{"title":"正畸治疗中间接粘接和直接粘接技术的综合临床评估：单中心、开放标签、准随机对照临床试验。","authors":"Kana Kono, Takashi Murakami, Saori Tanizaki, Noriaki Kawanabe, Atsuro Fujisawa, Masahiro Nakamura, Mitsuhiro Hoshijima, Takashi Izawa, Hiroshi Kamioka","doi":"10.1093/ejo/cjae036","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Few prospective investigations have compared direct and indirect techniques through comprehensive and detailed clinical evaluations, considering the impact of all factors.</p><p><strong>Objectives: </strong>This study aimed to compare and evaluate direct and indirect bonding methods at a single institution and to clarify the selection criteria for the bonding method.</p><p><strong>Materials and methods: </strong>This single-centre, quasi-randomized controlled clinical trial included 153 patients who required fixed orthodontic treatment. They were randomly divided into indirect and direct binding groups by the project lead (K.K.), who was blinded to all clinical data, and performed the allocation using medical record numbers. The chair time for bracket bonding, discomfort during bracket bonding, oral hygiene after bonding, number of bracket failures, number of intentional bracket reattachments, post-treatment occlusal index, and total treatment time were assessed. Outcomes were compared using a two-sample t-test or Mann-Whitney U test (P < .05).</p><p><strong>Results: </strong>Fifty-eight patients were included in the indirect bonding group (20 male, 38 female; mean age: 20.63 ± 5.69 years) and 66 (14 male, 52 female; mean age: 23.17 ± 8.83 years) in the direct bonding group. Compared to the direct bonding group, the indirect bonding group had shorter chair time (P < .001), a shorter total treatment period (P < .01), and a better final occlusal relationship (P < .001). The number of bracket detachments was higher (P < .001) in the indirect bonding group, but the number of intentional reattachments was lower (P < .001).</p><p><strong>Conclusion: </strong>Indirect bonding may improve the efficiency of orthodontic treatment.</p><p><strong>Harms: </strong>No harm was observed during the study.</p><p><strong>Trial registration number: </strong>This trial was approved by the Ethics Review Committee of Okayama University (approval number: d10001), UMIN registration number 000022182.</p>","PeriodicalId":11989,"journal":{"name":"European journal of orthodontics","volume":"46 6","pages":""},"PeriodicalIF":2.8000,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11450403/pdf/","citationCount":"0","resultStr":"{\"title\":\"Comprehensive clinical evaluation of indirect and direct bonding techniques in orthodontic treatment: a single-centre, open-label, quasi-randomized controlled clinical trial.\",\"authors\":\"Kana Kono, Takashi Murakami, Saori Tanizaki, Noriaki Kawanabe, Atsuro Fujisawa, Masahiro Nakamura, Mitsuhiro Hoshijima, Takashi Izawa, Hiroshi Kamioka\",\"doi\":\"10.1093/ejo/cjae036\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Few prospective investigations have compared direct and indirect techniques through comprehensive and detailed clinical evaluations, considering the impact of all factors.</p><p><strong>Objectives: </strong>This study aimed to compare and evaluate direct and indirect bonding methods at a single institution and to clarify the selection criteria for the bonding method.</p><p><strong>Materials and methods: </strong>This single-centre, quasi-randomized controlled clinical trial included 153 patients who required fixed orthodontic treatment. They were randomly divided into indirect and direct binding groups by the project lead (K.K.), who was blinded to all clinical data, and performed the allocation using medical record numbers. The chair time for bracket bonding, discomfort during bracket bonding, oral hygiene after bonding, number of bracket failures, number of intentional bracket reattachments, post-treatment occlusal index, and total treatment time were assessed. Outcomes were compared using a two-sample t-test or Mann-Whitney U test (P < .05).</p><p><strong>Results: </strong>Fifty-eight patients were included in the indirect bonding group (20 male, 38 female; mean age: 20.63 ± 5.69 years) and 66 (14 male, 52 female; mean age: 23.17 ± 8.83 years) in the direct bonding group. Compared to the direct bonding group, the indirect bonding group had shorter chair time (P < .001), a shorter total treatment period (P < .01), and a better final occlusal relationship (P < .001). The number of bracket detachments was higher (P < .001) in the indirect bonding group, but the number of intentional reattachments was lower (P < .001).</p><p><strong>Conclusion: </strong>Indirect bonding may improve the efficiency of orthodontic treatment.</p><p><strong>Harms: </strong>No harm was observed during the study.</p><p><strong>Trial registration number: </strong>This trial was approved by the Ethics Review Committee of Okayama University (approval number: d10001), UMIN registration number 000022182.</p>\",\"PeriodicalId\":11989,\"journal\":{\"name\":\"European journal of orthodontics\",\"volume\":\"46 6\",\"pages\":\"\"},\"PeriodicalIF\":2.8000,\"publicationDate\":\"2024-12-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11450403/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"European journal of orthodontics\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1093/ejo/cjae036\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"DENTISTRY, ORAL SURGERY & MEDICINE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"European journal of orthodontics","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1093/ejo/cjae036","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}
Comprehensive clinical evaluation of indirect and direct bonding techniques in orthodontic treatment: a single-centre, open-label, quasi-randomized controlled clinical trial.
Background: Few prospective investigations have compared direct and indirect techniques through comprehensive and detailed clinical evaluations, considering the impact of all factors.
Objectives: This study aimed to compare and evaluate direct and indirect bonding methods at a single institution and to clarify the selection criteria for the bonding method.
Materials and methods: This single-centre, quasi-randomized controlled clinical trial included 153 patients who required fixed orthodontic treatment. They were randomly divided into indirect and direct binding groups by the project lead (K.K.), who was blinded to all clinical data, and performed the allocation using medical record numbers. The chair time for bracket bonding, discomfort during bracket bonding, oral hygiene after bonding, number of bracket failures, number of intentional bracket reattachments, post-treatment occlusal index, and total treatment time were assessed. Outcomes were compared using a two-sample t-test or Mann-Whitney U test (P < .05).
Results: Fifty-eight patients were included in the indirect bonding group (20 male, 38 female; mean age: 20.63 ± 5.69 years) and 66 (14 male, 52 female; mean age: 23.17 ± 8.83 years) in the direct bonding group. Compared to the direct bonding group, the indirect bonding group had shorter chair time (P < .001), a shorter total treatment period (P < .01), and a better final occlusal relationship (P < .001). The number of bracket detachments was higher (P < .001) in the indirect bonding group, but the number of intentional reattachments was lower (P < .001).
Conclusion: Indirect bonding may improve the efficiency of orthodontic treatment.
Harms: No harm was observed during the study.
Trial registration number: This trial was approved by the Ethics Review Committee of Okayama University (approval number: d10001), UMIN registration number 000022182.
期刊介绍：
The European Journal of Orthodontics publishes papers of excellence on all aspects of orthodontics including craniofacial development and growth. The emphasis of the journal is on full research papers. Succinct and carefully prepared papers are favoured in terms of impact as well as readability.
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