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Table 2 Summarized data of the 6 included studies

From: Canine retraction and anchorage loss self-ligating versus conventional brackets: a systematic review and meta-analysis

Authors, year

Study design

Participants size, gender, age

Intervention, end point

Outcome measure

Outcome and authors conclusions

Notes

de Almeida [8]

retrospective cohort design

Group 1:23 patients (18 females and 5 males) with an initial mean age of 15.36 years (SD =5.59 years)

Group 1: 23 patients, with preadjusted conventional brackets (CBs).

Maxillary molar anchorage loss; the incisor tip

There were no significant differences in the amount of anchorage loss of the maxillary first molars and incisor tip change between SLB and CB systems during space closure. group.

Canines were retracted separately by means of NiTi coil springs (150 g of force) from the first molars

Group 2: 15 patients (10 females and 5 males) with an initial mean age of 17.63 years (SD = 8.93 years)

Group 2: 15 patients with self-ligating brackets (SLBs).

End point: premolar space was closed

Oz 2012 [4]

Prospective split-mouth design

19 orthodontic patients (5 male, 14 female) with a mean age of 13.6 years (range, 12.7 to 15.3 years)

The canine was bonded with an SC bracket on one side and MT brackets ligated with stainlesssteel ligature wires on the other side.

distal canine movement; The angular movement of the canines and molars was also evaluated

It is suggested that the rate of canine distalization was not different between the two groups

The mini-implants that were used in this study

End point: 8 weeks after the start of canine distalization

Machibya [7]

retrospective cohort

The study included 69 completed cases with mean age of 15.64 6 3.74 years at the start of treatment.

The first group (SLB) consisted of 34 patients treated by SmartClip (3 M Unitek, Monrovia, Calif) brackets. The second group (CB) consisted of 35 patients treated by conventional preadjusted Victory series brackets (3 M Unitek) tightly ligated with SS 0.020-inch ligatures.

Maxillary and mandibular molar anchorage loss; Incisor tipping

There were no significant differences in the amount of anchorage loss of the maxillary first molars and incisor tip change between SLB and CB systems during space closure. group.

The teeth were retracted down a 0.018-inch stainless steel archwire, using a medium Sentalloy retraction spring (150 g).

End point: premolar space was closed

Burrow [5]

Prospective split-mouth design

A sample size of 43 patients (14.8 + 6.24 year,44 % Female 56 % Male) was used in this investigation (21 Damon3, 22 SmartClip, 43 conventional Victory Series).

Each patient had a 0.022-inch slot conventional bracket placed on one canine and a 0.022-inch slot Damon3 or SmartClip bracket placed on the other, with the left or right side for the self-ligating bracket chosen using a randomization sequence.

Rate of Movement

The retraction rate is faster with the conventional bracket, probably because of the narrower bracket width of the self-ligating brackets.

transpalatal arch was placed

End point:one of the canines was in the proper position

The canines were retracted using a GAC Sentalloy retraction spring (150 g).

Mezomo [3]

RCT

The sample comprised 15 healthy patients (10 girls and five boys), between the ages of 12 and 26 years (mean, 18 years

In a random, split-mouth design, self-ligating brackets (SmartClip, 3 M-Unitek) and conventional brackets (Gemini, 3 M-Unitek) were bonded to the right and left sides of all patients by raffle.

Average Rates of Distal Movement of Upper Canines

Distal movement of the upper canines and anchorage loss of the first molars were similar with both conventional and self-ligating brackets. Rotation of the upper canines during sliding mechanics was minimized with self-ligating brackets.

 

END POINT:12 weeks (T3) of canine retraction

Total Rotation of Canines

Anchorage Loss of Upper First Molars

Average Rates of Distal Movement of Upper Canines

Monini [9]

RCT

The sample comprised 25 healthy patients

Through block randomization, one maxillary canine was bonded with a 0.022-inch SLB (In-Ovation R, GAC), while the other received a 0.022-inch CB (Ovation, GAC).

Canine and Molar Inclinations

Both brackets showed the same velocity of canine retraction and loss of anteroposterior anchorage of the molars. No changes were found between brackets regarding the inclination of canines and first molars.

No auxiliary devices such as transpalatal arches, headgear, or elastics were used. Nickel-titanium closed coil springs (CCS) of 100 g (GAC) were activated for 17 mm and secured from the hooks of first molars to the hooks of the canine brackets with ligature wires.

End point:after total canine retraction

Time taken for total space closure

Canine Retraction Velocity