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

Harradine 1998.

Study characteristics
Methods Setting: Bristol Dental Hospital, UK
Design: parallel (2 arms)
No. of centres: 1
Study duration: 5.5 years (best estimate)
Participants Inclusion criteria: "All patients had previously undergone orthodontic treatment, but on entry into the study were no longer wearing any orthodontic appliances or retainers. Orthodontic treatment comprised active treatment in the upper arch only with either removable appliances or a single arch fixed appliance, with no treatment or premolar extractions only being carried out in the lower arch. All patients had crowded third molars."
Exclusion criteria: not reported
Patient sampling:
N = 164 selected
Group 1 (only numbers of those available at follow‐up reported, n = 44): sex and mean age of group not reported
Group 2 (only numbers of those available at follow‐up reported, n= 33): sex and mean age of group not reported
Overall age reported across both groups at start: 14.1 years ±  16.2 months
Overall sex reported across both groups at start: 90 female, 74 male
Dropouts: 87 (55%)
Interventions Orthodontic intervention: extractions
Extraction of third molars versus no active treatment (control)
Outcomes Crowding, arch length
Notes Funding source not cited
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Adequate method of randomisation
Allocation concealment (selection bias) Unclear risk Unclear if allocation sequence concealed from those assigning patients 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 Low risk Adequate blinding of assessor
Quote: "The third molar status was unknown to the digitizer"
Incomplete outcome data (attrition bias)
All outcomes High risk High dropout rate with only 45% of the original participants completing the study
Selective reporting (reporting bias) Low risk All outcomes reported
Other bias Unclear risk Unclear due to recall rate