White spot lesion in self-ligating versus conventional ligating bracket systems: A systematic review
Background White spot lesion formation around orthodontic brackets is a major complication associated with fixed orthodontic treatment. Objective This review aimed to evaluate the current evidence regarding the differences in white spot lesion formation between self-ligating and conventional ligatin...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2025-04-01
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| Series: | Journal of International Medical Research |
| Online Access: | https://doi.org/10.1177/03000605251328608 |
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| author | Mohammad I Idris Ahmad S Burhan Mohammad Y Hajeer Ahmad M Alhamwi Fehmie R Nawaya |
| author_facet | Mohammad I Idris Ahmad S Burhan Mohammad Y Hajeer Ahmad M Alhamwi Fehmie R Nawaya |
| author_sort | Mohammad I Idris |
| collection | DOAJ |
| description | Background White spot lesion formation around orthodontic brackets is a major complication associated with fixed orthodontic treatment. Objective This review aimed to evaluate the current evidence regarding the differences in white spot lesion formation between self-ligating and conventional ligating brackets. Methods Eleven 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. Results Three 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). Conclusion There 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. Registration: The protocol was registered in the PROSPERO database (CRD42022353478) on 25 August 2022. |
| format | Article |
| id | doaj-art-bde863bd62604fe1822a3a6bb4730f74 |
| institution | OA Journals |
| issn | 1473-2300 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of International Medical Research |
| spelling | doaj-art-bde863bd62604fe1822a3a6bb4730f742025-08-20T02:19:54ZengSAGE PublishingJournal of International Medical Research1473-23002025-04-015310.1177/03000605251328608White spot lesion in self-ligating versus conventional ligating bracket systems: A systematic reviewMohammad I IdrisAhmad S BurhanMohammad Y HajeerAhmad M AlhamwiFehmie R NawayaBackground White spot lesion formation around orthodontic brackets is a major complication associated with fixed orthodontic treatment. Objective This review aimed to evaluate the current evidence regarding the differences in white spot lesion formation between self-ligating and conventional ligating brackets. Methods Eleven 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. Results Three 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). Conclusion There 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. Registration: The protocol was registered in the PROSPERO database (CRD42022353478) on 25 August 2022.https://doi.org/10.1177/03000605251328608 |
| spellingShingle | Mohammad I Idris Ahmad S Burhan Mohammad Y Hajeer Ahmad M Alhamwi Fehmie R Nawaya White spot lesion in self-ligating versus conventional ligating bracket systems: A systematic review Journal of International Medical Research |
| title | White spot lesion in self-ligating versus conventional ligating bracket systems: A systematic review |
| title_full | White spot lesion in self-ligating versus conventional ligating bracket systems: A systematic review |
| title_fullStr | White spot lesion in self-ligating versus conventional ligating bracket systems: A systematic review |
| title_full_unstemmed | White spot lesion in self-ligating versus conventional ligating bracket systems: A systematic review |
| title_short | White spot lesion in self-ligating versus conventional ligating bracket systems: A systematic review |
| title_sort | white spot lesion in self ligating versus conventional ligating bracket systems a systematic review |
| url | https://doi.org/10.1177/03000605251328608 |
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