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Customised fixed appliance systems and treatment duration.
Margarita Papakostopoulou1, Dominic Hurst1
1Postgraduate trainee in Orthodontics, Charles University, Prague.
Evidence-Based Dentistry
|June 23, 2018
Summary
This study found that customized orthodontic systems did not significantly reduce treatment duration compared to non-customized systems. Treatment quality was comparable, but customized options led to more complications.
Area of Science:
- Orthodontics
- Biomaterials Science
- Clinical Dentistry
Background:
- Fixed orthodontic treatment aims to correct malocclusions.
- Customized orthodontic systems offer patient-specific bracket placement.
- Non-customized systems utilize standard bracket prescriptions.
Purpose of the Study:
- To compare treatment duration and outcomes between customized (Insignia) and non-customized (Damon Q) orthodontic systems.
- To evaluate secondary outcomes including treatment quality, Peer Assessment Rating (PAR) scores, and patient-reported complaints.
Main Methods:
- A randomized controlled trial involving 174 patients aged 12-30 years undergoing fixed orthodontic treatment.
- Patients were randomly assigned to either the Insignia customized or Damon Q non-customized system.
- Primary outcome was treatment duration; secondary outcomes included PAR scores, number of visits, loose brackets, planning time, and complaints.
Main Results:
- No significant difference in treatment duration between customized (1.29 years) and non-customized (1.24 years) systems.
- Peer Assessment Rating (PAR) scores were comparable between groups.
- The customized group experienced more loose brackets, longer planning time, and increased complaints.
Conclusions:
- Customized orthodontic systems do not offer a significant advantage in reducing treatment duration.
- Treatment quality is comparable between customized and non-customized systems.
- Orthodontist's influence significantly impacts treatment duration, quality, and visit frequency.
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