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. 2021 Dec 31;2021(12):CD003453. doi: 10.1002/14651858.CD003453.pub2

Aras 2018.

Study characteristics
Methods Setting: Ege University, Turkey 
Design: parallel (2 arms)
No. of centres: 1
Study duration: 9 months
Participants Inclusion criteria: "Angle class I malocclusion, 4–10 mm of anterior crowding in both arches, 2–4 mm of overjet and overbite, complete permanent dentition except third molars, no evident root resorption in maxillary incisor teeth, no history of restorative or endodontic treatment of these incisors, no dilacerated incisor roots or peg laterals, no systemic diseases or periodic medications, and no history of previous orthodontic treatment."
Exclusion criteria: not reported
Participant sampling:
N = 32 selected
Group 1 (n = 16): 12 female, 4 male (mean age of 15.0 ± 1.03 years)
Group 2 (n = 16): 10 female, 6 male (mean age of 14.94 ± 1.06 years)
Sex: 22 female, 10 male
Dropouts: not reported
Interventions Orthodontic intervention: fixed appliances and auxiliaries
Self‐ligating brackets versus conventional brackets
Outcomes Loss of root volume in maxillary incisor teeth
Notes The number of teeth affected by root resorption
Group 1: 4 teeth had palatal root resorption (6.25%); 4 teeth had proximal root resorption (6.25%)
Group 2: 14 teeth had palatal root resorption (21.87%); 13 teeth had proximal root resorption (20.31%)
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Unclear method of randomisation
Allocation concealment (selection bias) Unclear risk Unclear if allocation sequence concealed from those assigning adolescents to participant groups
Blinding of participants and personnel (performance bias)
All outcomes High risk Not possible to blind participants and personnel due to the different interventions used
Blinding of outcome assessment (detection bias)
All outcomes High risk Quote: "Blinding was not possible due to the groups being potentially distinguishable via the bracket images"
Incomplete outcome data (attrition bias)
All outcomes Unclear risk Dropouts not reported
Selective reporting (reporting bias) Low risk All outcomes reported
Other bias Low risk Quote: "Reproducibility of the measurements was high, with an ICC of 0.988 (95% confidence interval [CI] 0.0980–0.992)"