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. 2023 May 22;2023(5):CD002283. doi: 10.1002/14651858.CD002283.pub5

Gunay 2018.

Study characteristics
Methods 2‐arm parallel RCT
Participants Number recruited: 120 in total, 60 per group
Sex (M:F): 37:83
Age (years): group 1: 15.7, group 2: 16.2 (SD not provided)
Inclusion criteria: patients had undergone fixed appliance therapy, 60 with premolar extractions 60 without extractions; no missing mandibular incisors; no restorations on the mandibular incisors that might affect retainer bonding on lingual enamel surfaces; no morphologic crown anomalies
Exclusion criteria: patients with rotations
Setting: university hospital, Samsun, Turkey
Interventions Two different techniques for bonding two types of lingual wire retainers
  • Group 1: ⌀ 0.0175 inch 6‐strand stainless steel wire (Ortho Technology, Lutz, USA) was used, the lingual retainers were fabricated on plaster models, and a silicon transfer key was used. 

  • Group 2: ⌀ 0.0195 inch dead‐soft coaxial wire (Respond; Ormco, Orange, USA) was used, and the lingual retainers were made in the participant's mandibular arch without a study model.

Outcomes Stability assessed using LII, intercanine width and arch length (mm) (data not available)
Survival: failure rate as a percentage
Time points: 3, 6, 9 and 12  months
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk The study authors state “the patients were divided into 2 groups randomly with equal numbers of extraction and nonextraction patients”.
Allocation concealment (selection bias) Unclear risk No comment was made in the paper.
Blinding of outcome assessment (detection bias)
All outcomes Unclear risk No comment was made in the paper.
Incomplete outcome data (attrition bias)
All outcomes Low risk No comment was made in the paper, but it appears from the failure data that there were no dropouts.
Selective reporting (reporting bias) High risk They measured arch length but did not report the data.
Other bias Low risk No areas of risk of bias were identified.