Evidence map›Paper›PMID 35968668›Full record

Trial reportEuropean journal of orthodontics2023

Post-treatment stability after 5 years of retention with vacuum-formed and bonded retainers-a randomized controlled trial.

Anke Krämer, Mats Sjöström, Catharina Apelthun, Mats Hallman, Ingalill Feldmann

Registry-linked trialOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in European journal of orthodontics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03070444 (Vacuum-formed Retainer Versus Bonded Retainer to Prevent Relapse After Orthodontic Treatment - A Randomized Controlled Trial About Stability and Patients' Perceptions), which is not on this map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03070444 nacompletednot on this map

Vacuum-formed Retainer Versus Bonded Retainer to Prevent Relapse After Orthodontic Treatment - A Randomized Controlled Trial About Stability and Patients' Perceptions

TypeinterventionalSponsorRegion GävleborgRan2009 to 2021Enrolled104ConditionsOrthodontics, RetentionArmsCTC retainer, Essix retainer maxilla, Essix retainer mandible, Alginate impression, Questionnaire
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Which orthodontic retainer provides the best stabilization? : Systematic review and network meta-analysis.Journal of orofacial orthopedics = Fortschritte der Kieferorthopadie : Organ/official journal Deutsche Gesellschaft fur Kieferorthopadie · 2026
    Pooled it
  2. Trial
  3. Trial
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Anke KrämerOrthodontic Clinic, Public Dental Health, Region Gävleborg, Gävle, Sweden.ORCID 0000-0001-6221-6729
Mats SjöströmDepartment of Odontology/Oral and Maxillofacial Surgery, Umeå University, Umeå, Sweden.
Catharina ApelthunCentre for Research and Development, Uppsala University/Region Gävleborg, Gävle, Sweden.
Mats HallmanDepartment of Odontology/Oral and Maxillofacial Surgery, Umeå University, Umeå, Sweden.
Ingalill FeldmannCentre for Research and Development, Uppsala University/Region Gävleborg, Gävle, Sweden.
Uppsala University · SEUmeå University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRetention after orthodontic treatment is still a challenge and more evidence about post-treatment stability and patients' perceptions of different retention strategies is needed.

objectivesThis trial compares removable vacuum-formed retainers (VFR) with bonded cuspid-to-cuspid retainers (CTC) after 5 years of retention. TRIAL

designA single centre two-arm parallel-group randomized controlled trial.

methodsThis trial included 104 adolescent patients, randomized into two groups (computer-generated), using sequentially numbered, opaque, and sealed envelopes. All patients were treated with fixed appliances in both jaws with and without tooth extractions. Patients in the intervention group received a VFR in the mandible (n = 52), and patients in the active comparator group received a CTC (n = 52). Both groups had a VFR in the maxilla. Dental casts at debond (T1), after 6 months (T2), after 18 months (T3), and after 5 years (T4) were digitized and analysed regarding Little's Irregularity Index (LII), overbite, overjet, arch length, and intercanine and intermolar width. The patients completed questionnaires at T1, T2, T3, and T4.

resultsPost-treatment changes between T1 and T4 in both jaws were overall small. In the maxilla, LII increased significantly (median difference: 0.3 mm), equally in both groups. In the mandible, LII increased significantly in the group VFR/VFR (median difference: 0.6 mm) compared to group VFR/CTC (median difference: 0.1 mm). In both groups, overjet was stable, overbite increased, and arch lengths decreased continuously. Intercanine widths and intermolar width in the mandible remained stable, but intermolar width in the maxilla decreased significantly. No differences were found between groups. Regardless of retention strategy, patients were very satisfied with the treatment outcome and their retention appliances after 5 years. LIMITATIONS: It was not possible to perform blinded assessments of digital models at follow-up.

conclusionsPost-treatment changes in both jaws were small. Anterior alignment in the mandible was more stable with a bonded CTC retainer compared to a removable VFR after 5 years of retention. Patients were equally satisfied with fixed and removable retention appliances.

trial registrationClinicalTrials.gov (NCT03070444).

Indexed as

Malocclusion, Angle Class IIOverbiteAdolescentHumansOrthodontic Appliance DesignOrthodontic Appliances, FixedOrthodontic RetainersOrthodontics, CorrectiveVacuum

Identifiers

PMID35968668
PMCPMC9912701
OpenAlexW4291512995

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.