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. 2016 Jan 29;2016(1):CD002283. doi: 10.1002/14651858.CD002283.pub4

Comparison 3. Removable versus removable retainers.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1 Stability ‐ Little's Irregularity Index ‐ upper labial segment ‐ 1 year 3   Mean Difference (IV, Fixed, 95% CI) Subtotals only
1.1 Night wear Hawley 1 year vs. 24/7 for 6 months + night wear 6 months Hawley 1 52 Mean Difference (IV, Fixed, 95% CI) 0.0 [‐0.41, 0.41]
1.2 Hawley 24/7 for 3 months then 12/7 vs. thermoplastic 12/7 for 1 week then night wear 1 310 Mean Difference (IV, Fixed, 95% CI) 0.25 [0.08, 0.42]
1.3 Part‐time 8/7 thermoplastic vs. full‐time 24/7 thermoplastic 1 57 Mean Difference (IV, Fixed, 95% CI) 0.03 [‐0.39, 0.45]
2 Stability ‐ Little's Irregularity Index ‐ lower labial segment ‐ 1 year 4   Mean Difference (IV, Fixed, 95% CI) Subtotals only
2.1 Night wear Hawley 1 year vs. 24/7 for 6 months + night wear 6 months 1 52 Mean Difference (IV, Fixed, 95% CI) 0.20 [‐0.28, 0.68]
2.2 Hawley 24/7 for 3 months then 12/7 vs. thermoplastic 12/7 for 1 week then night wear 1 310 Mean Difference (IV, Fixed, 95% CI) 0.42 [0.23, 0.61]
2.3 Upper and lower (mean) Begg full time vs. upper and lower (mean) thermoplastic retainers full time 1 224 Mean Difference (IV, Fixed, 95% CI) 0.25 [0.19, 0.31]
2.4 Part‐time 8/7 thermoplastic vs. full‐time 24/7 thermoplastic 1 57 Mean Difference (IV, Fixed, 95% CI) 0.02 [‐0.34, 0.38]
3 Stability ‐ crowding upper labial segment ‐ 1 year 1   Mean Difference (IV, Fixed, 95% CI) Totals not selected
3.1 Night wear Hawley 1 year vs. 24/7 for 6 months + night wear 6 months 1   Mean Difference (IV, Fixed, 95% CI) 0.0 [0.0, 0.0]
4 Stability ‐ crowding lower labial segment ‐ 1 year 1   Mean Difference (IV, Fixed, 95% CI) Totals not selected
4.1 Night wear Hawley 1 year vs. 24/7 for 6 months + night wear 6 months 1   Mean Difference (IV, Fixed, 95% CI) 0.0 [0.0, 0.0]
5 Stability: lower intercanine width 2   Mean Difference (IV, Fixed, 95% CI) Subtotals only
5.1 Hawley 24/7 for 3 months then 12/7 vs. thermoplastic 12/7 for 1 month 1 310 Mean Difference (IV, Fixed, 95% CI) 0.08 [0.01, 0.15]
5.2 Part‐time 8/7 thermoplastic vs. full‐time 24/7 thermoplastic 1 57 Mean Difference (IV, Fixed, 95% CI) 0.05 [‐0.22, 0.32]
6 Stability: lower intermolar width 2   Mean Difference (IV, Fixed, 95% CI) Subtotals only
6.1 Hawley 24/7 for 3 months then 12/7 vs. thermoplastic 12/7 for 1 month 1 310 Mean Difference (IV, Fixed, 95% CI) 0.08 [‐0.01, 0.17]
6.2 Part‐time 8/7 thermoplastic vs. full‐time 24/7 thermoplastic 1 56 Mean Difference (IV, Fixed, 95% CI) ‐0.11 [‐0.59, 0.38]
7 Stability: upper intercanine width 2   Mean Difference (IV, Fixed, 95% CI) Subtotals only
7.1 Hawley 24/7 for 3 months then 12/7 vs. thermoplastic 12/7 for 1 month 1 310 Mean Difference (IV, Fixed, 95% CI) 0.05 [‐0.04, 0.14]
7.2 Part‐time 8/7 thermoplastic vs. full‐time 24/7 thermoplastic 1 57 Mean Difference (IV, Fixed, 95% CI) ‐0.00 [‐0.31, 0.30]
8 Stability: upper intermolar width 2   Mean Difference (IV, Fixed, 95% CI) Subtotals only
8.1 Hawley 24/7 for 3 months then 12/7 vs. thermoplastic 12/7 for 1 month 1 310 Mean Difference (IV, Fixed, 95% CI) ‐0.02 [‐0.12, 0.08]
8.2 Part‐time 8/7 thermoplastic vs. full‐time 24/7 thermoplastic 1 57 Mean Difference (IV, Fixed, 95% CI) 0.12 [‐0.67, 0.92]
9 Stability: overjet 1   Mean Difference (IV, Fixed, 95% CI) Subtotals only
9.1 Part‐time 8/7 thermoplastic vs. full‐time 24/7 thermoplastic 1 57 Mean Difference (IV, Fixed, 95% CI) 0.06 [‐0.35, 0.48]
10 Stability: overbite 1   Mean Difference (IV, Fixed, 95% CI) Subtotals only
10.1 Part‐time 8/7 thermoplastic vs. full‐time 24/7 thermoplastic 1 57 Mean Difference (IV, Fixed, 95% CI) 0.34 [‐0.01, 0.69]
11 Stability: settling with increased posterior contacts 1   Mean Difference (IV, Fixed, 95% CI) Subtotals only
11.1 Modified thermoplastic retainer vs. full coverage thermoplastic retainer (both 6/12 full‐time) 1 36 Mean Difference (IV, Fixed, 95% CI) ‐0.34 [‐1.40, 0.72]
11.2 Modified thermoplastic retainer vs. full coverage thermoplastic retainer (both 6/12 full‐time then 3/12 part‐time) 1 36 Mean Difference (IV, Fixed, 95% CI) 0.95 [0.05, 1.85]
12 Stability: settling with increased anterior contacts 1   Mean Difference (IV, Fixed, 95% CI) Subtotals only
12.1 Modified thermoplastic retainer vs. full coverage thermoplastic retainer (both 6/12 full‐time) 1 36 Mean Difference (IV, Fixed, 95% CI) ‐1.89 [‐2.32, ‐1.46]
12.2 Modified thermoplastic retainer vs. full coverage thermoplastic retainer (both 6/12 full‐time then 3/12 nights only) 1 36 Mean Difference (IV, Fixed, 95% CI) ‐1.5 [‐1.94, ‐1.06]
13 Stability: maintaining corrected rotations in the upper 1   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
13.1 Hawley full‐time for 3/12 then nights only vs. thermoplastic part‐time 1 75 Risk Ratio (M‐H, Fixed, 95% CI) 4.88 [1.13, 21.07]
14 Stability: maintaining quality of finish (PAR) 1   Mean Difference (IV, Fixed, 95% CI) Subtotals only
15 Survival of retainers: how many broke in total 1 346 Risk Ratio (M‐H, Fixed, 95% CI) 2.96 [1.58, 5.55]
15.1 Hawley 24/7 for 3 months then 12/7 vs. thermoplastic 12/7 for 1 week then night wear 1 346 Risk Ratio (M‐H, Fixed, 95% CI) 2.96 [1.58, 5.55]
16 Survival of retainers: how many were lost in total 1   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
16.1 Hawley 24/7 for 3 months then 12/7 vs. thermoplastic 12/7 for 1 week then night wear 1 346 Risk Ratio (M‐H, Fixed, 95% CI) 1.20 [0.56, 2.56]
17 Survival of retainers: upper 1   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
17.1 Hawley 24/7 for 1 year vs. vacuum formed 24/7 for 1 year 1 111 Risk Ratio (M‐H, Fixed, 95% CI) 0.87 [0.63, 1.19]
18 Survival of retainers: lower 1   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
18.1 Hawley 24/7 for 1 year vs. thermoplastic 24/7 for 1 year 1 111 Risk Ratio (M‐H, Fixed, 95% CI) 0.60 [0.43, 0.83]
19 Patient satisfaction: able to wear retainer as instructed? 1 347 Risk Ratio (M‐H, Fixed, 95% CI) 0.89 [0.83, 0.96]
19.1 Hawley 24/7 for 3 months then 12/7 vs. thermoplastic 12/7 for 1 week then night wear 1 347 Risk Ratio (M‐H, Fixed, 95% CI) 0.89 [0.83, 0.96]
20 Patient satisfaction: able to wear retainers away from home? 1   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
20.1 Hawley 24/7 for 3 months then 12/7 vs. thermoplastic 12/7 for 1 week 1 344 Risk Ratio (M‐H, Fixed, 95% CI) 0.92 [0.81, 1.06]
21 Patient satisfaction: embarrassed to wear retainer? 1   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
21.1 Hawley 24/7 for 3 months then 12/7 vs. thermoplastic 12/7 for 1 week 1 348 Risk Ratio (M‐H, Fixed, 95% CI) 2.42 [1.30, 4.49]
22 Patient satisfaction: amount of discomfort ‐ never or only on occasion 1   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
22.1 Hawley 24/7 for 3 months then 12/7 vs. thermoplastic 12/7 for 1 week then night wear 1 349 Risk Ratio (M‐H, Fixed, 95% CI) 0.96 [0.89, 1.03]
23 Patient satisfaction: worse or much worse than wearing fixed appliances? 1   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
23.1 Hawley 24/7 for 3 months then 12/7 vs. thermoplastic 12/7 for 1 week 1 349 Risk Ratio (M‐H, Fixed, 95% CI) 9.37 [3.80, 23.10]