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Related Experiment Videos

Orthodontic anchorage: a systematic review.

Ingalill Feldmann1, L Bondemark

  • 1Orthodontic Clinic, Public Dental Health Service and Centre for Research and Development, Uppsala University/County Council of Gävleborg, Sweden.

The Angle Orthodontist
|April 28, 2006
PubMed
Summary

This review found weak scientific evidence on orthodontic anchorage systems due to study limitations. More high-quality randomized controlled trials are needed to determine effective anchorage strategies.

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Authors' response.

American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics·2019

Area of Science:

  • Orthodontics
  • Dental Research

Background:

  • Orthodontic anchorage is crucial for predictable tooth movement.
  • Evaluating the effectiveness of various anchorage systems is essential for clinical practice.

Purpose of the Study:

  • To systematically review and assess the effectiveness of orthodontic anchorage systems.
  • To identify common anchorage applications and their outcomes in scientific literature.

Main Methods:

  • A comprehensive literature search was conducted in PubMed and Cochrane databases (1966-2004).
  • Included studies were randomized controlled trials, prospective/retrospective controlled studies, and clinical trials.
  • Two independent reviewers selected, extracted data, and assessed study quality.

Main Results:

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  • Fourteen studies met the inclusion criteria, focusing on molar anchorage during space closure and molar distalization.
  • Evidence for anchorage efficiency during space closure was weak and contradictory.
  • Intraoral molar distalization resulted in varying anchorage loss, dependent on the distalization unit used.
  • Most studies suffered from methodological limitations, including small sample sizes and lack of blinding.

Conclusions:

  • Current scientific evidence on orthodontic anchorage systems is insufficient.
  • High-quality randomized controlled trials with adequate sample sizes are necessary.
  • Future research should also investigate patient acceptance, cost-effectiveness, and the use of implants for anchorage.