Clinical outcomes of lingual orthodontic treatment: a systematic review.
- Mistakidis I Department of Orthodontics, Faculty of Dentistry, Aristotle University of Thessaloniki GR-54124, Greece.
- Katib H Department of Orthodontics and Dentofacial Orthopedics, University of Bern, Freiburgstrasse 7 CH-3010, Switzerland and.
- Vasilakos G Private Practice, Frankfurter Strasse 610, DE-51145, Cologne, Germany.
- Kloukos D Department of Orthodontics and Dentofacial Orthopedics, University of Bern, Freiburgstrasse 7 CH-3010, Switzerland and.
- Gkantidis N Department of Orthodontics and Dentofacial Orthopedics, University of Bern, Freiburgstrasse 7 CH-3010, Switzerland and nikosgant@yahoo.gr.
- 2015-09-12
Published in:
- European journal of orthodontics. - 2016
Bias
Humans
Malocclusion
Orthodontic Brackets
Prospective Studies
Retrospective Studies
Tongue
Tooth Movement Techniques
Treatment Outcome
English
OBJECTIVES
To assess the available evidence on the effectiveness of lingual orthodontic treatment and related clinical parameters through a systematic review of relevant studies.
MATERIALS AND METHODS
Eligible clinical studies published from January 2000 to March 2015 were identified through electronic (five major databases) and hand searches. Risk of bias was assessed using the Cochrane risk of bias tool for prospective studies and a specially designed tool for retrospective studies.
RESULTS
From the 3734 articles identified by the search, after application of specific inclusion and exclusion criteria, 16 papers were included in the study. Eleven studies were retrospective, four were prospective, and only one was a RCT. In detail, six studies evaluated differences of the treatment outcome from the pre-treatment set-up prediction, two studies evaluated the effect of treatment on periodontal and microbial parameters, and 10 studies assessed various clinical treatment related parameters. Despite several promising findings, the quality of evidence supporting them was found to be low in most cases.
CONCLUSIONS
This systematic review showed encouraging results on the clinical outcome of lingual orthodontic treatment, especially in regards to the achievement of individualized treatment goals and the reduction of decalcifications on the bonded surfaces of the teeth. However, additional well-designed prospective clinical trials with larger samples are needed to confirm those findings. Several aspects of lingual orthodontic treatment were difficult to be conclusively evaluated due to the study design, the heterogeneity, the small samples sizes, and the high risk of bias seen in the majority of the included studies.
To assess the available evidence on the effectiveness of lingual orthodontic treatment and related clinical parameters through a systematic review of relevant studies.
MATERIALS AND METHODS
Eligible clinical studies published from January 2000 to March 2015 were identified through electronic (five major databases) and hand searches. Risk of bias was assessed using the Cochrane risk of bias tool for prospective studies and a specially designed tool for retrospective studies.
RESULTS
From the 3734 articles identified by the search, after application of specific inclusion and exclusion criteria, 16 papers were included in the study. Eleven studies were retrospective, four were prospective, and only one was a RCT. In detail, six studies evaluated differences of the treatment outcome from the pre-treatment set-up prediction, two studies evaluated the effect of treatment on periodontal and microbial parameters, and 10 studies assessed various clinical treatment related parameters. Despite several promising findings, the quality of evidence supporting them was found to be low in most cases.
CONCLUSIONS
This systematic review showed encouraging results on the clinical outcome of lingual orthodontic treatment, especially in regards to the achievement of individualized treatment goals and the reduction of decalcifications on the bonded surfaces of the teeth. However, additional well-designed prospective clinical trials with larger samples are needed to confirm those findings. Several aspects of lingual orthodontic treatment were difficult to be conclusively evaluated due to the study design, the heterogeneity, the small samples sizes, and the high risk of bias seen in the majority of the included studies.
- Language
-
- English
- Open access status
- green
- Identifiers
-
- DOI 10.1093/ejo/cjv061
- PMID 26359019
- Persistent URL
- https://folia.unifr.ch/global/documents/244591
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