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

Salehi 2013.

Study characteristics
Methods 2‐arm parallel RCT
Participants Number recruited: 142
Sex (M:F): 59:83
Mean age (years): group 1: 18.1 (SD 5.23), group 2: 18.2 (SD 4.81)
Inclusion criteria: people treated with standard edgewise fixed appliances, good oral hygiene, healthy periodontium, no previous bonded retainer
Exclusion criteria: deep overbite, traumatic parafunctional habits such as bruxism and clenching
Setting: clinic of 1 operator in Iran; participants paid for treatment
Interventions Two types of upper and lower fixed retainers
  • Group 1: fibre‐reinforced composite retainer ('Ribbond') was cut to the correct length, pre‐treated with adhesive bis‐GMA sealant and bonded with 'Heliosite' orthodontic composite resin

  • Group 2: multistrand wire retainer was ⌀ 0.0175 inch passive multistrand wire


Both types were bonded to all teeth, canine to canine
Both retainers bonded under rubber dam with Heliosite composite resin using Fluoro Bond adhesive bis‐GMA sealant
Outcomes Survival: retainer assessed as failed if it debonded from tooth or fractured
Time points: at 18 months
Notes No assessment of stability, adverse effects on health or patient satisfaction
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Random table number table used
Allocation concealment (selection bias) Unclear risk No concealment described. Study authors contacted to clarify this but no reply received
Blinding of outcome assessment (detection bias)
All outcomes Low risk Study authors noted that the statistician analysing the data was blinded
Incomplete outcome data (attrition bias)
All outcomes Low risk Number of dropouts clearly reported and described
Selective reporting (reporting bias) Low risk No evidence or suggestion of selective reporting
Other bias Low risk No other suggestions of bias noted