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

Bolla 2012.

Methods 2‐arm parallel randomised controlled trial
Participants Numbers recruited: 85 (56 females and 29 males)
Mean age: 21.9 years
Inclusion criteria: people who had been treated with fixed appliances, with:
  • good oral hygiene

  • mild crowding in upper labial segments

  • treated non‐extraction

  • post‐treatment Class I relationship with an overjet and overbite of 1‐3 mm

  • correct anterior Bolton's index


Exclusion criteria:
  • dental agenesis or anomalies

  • enamel decalcification or white spots on lingual surface of anterior teeth

  • periodontal disease

  • considerable dental abrasion

  • parafunctional habits such as nocturnal bruxism


Setting: university clinic in Italy and participants had to pay for treatment (information provided by authors)
Interventions Comparison: polyethylene ribbon retainer vs. multistrand retainer
Group 1: polyethylene ribbon retainer were silanised, 14 µm, unidirectional, glass fibre devices embedded in a resin matrix
Group 2: multistrand retainer were 0.0175" dead‐soft passive multistrand wire
Both types were bonded lateral incisor to lateral incisor in upper, and canine to canine in the lower
All were placed under rubber dam using a standardised bonding process
Outcomes Outcome relevant to review: survival of retainers
Number of detachments or bond failures recorded after 6 years
Notes No measures of patient satisfaction, effect on health or stability were recorded
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Contacted authors who confirmed, "the operator tossed a coin for every patient" after agreeing to be in the study
Allocation concealment (selection bias) Low risk Contacted authors who confirmed, "the operator tossed a coin for every patient" after agreeing to be in the study
Blinding of outcome assessment (detection bias) 
 All outcomes High risk Not feasible as the outcome assessor could not be blinded to the presence or absence of the wire
Incomplete outcome data (attrition bias) 
 All outcomes High risk Paper recorded no drop‐outs, but on contacting the authors reported that, "we described only the patients that completed the trial, we estimate, now, we had a drop out of 15‐20 per group"
Selective reporting (reporting bias) High risk Contacted authors who reported, "we started to check the periodontium, but it was making the visit too long for the administration therefore we had to terminate that evaluation"
They also started "evaluating the bacterial flora taking a sample every 3 months, unfortunately we ran out of funds"
Other bias Low risk No other areas of risk of bias identified