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Review
. 2018 May-Jun;34(3):744-750.
doi: 10.12669/pjms.343.15012.

Incidence of orthodontic brackets detachment during orthodontic treatment: A systematic review

Naif Almosa  1 , Hamayun Zafar  2
Affiliations
Review

Incidence of orthodontic brackets detachment during orthodontic treatment: A systematic review

Naif Almosa et al. Pak J Med Sci. 2018 May-Jun.

Abstract

Objectives: To evaluate the incidence of orthodontic brackets detachment during orthodontic treatment.

Methods: Using electronic databases; eligible studies up to January 2018 were retrieved, independently reviewed, and screened. The Coleman Methodology Scoring System (CMS) and Cochrane Collaboration's tool were used to assess quality and risk of bias in the included studies.

Results: Of the seventeen studies included in the final synthesis, thirteen were categorized as randomized clinical trials (RCTs), one prospective cohort and retrospective survey each, whereas two studies could not be categorized. The number of patients in the selected studies ranged between 19 and 153; the mean age was between 10.5 to 38.7 years, and male to female ratio was 353:495. Almost all studies had a high risk of bias, and more than half of the studies had CMS score of 70 or above. The numbers of brackets examined in the studies ranged between 361 and 3336. The incidence of brackets detachment ranged from 0.6 to 28.3%.

Conclusions: The incidence of brackets detachment during orthodontic treatment is high.

Keywords: Bracket de-bonding; Bracket failure; Brackets detachment; Incidence; Orthodontic treatment; Prevalence.

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Figures

Fig.1
Fig.1
Risk of bias summary: Authors’ judgments about each risk of bias item for each included study.
Fig.2
Fig.2
Risks of bias; review authors’ judgments about each risk of bias item presented as percentages across all included studies.
See this image and copyright information in PMC

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