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

Quintão 2005.

Methods Study design: RCT, 4 parallel groups
Location: Brazil
Setting: Postgraduate orthodontic clinic of the Dental School of the State University of Rio de Janeiro
Number of centres: 1
Study period: not stated
Funding source: not stated
Participants Inclusion criteria: presence of all permanent teeth except second and third molars; absence of previous orthodontic treatment and absence of previous palatal expansion device; absence of previous relevant expansion device; overjet and overbite that would allow for fixing lower anterior teeth without creating occlusal interferences; crowding degree and dental position that would allow for full insertion of archwire into the bracket; good oral hygiene and periodontal status
Exclusion criteria: not stated
Number randomised: 45 participants (male/female 17/28; mean age: 13.2 ± 1.2 years for male and 12.8 ± 1.2 years for female participants)
Number evaluated: 45 participants (90 arches, upper/lower 45/45)
Interventions Comparison: stainless steel vs multistranded steel vs superelastic NiTi vs thermoactivated NiTi
Group A (n = 22 arches, upper/lower 11/11): 0.014‐inch stainless steel (SS GLD, GAC)
Group B (n = 22 arches, upper/lower 11/11): 0.0155‐inch multistranded stainless steel (SS Pentacat, GAC)
Group C (n = 26 arches, upper/lower 13/13): 0.016‐inch superelastic nickel‐titanium (Sentalloy, GAC)
Group D (n = 20 arches, upper/lower 10/10): 0.016‐inch thermoactivated nickel‐titanium (Thermal, G&H)
A preadjusted edgewise system, with brackets and slot ring tubes 0.022 × 0.028 inch (GAC) was used in every case
Operators: 1 operator
Outcomes Alignment rate: tooth movement measured on LII at 8 weeks (indirectly)
Notes Sample size calculation: not stated
Baseline comparability: not stated
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Quote: "Using a randomised numbering system"
Allocation concealment (selection bias) Unclear risk Comment: allocation concealment not described
Blinding of participants and personnel (performance bias) 
 Patient reported outcomes Unclear risk Comment: blinding of participants and personnel not described
Blinding of outcome assessment (detection bias) 
 Clinician assessed outcomes Unclear risk Comment: blinding of outcome assessors not described
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