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Bill Shaw Jayne Harrison

Evidence for up-to-date clinical dental practice – a review of 10 years of the Cochrane Oral Health Group 30 th -31 st May 2006, Manchester The Gaps. Bill Shaw Jayne Harrison. Own logo. Review of 10 years. Where are the gaps?. Everyday technical questions Bracket type Arch wire sequence

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Bill Shaw Jayne Harrison

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  1. Evidence for up-to-date clinical dental practice – a review of 10 years of the Cochrane Oral Health Group30th-31st May 2006, ManchesterThe Gaps Bill Shaw Jayne Harrison Own logo Review of 10 years

  2. Where are the gaps? • Everyday technical questions • Bracket type • Arch wire sequence • NiTi – original/SE/heat activated • Alignment / pt and clinician outcomes • OB reduction • Bands or bonds for molars • Extraction / non-extraction • Extraction pattern – 6s vs. PMs • Anchorage • HG/palatal implant/mini-implants • Inter-visit span • Generalist vs Specialist treatment • Is ortho Rx necessary Own logo Review of 10 years

  3. Future plans for filling these gaps • Space closure - SR • Clinical trials • Patient centred outcomes • Alternatives to ortho • Borderline patients • Counselling/psychological coping stratagies

  4. Who is responsible for filling the gaps? • Research / clinician networks • Everyday providers

  5. Who will fund this work? • Pump-priming, a survey of current practice • Companies • Conflict of interest • Orthodontic Societies’ stamp of approval • Ortho societies • NHS R&D / NIH / Government

  6. What controversies need resolving? • Is ortho Rx necessary ? • If so at what level of severity? • Is ortho Rx beneficial? • Pt centred outcomes • Ultimate outcomes • Quality of life

  7. Thank you Own logo Review of 10 years Review of 10 years

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