Evidence map›Paper›PMID 39340567›Full record

Trial reportClinical oral investigations2024

Direct versus fully digital indirect bracket bonding: a split-mouth randomized clinical trial on accuracy.

Pauline M J Hoekstra-van Hout, Jan Willem M Hoekstra, Robin Bruggink, Ewald M Bronkhorst, Edwin M Ongkosuwito

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical oral investigations, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
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

5 authors.

Pauline M J Hoekstra-van HoutDepartment of Dentistry Section Orthodontics and Craniofacial Biology, Radboud university medical center, (THK 309), P.O. Box 9101, Nijmegen, 6500 HB, The Netherlands.
Jan Willem M HoekstraDepartment of Dentistry Section Orthodontics and Craniofacial Biology, Radboud university medical center, (THK 309), P.O. Box 9101, Nijmegen, 6500 HB, The Netherlands. janwillem.hoekstra@radboudumc.nl.
Robin BrugginkRadboud University Medical Center, Radboudumc 3DLab, Nijmegen, The Netherlands.
Ewald M BronkhorstDepartment of Dentistry Section Orthodontics and Craniofacial Biology, Radboud university medical center, (THK 309), P.O. Box 9101, Nijmegen, 6500 HB, The Netherlands.
Edwin M OngkosuwitoDepartment of Dentistry Section Orthodontics and Craniofacial Biology, Radboud university medical center, (THK 309), P.O. Box 9101, Nijmegen, 6500 HB, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe primary aim is to assess differences in accuracy of orthodontic bracket positioning between fully digital indirect bracket bonding (IDB) and conventional direct bracket bonding (DBB). The secondary aims are to assess differences in bracket bonding failures, bracket repositioning need, clinician experience and patient satisfaction. MATERIALS AND

methodsThis prospective study was designed as a split-mouth randomized clinical trial. In total, 35 patients were analyzed with a six month follow-up period. Translational and orientational deviations from the planned bracket position were determined. Clinician experience and patient satisfaction were evaluated by means of a survey.

resultsThe difference in translation was 0.34 mm (95% CI: 0.238-0.352, p = 0.017), the difference in orientation was 4.80˚ (95% CI: 3.858-5.727, p < 0.001), both in favour of IDB. IDB showed significantly more immediate (IDB: 3.9%, DBB: 0%) and late (IDB: 5.4%, DBB: 2.5%, p = 0.008) bonding failures. Clinicians and patients experienced a shorter clinical chair time with indirect bonding over direct bonding.

conclusionsIDB bracket positioning leads to significant smaller translation and orientation deviations from digital IDB planning, than DBB bracket positioning. However, IDB leads to more immediate bonding failures than DBB. The majority of patients preferred IDB over DBB, due to a shorter clinical chair time. CLINICAL RELEVANCE: This study adds to the knowledge of IDB in orthodontics and contributes to evidence on this technique. This evidence is applicable in everyday orthodontics, with respect to patient satisfaction and technical limits of IDB. The trial was registered in the Dutch Trial Register and the International Clinical Trials Registry Platform (ICTRP) of the World Health Organization (WHO), number NL9411.

Indexed as

Dental BondingOrthodontic BracketsPatient SatisfactionAdolescentAdultFemaleHumansMaleOrthodontic Appliance DesignProspective StudiesBracket placementChairside timeComputer-aided designFixed appliancesIndirect bracket bondingOrthodontics

Identifiers

PMID39340567
PMCPMC11438723

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Registered trials

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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.