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. 2018 Jul 31;2018(7):CD007859. doi: 10.1002/14651858.CD007859.pub4

Pandis 2009.

Methods Study design: double‐blind RCT, 2 parallel groups
Location: Corfu, Greece
Setting: private orthodontic office of Nikolaos Pandis
Number of centres: 1
Study period: December 2006‐March 2008
Funding source: not stated
Participants Inclusion criteria: non‐extraction treatment on the mandible; eruption of all mandibular teeth; no spaces in the mandibular arch; no crowding in the posterior segments; mandibular irregularity index > 2 mm; no therapeutic intervention planned involving intermaxillary or other intraoral or extraoral appliances including intra‐arch or interarch elastics, lip bumpers, maxillary expansion appliances, or headgears
Exclusion criteria: not stated
Number randomised: 60 participants (male/female 14/46; mean age 13.1 ± 1.8 years, age 10‐18 years)
Number evaluated: 60 participants (60 arches, upper/lower 0/60) (group A: male/female 5/25, mean age 12.8 ± 1.7 years; group B: male/female 9/21, mean age 13.4 ± 1.8 years)
Interventions Comparison: conventional NiTi vs copper thermoactive NiTi
Group A (n = 30, upper/lower 0/30): 0.016‐inch NiTi (Modern Arch)
Group B (n = 30, upper/lower 0/30): 0.016‐inch copper thermoactive NiTi 35ºC (Ormco)
All participants were bonded with In‐Ovation‐R self ligating brackets with 0.022 in slot (GAC). All first and second molars (when present) were bonded with bondable tubes (Speed System Orthodontics). Bracket bonding, arch wire placement and treatment were performed by the same clinician.
Operators: 1 clinician
Outcomes Time to alignment of the mandibular anterior dentition (for participants not aligned after 6‐month treatment, the remaining crowding was recorded)
Notes Sample size calculation: "The planned sample of 60 subjects was based on a time‐to‐event analysis, with a power of 80% to detect a 45% difference in effect (hazard ratio) and for type I error of 0.05."
Baseline comparability: "No variable was identified to discriminate the 2 samples, thus verifying the random allocation of the intervention to the 2 wire groups."
Other information: further information was requested from the study authors but there was no reply.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Quote: "Randomization was done using random permuted blocks of size 6."
Allocation concealment (selection bias) Low risk Quote: "Opaque envelopes were used to allocate treatment." "Allocation was concealed from the operator and participants during the observation period"
Blinding of participants and personnel (performance bias) 
 Patient reported outcomes Low risk Quote: "Double blind investigation"
Blinding of outcome assessment (detection bias) 
 Clinician assessed outcomes Low risk Quote: "Double blind investigation"
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Comment: no withdrawals
Selective reporting (reporting bias) Low risk Comment: planned outcomes reported
Other bias Low risk Comment: no other sources of bias identified