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

Wan 2017.

Study characteristics
Methods 2‐arm parallel RCT
Participants Number recruited: 20
Sex (M:F): 7:13 (HR group: 5 men, 5 women; VFR group: 2 men, 8 women)
Mean age (years): HR group: 24.6 (SD 2.6); VFR group: 24.1 (SD 3.1)
Inclusion criteria: had completed active orthodontic treatment 
Exclusion criteria: cleft lip or cleft palate, surgical correction of the jaws, dialects, hearing and speech disorders, temporomandibular joint dysfunction syndrome, < 18 years, suffering from serious periodontitis
Setting: West China Hospital of Stomatology, Sichuan University, Chengdu, China
Interventions 2 types of removable retainer
  • Group 1: upper and lower Hawley retainers

  • Group 2: upper and lower clear plasticretainers


Participants were instructed to wear the maxillary and mandibular retainers full‐time throughout the 3‐month period of the study, except while eating or brushing their teeth
Outcomes Patient satisfaction: assessment of speech sounds performed objectively using acoustic analysis:
  • Numbers of sound distortions

  • Changes in articulation


Vowels were analysed in terms of 3 formant frequencies (F1, F2, and F3) Hz
Voiceless fricatives were analysed in terms of upper boundary frequency (UBF) Hz
Time points: before wearing, immediately after wearing, and at 24 hours, 1 week, 1 month and 3 months
Changes in articulation not reported at T5, only number of sound distortions. 
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk The study authors state they used “sortation randomization method”. Not sure what this means
Allocation concealment (selection bias) Low risk Allocation concealment was achieved with opaque sealed envelopes
Blinding of outcome assessment (detection bias)
All outcomes Low risk Operators for clinical procedures and valuators for data collection or analysis were blinded
Incomplete outcome data (attrition bias)
All outcomes Low risk No participants were lost to follow‐up
Selective reporting (reporting bias) High risk Examples of some mean values for the acoustic analysis data were reported, but not all
Other bias Low risk No other biases identified