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

Kumar 2011.

Methods 2‐arm parallel randomised controlled trial
Participants Numbers recruited: 224 (gender split not reported)
Mean age: not reported
Inclusion criteria: people who had pre‐adjusted edgewise appliance in each arch and:
  • willing to wear upper and lower retainers


Exclusion criteria: none reported
Setting: university clinic in Department of Orthodontics & Dentofacial Orthopedics, College of Dental Science, Davangere, Karnataka, India
Interventions Comparison: upper and lower Begg retainers vs. upper and lower thermoplastic retainers
Group 1: upper and lower Begg retainers. Acrylic baseplates with labial bow of 0.9 mm stainless steel wire. Labial bow had U‐loops opposite the premolars and extended past the last erupted molars
Group 2: upper and lower thermoplastic (vacuum‐formed) ‐ Essix A+, (Raintree Essix, New Orleans, USA) retainers
All participants had bonded wire placed in the lower as well
The participants were instructed to wear them 24 hours per day for 6 months (and then 12 hours per day for the following 6 months ‐ although the 1‐year data were not reported). They were instructed to eat with the retainers in place and remove after eating for cleaning
Outcomes Outcomes relevant to review: stability and patient satisfaction
Stability assessed using PAR and Little's Irregularity Index. The results for the lower irregularity were reported, but not the upper
Participant satisfaction data included the mean, but no standard deviations, so the data could not be analysed using the Review Manager 5 software (RevMan 2014). We contacted the authors to see if they could provide the raw data to allow analysis, but received no reply.
Relapse was assessed at 2 time points after debond: 3 and 6 months
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Not reported ‐ authors contacted about this but no reply received
Allocation concealment (selection bias) Unclear risk Not reported ‐ authors contacted about this but no reply received
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Not reported ‐ authors contacted about this but no reply received
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk Not reported ‐ authors contacted about this but no reply received
Selective reporting (reporting bias) High risk Results of irregularity reported in the lower, but not the upper arch
Other bias Unclear risk Insufficient data in the paper to determine this. Authors contacted but no reply received