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
Arch wire sequence
NiTi – original/SE/heat activated
Alignment / pt and clinician outcomes
Bands or bonds for molars
Extraction / non-extraction
Extraction pattern – 6s vs. PMs
Generalist vs Specialist treatment
Is ortho Rx necessary
Own logo Review of 10 years
Future plans for filling these gaps
Space closure - SR
Patient centred outcomes
Alternatives to ortho
Counselling/psychological coping stratagies
Who is responsible for filling the gaps?
Research / clinician networks
Who will fund this work?
Pump-priming, a survey of current practice
Conflict of interest
Orthodontic Societies’ stamp of approval
NHS R&D / NIH / Government
What controversies need resolving?
Is ortho Rx necessary ?
If so at what level of severity?
Is ortho Rx beneficial?
Pt centred outcomes
Quality of life
Thank you Own logo Review of 10 years Review of 10 years