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Addressing Gaps in Evidence-Based Orthodontics: A Decade Review by the Cochrane Oral Health Group

This review outlines the findings from a comprehensive analysis conducted over ten years by the Cochrane Oral Health Group. It identifies critical gaps in current orthodontic practices, discussing various technical aspects such as bracket types, wire sequences, and treatment methods. The paper emphasizes the need for clinical trials and patient-centered outcomes, exploring controversies like the necessity of orthodontic treatment and its impact on quality of life. It also addresses the responsibilities of researchers, clinicians, and professional organizations in filling these evidence gaps.

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Addressing Gaps in Evidence-Based Orthodontics: A Decade Review by the Cochrane Oral Health Group

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  1. Evidence for up-to-date clinical dental practice – a review of 10 years of the Cochrane Oral Health Group30th-31st May 2006, ManchesterThe Gaps Bill Shaw Jayne Harrison Own logo Review of 10 years

  2. Where are the gaps? • Everyday technical questions • Bracket type • Arch wire sequence • NiTi – original/SE/heat activated • Alignment / pt and clinician outcomes • OB reduction • Bands or bonds for molars • Extraction / non-extraction • Extraction pattern – 6s vs. PMs • Anchorage • HG/palatal implant/mini-implants • Inter-visit span • Generalist vs Specialist treatment • Is ortho Rx necessary Own logo Review of 10 years

  3. Future plans for filling these gaps • Space closure - SR • Clinical trials • Patient centred outcomes • Alternatives to ortho • Borderline patients • Counselling/psychological coping stratagies

  4. Who is responsible for filling the gaps? • Research / clinician networks • Everyday providers

  5. Who will fund this work? • Pump-priming, a survey of current practice • Companies • Conflict of interest • Orthodontic Societies’ stamp of approval • Ortho societies • NHS R&D / NIH / Government

  6. What controversies need resolving? • Is ortho Rx necessary ? • If so at what level of severity? • Is ortho Rx beneficial? • Pt centred outcomes • Ultimate outcomes • Quality of life

  7. Thank you Own logo Review of 10 years Review of 10 years

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