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Effects of fixed orthodontic brackets on oral malodor: A systematic review and meta-analysis according to the preferred reporting items for systematic reviews and meta-analyses guidelines.

Abstract This systematic review and meta-analysis aimed to identify whether there is any relationship between fixed orthodontic appliances and malodor, and if self-ligating brackets (SLBs) prevent malodor better than conventional brackets (CBs).
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title medicine
Publication Year Start




PMID- 29620635
OWN - NLM
STAT- MEDLINE
DCOM- 20180416
LR  - 20180416
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 97
IP  - 14
DP  - 2018 Apr
TI  - Effects of fixed orthodontic brackets on oral malodor: A systematic review and
      meta-analysis according to the preferred reporting items for systematic reviews
      and meta-analyses guidelines.
PG  - e0233
LID - 10.1097/MD.0000000000010233 [doi]
AB  - BACKGROUND: This systematic review and meta-analysis aimed to identify whether
      there is any relationship between fixed orthodontic appliances and malodor, and
      if self-ligating brackets (SLBs) prevent malodor better than conventional
      brackets (CBs). METHODS: The electronic databases PubMed, Ovid, EMBASE, and the
      Cochrane Library were searched from inception to September 2016; a manual search 
      was also performed. Randomized controlled and clinical controlled trials, in
      which experimental groups received fixed orthodontic therapy and malodor was
      measured, were included. Patients treated with fixed orthodontic brackets were
      compared with those without any treatment, and SLB systems were compared with CB 
      systems. Two reviewers independently selected potentially relevant studies,
      evaluated the risk for bias, extracted essential data, and synthesized findings
      using Review Manager version 5.3 (Copenhagen: The. Nordic Cochrane Centre, The
      Cochrane Collaboration, 2014). RESULTS: Four studies, involving a total of 152
      participants, met the inclusion criteria. Fixed orthodontic appliances caused
      malodor from the initial visit to 2 to 3 months, but was only significant after
      the first week (mean difference 20.24 [95% confidence interval [CI]11.75-28.74]; 
      P < .00001). Plaque index, gingival index, and periodontal pocket depths
      demonstrated no statistical differences between the SLB and CB groups after the
      first week. However, SLBs significantly controlled malodor better than CBs after 
      the first week (mean difference 4.32 [95% CI 6.02 to 2.61]; P < .00001). The
      quality of the included studies was relatively low and relevant research in this 
      field is quite scarce. CONCLUSIONS: Although the evidence base was relatively
      weak, fixed orthodontic treatment appeared to be a risk factor for malodor,
      independent of periodontal changes, and SLB systems controlled malodor better
      than CB systems.
FAU - Huang, Jing
AU  - Huang J
AD  - Department of Orthodontics.
FAU - Li, Cui-Ying
AU  - Li CY
AD  - Central Laboratory, Peking University School and Hospital of Stomatology, Haidian
      District, Beijing, China.
FAU - Jiang, Jiu-Hui
AU  - Jiang JH
AD  - Department of Orthodontics.
LA  - eng
PT  - Journal Article
PT  - Meta-Analysis
PT  - Review
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - AIM
SB  - IM
MH  - Dental Plaque Index
MH  - Halitosis/*etiology
MH  - Humans
MH  - Orthodontic Brackets/*adverse effects
MH  - Periodontal Index
MH  - Periodontal Pocket/complications
MH  - Risk Factors
EDAT- 2018/04/06 06:00
MHDA- 2018/04/17 06:00
CRDT- 2018/04/06 06:00
PHST- 2018/04/06 06:00 [entrez]
PHST- 2018/04/06 06:00 [pubmed]
PHST- 2018/04/17 06:00 [medline]
AID - 10.1097/MD.0000000000010233 [doi]
AID - 00005792-201804060-00013 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2018 Apr;97(14):e0233. doi: 10.1097/MD.0000000000010233.