidence | Certainty |
|---|---|---|---|
OHIP-14 score (higher is worse OHRQoL) Orthodontic treatment (fixed appliances or clear aligners) and Orthognathic surgery (traditional or surgery-first) vs None (single-arm pooled post-treatment mean) · Last available assessment after treatment (time points not consistent) | Pooled mean score 9.69 [7.23, 12.16] | 13 studies | GRADE not reported |
OHIP-14 score (higher is worse OHRQoL) Orthodontic treatment (fixed appliances or clear aligners) and Orthognathic surgery (traditional or surgery-first) vs None (single-arm pooled post-treatment mean) · Last available assessment after treatment (time points not consistent) | Pooled mean score 9.94 [7.08, 12.80] | 13 studies | GRADE not reported |
OHIP-14 score (higher is worse OHRQoL) Orthodontic treatment (fixed appliances or clear aligners) and Orthognathic surgery (traditional or surgery-first) vs None (single-arm pooled post-treatment mean) · Last available assessment after treatment (time points not consistent) | Pooled mean score 10.23 [7.67, 12.80] | 13 studies | GRADE not reported |
OHIP-14 score (higher is worse OHRQoL) Orthodontic treatment (fixed appliances or clear aligners) and Orthognathic surgery (traditional or surgery-first) vs None (single-arm pooled post-treatment mean) · Last available assessment after treatment (time points not consistent) | Pooled mean score 10.27 [8.10, 12.44] | 13 studies | GRADE not reported |
OHIP-14 score (higher is worse OHRQoL) Orthodontic treatment (fixed appliances or clear aligners) and Orthognathic surgery (traditional or surgery-first) vs None (single-arm pooled post-treatment mean) · Last available assessment after treatment (time points not consistent) | Pooled mean score 9.66 [7.30, 12.02] | 14 studies · 435 participants | GRADE not reported |
OHIP-14 score (higher is worse OHRQoL) Orthodontic treatment (fixed appliances or clear aligners) and Orthognathic surgery (traditional or surgery-first) vs None (single-arm pooled post-treatment mean) · Last available assessment after treatment (time points not consistent) | Pooled mean score 9.76 [7.22, 12.30] | 13 studies | GRADE not reported |
OHIP-14 score (higher is worse OHRQoL) Orthodontic treatment (fixed appliances or clear aligners) and Orthognathic surgery (traditional or surgery-first) vs None (single-arm pooled post-treatment mean) · Last available assessment after treatment (time points not consistent) | Pooled mean score 9.29 [6.89, 11.69] | 13 studies | GRADE not reported |
OHIP-14 score (higher is worse OHRQoL) Orthodontic treatment (fixed appliances or clear aligners) and Orthognathic surgery (traditional or surgery-first) vs None (single-arm pooled post-treatment mean) · Last available assessment after treatment (time points not consistent) | Pooled mean score 10.04 [7.45, 12.64] | 13 studies | GRADE not reported |
OHIP-14 score (higher is worse OHRQoL) Orthodontic treatment (fixed appliances or clear aligners) and Orthognathic surgery (traditional or surgery-first) vs None (single-arm pooled post-treatment mean) · Last available assessment after treatment (time points not consistent) | Pooled mean score 9.40 [7.05, 11.75] | 13 studies | GRADE not reported |
OHIP-14 score (higher is worse OHRQoL) Orthodontic treatment (fixed appliances or clear aligners) and Orthognathic surgery (traditional or surgery-first) vs None (single-arm pooled post-treatment mean) · Last available assessment after treatment (time points not consistent) | Pooled mean score 9.67 [7.20, 12.14] | 13 studies | GRADE not reported |
OHIP-14 score (higher is worse OHRQoL) Orthodontic treatment (fixed appliances or clear aligners) and Orthognathic surgery (traditional or surgery-first) vs None (single-arm pooled post-treatment mean) · Last available assessment after treatment (time points not consistent) | Pooled mean score 9.46 [7.05, 11.87] | 13 studies | GRADE not reported |
OHIP-14 score (higher is worse OHRQoL) Orthodontic treatment (fixed appliances or clear aligners) and Orthognathic surgery (traditional or surgery-first) vs None (single-arm pooled post-treatment mean) · Last available assessment after treatment (time points not consistent) | Pooled mean score 9.80 [7.35, 12.24] | 13 studies | GRADE not reported |
OHIP-14 score (higher is worse OHRQoL) Orthodontic treatment (fixed appliances or clear aligners) and Orthognathic surgery (traditional or surgery-first) vs None (single-arm pooled post-treatment mean) · Last available assessment after treatment (time points not consistent) | Pooled mean score 8.93 [6.70, 11.17] | 13 studies | GRADE not reported |
OHIP-14 score (higher is worse OHRQoL) Orthodontic treatment (fixed appliances or clear aligners) and Orthognathic surgery (traditional or surgery-first) vs None (single-arm pooled post-treatment mean) · Last available assessment after treatment (time points not consistent) | Pooled mean score 9.45 [7.02, 11.89] | 13 studies | GRADE not reported |
OHIP-14 score (higher is worse OHRQoL) Orthodontic treatment (fixed appliances or clear aligners) and Orthognathic surgery (traditional or surgery-first) vs None (single-arm pooled post-treatment mean) · Last available assessment after treatment (time points not consistent) | Pooled mean score 9.27 [6.88, 11.66] | 13 studies | GRADE not reported |
| Outcome this study informs | Pooled effect | Evidence | Certainty |
|---|---|---|---|
Oral health-related quality of life (OHIP-14; higher score = worse) Conventional fixed orthodontic appliance treatment vs OHRQoL at week 1 versus month 1 after appliance placement · Week 1 versus month 1 | MD 9.5 [7.5, 11.5] | 2 studies · 40 participants | Low |
| Outcome this study informs | Pooled effect | Evidence | Certainty |
|---|---|---|---|
Quality of life Clear aligners (Invisalign and similar removable aligners) vs Fixed orthodontic appliances (metal, self-ligating, ceramic, lingual brackets) · 10 days | SMD -0.895 [-1.426, -0.364] | 1 study | GRADE not reported |
Quality of life Clear aligners (Invisalign and similar removable aligners) vs Fixed orthodontic appliances (metal, self-ligating, ceramic, lingual brackets) · All follow-up durations (1 week to end of treatment) | SMD -0.850 [-0.973, -0.727] | 16 studies · 856 participants | Moderate |
Quality of life Clear aligners (Invisalign and similar removable aligners) vs Fixed orthodontic appliances (metal, self-ligating, ceramic, lingual brackets) · 3 months | SMD -0.590 [-1.194, 0.013] | 1 study | GRADE not reported |
Quality of life Clear aligners (Invisalign and similar removable aligners) vs Fixed orthodontic appliances (metal, self-ligating, ceramic, lingual brackets) · 2 weeks | SMD -0.734 [-1.172, -0.397] | 2 studies | GRADE not reported |
Quality of life Clear aligners (Invisalign and similar removable aligners) vs Fixed orthodontic appliances (metal, self-ligating, ceramic, lingual brackets) · End of treatment | SMD -0.970 [-1.412, -0.528] | 2 studies | GRADE not reported |
Quality of life Clear aligners (Invisalign and similar removable aligners) vs Fixed orthodontic appliances (metal, self-ligating, ceramic, lingual brackets) · 20 days | SMD -0.895 [-1.426, -0.364] | 1 study | GRADE not reported |
Quality of life Clear aligners (Invisalign and similar removable aligners) vs Fixed orthodontic appliances (metal, self-ligating, ceramic, lingual brackets) · 1 week | SMD -0.985 [-1.272, -0.699] | 3 studies | GRADE not reported |
Quality of life Clear aligners (Invisalign and similar removable aligners) vs Fixed orthodontic appliances (metal, self-ligating, ceramic, lingual brackets) · 6 months | SMD -0.850 [-1.144, -0.557] | 4 studies | GRADE not reported |
Quality of life Clear aligners (Invisalign and similar removable aligners) vs Fixed orthodontic appliances (metal, self-ligating, ceramic, lingual brackets) · 1 month | SMD -0.829 [-1.081, -0.577] | 4 studies | GRADE not reported |
Quality of life Clear aligners (Invisalign and similar removable aligners) vs Fixed orthodontic appliances (metal, self-ligating, ceramic, lingual brackets) · 12 months | SMD -0.531 [-1.178, 0.116] | 1 study | GRADE not reported |
4 including reviews in total.