Review of 10 years 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 –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

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

Review of 10 years Who is responsible for filling the gaps? Research / clinician networks Everyday providers

Review of 10 years 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

Review of 10 years 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

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