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. 2016 Aug 9;87(1):147–158. doi: 10.2319/021216-120.1

Table 1.

GRADE Summary of Findings for Meta-Analyses on Molar Mesial Movement During Incisor Retractiona

Quality Assessment, Outcome: Mean Difference of Molar Mesial Movement During Anterior Retraction
Question: Will the Use of TPA Anchorage Have an Effect on the Mesial Molar Movement During Anterior Teeth Retraction?
No. of Studies According to Meta-Analyses Anchorage Groups
Study Design
Risk of Bias
Inconsistency
Indirectness
Imprecision
Other Considerations
7 (Figure 2) Randomized trials Seriousb,c Not serious Not serious Not serious Strong association
4 (Figure 3) Observational studies Seriousb Not serious Not serious Not serious Strong association
3 (Figure 4) Observational studies Seriousb,c Not serious Not serious Not serious Publication bias strongly suspected
a 

CI indicates confidence interval; RR, risk ratio.

b 

Inconsistent study design.

c 

Many of these studies did not consider blinding of the participants and outcome assessors.