Review of 10 years

Evidence for up-to-date clinical dental practice – a review of 10 years of the Cochrane Oral Health Group

30th-31st May 2006, Manchester

The Gaps

Bill ShawJayne Harrison

Own logo

Review of 10 years

Review of 10 years

Where are the gaps?• Everyday technical questions

• Bracket type• Arch wire sequence

– NiTi – original/SE/heat activated» Alignment / pt and clinician outcomes

• OB reduction• Bands or bonds for molars

• Extraction / non-extraction• Extraction pattern – 6s vs. PMs

• Anchorage• HG/palatal implant/mini-implants

• Inter-visit span• Generalist vs Specialist treatment• Is ortho Rx necessary

Own logo

Review of 10 years

Review of 10 years

Future plans for filling these gaps

• Space closure - SR

• Clinical trials

• Patient centred outcomes

• Alternatives to ortho– Borderline patients

• Counselling/psychological coping stratagies

Review of 10 years

Who is responsible for filling the gaps?

• Research / clinician networks

• Everyday providers

Review of 10 years

Who will fund this work?

• Pump-priming, a survey of current practice

• Companies– Conflict of interest

• Orthodontic Societies’ stamp of approval

• Ortho societies

• NHS R&D / NIH / Government

Review of 10 years

What controversies need resolving?

• Is ortho Rx necessary ?– If so at what level of severity?

• Is ortho Rx beneficial?– Pt centred outcomes

• Ultimate outcomes– Quality of life

Review of 10 years

Thank you

Own logo Review of 10 years

Review of 10 years