Evidence map›Paper›PMID 40215411›Full record

SynthesisThe Journal of international medical research2025

White spot lesion in self-ligating versus conventional ligating bracket systems: A systematic review.

Mohammad I Idris, Ahmad S Burhan, Mohammad Y Hajeer, Ahmad M Alhamwi, Fehmie R Nawaya

Abstract readSystematic ReviewComparative Study
In one paragraph

Synthesis in The Journal of international medical research, 2025. 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. Trial
  2. Review
  3. 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

5 authors.

Mohammad I IdrisDepartment of Orthodontics, Faculty of Dentistry, University of Damascus, Damascus, Syria.ORCID 0009-0009-6542-3040
Ahmad S BurhanDepartment of Orthodontics, Faculty of Dentistry, University of Damascus, Damascus, Syria.
Mohammad Y HajeerDepartment of Orthodontics, Faculty of Dentistry, University of Damascus, Damascus, Syria.
Ahmad M AlhamwiDepartment of Orthodontics, Faculty of Dentistry, University of Damascus, Damascus, Syria.
Fehmie R NawayaDepartment of Pedodontics, Faculty of Dentistry, Syrian Private University, Damascus, Syria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BackgroundWhite spot lesion formation around orthodontic brackets is a major complication associated with fixed orthodontic treatment.ObjectiveThis review aimed to evaluate the current evidence regarding the differences in white spot lesion formation between self-ligating and conventional ligating brackets.MethodsEleven bibliographic databases were searched until January 2025. This review covered parallel-group and split-mouth randomized controlled trials, controlled clinical trials, and cross-sectional studies that investigated the differences in white spot lesion formation between self-ligating and conventional ligating brackets.ResultsThree randomized controlled trials, one controlled clinical trial, and one cross-sectional study were included in this systematic review. Among these, three studies were classified as having a low risk of bias. Four of the five included studies showed no statistically significant difference in white spot lesion formation between the two types of bracket systems (p < 0.05).ConclusionThere are no potential differences in white spot lesion formation between self-ligating and conventional ligating bracket systems. However, orthodontists must be aware of the other factors affecting white spot lesion formation, with oral hygiene being the most critical factor.

Indexed as

Dental CariesOrthodontic BracketsCross-Sectional StudiesHumansRandomized Controlled Trials as TopicLigationorthodontic bracketsystematic reviewwhite spot lesion

Identifiers

PMID40215411
PMCPMC12033688

What OpenQuestion holds

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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.