Evidence map›Paper›PMID 36018418›Full record

Trial reportProgress in orthodontics2022

A two-year comparative assessment of retention of arch width increases between modified vacuum-formed and Hawley retainers: a multi-center randomized clinical trial.

Asma Ashari, Nik Mukhriz Nik Mustapha, Jonathan Jun Xian Yuen, Zhi Kuan Saw, May Nak Lau, Lew Xian, Alizae Marny Fadzlin Syed Mohamed, Rohaya Megat Abdul Wahab, Chiew Kit Yeoh, Malathi Deva Tata and 1 more

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Progress in orthodontics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07659041 (Effectiveness, Patient Acceptance, and Cost Estimation of 3D-printed Retainer Compared to Hawley Retainer in Expansion Case), which is not on this map. Cited by 10 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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.

NCT07659041 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Effectiveness, Patient Acceptance, and Cost Estimation of 3D-printed Retainer Compared to Hawley Retainer in Expansion Case: a Randomized Controlled Trial

TypeinterventionalSponsorNational University of MalaysiaRan2026 to 2027Enrolled28ConditionsOrthodontic Relapse, Retention in OrthodonticArms3D printed retainer, Hawley retainer
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  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. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Orthodontic Retainers-A Critical Review.Children (Basel, Switzerland) · 2023
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Asma AshariDepartment of Family Oral Health, Faculty of Dentistry, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia. asmaashari@ukm.edu.my.
Nik Mukhriz Nik MustaphaCentre for Paediatric Dentistry and Orthodontic Studies, Universiti Teknologi MARA (UiTM), Selangor, Malaysia.
Jonathan Jun Xian YuenDepartment of Family Oral Health, Faculty of Dentistry, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.
Zhi Kuan SawDepartment of Family Oral Health, Faculty of Dentistry, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.
May Nak LauDepartment of Paediatric Dentistry and Orthodontics, University of Malaya (UM), Kuala Lumpur, Malaysia. minalau@um.edu.my.
Lew XianDepartment of Family Oral Health, Faculty of Dentistry, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.
Alizae Marny Fadzlin Syed MohamedDepartment of Family Oral Health, Faculty of Dentistry, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.
Rohaya Megat Abdul WahabDepartment of Family Oral Health, Faculty of Dentistry, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.
Chiew Kit YeohOrthodontic Specialist Unit, Klinik Pergigian Sungai Chua, Ministry of Health, Selangor, Malaysia.
Malathi Deva TataOrthodontic Speciaist Unit, Klinik Pergigian Bandar Botanik, Ministry of Health, Selangor, Malaysia.
Sindhu SinnasamyOrthodontic Speciaist Unit, Klinik Pergigian Bandar Botanik, Ministry of Health, Selangor, Malaysia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo compare the clinical effectiveness of Hawley retainers (HRs) and modified vacuum-formed retainers (mVFRs) with palatal coverage in maintaining transverse expansion throughout a 24-month retention period and to assess the subjects' perception toward the retainers. MATERIALS AND

methodsThe trial accomplished blinding only by the outcome assessor and data analyst. Data were collected from post-orthodontic treatment patients who met the inclusion criteria. Thirty-five subjects were randomly allocated using a centralized randomization technique into either mVFR (n = 18) or HR group (n = 17). Dental casts of subjects were evaluated at debond (T0), 3-month (T1), 6-month (T2), 12-month (T3), and 24-month retention (T4). The intercanine width (ICW), interpremolar width (IPMW), interfirst molar mesiobuccal cusp width (IFMW1), and interfirst molar distobuccal cusp width (IFMW2) were compared between groups over time using Mixed ANOVA. A pilot-tested and validated questionnaire consisting of six items were given at T4. Subjects were instructed to rate their retainer in terms of fitting, speech, appearance, oral hygiene, durability, and comfort on a 100-mm Visual Analogue Scale (VAS).

resultsNo statistically significant differences in arch width were found between the two groups at ICW (P = .83), IPMW (P = 0.63), IFMW1 (P = .22), and IFMW2 (P = .46) during the 24-month retention period. Also, no statistically significant differences were found between perception of both retainers in terms of fitting, speech, oral hygiene, durability, and comfort (P > .05) after 24-month wear. The appearance of mVFRs was rated significantly higher compared to HRs (P < .05).

conclusionsHR and mVFR have similar clinical effectiveness for retention of transverse expansion cases in a 24-month retention period. Both retainers were perceived to be equal in terms of fitting, speech, oral hygiene, durability, and comfort. Subjects in the mVFRs group found their retainers to be significantly more esthetic than those in HRs group.

Indexed as

Orthodontic Appliance DesignOrthodontic RetainersHumansOral HygieneTreatment OutcomeVacuumControlled clinical trialDentoalveolar expansionOrthodontic retainersPatient-centered outcomeRelapseTreatment outcome

Identifiers

PMID36018418
PMCPMC9415262

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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.