A retrospective assessment of clinical studies relating to the effectiveness and efficiencies of self-ligating brackets as compared with conventionally ligated straightwire appliances.
More than twenty published articles/clinical studies were analyzed.
A total of 215 patients were treated at three different sites — one university and two private practices. Out of those patients, 108 were treated with the Damon System and 107 with conventional braces. Damon and non-Damon treatments were analyzed for frequency of appointments, treatment duration and quality of treatment outcome as determined by the ABO grading criteria. Additionally, patients in both groups were surveyed to assess their level of satisfaction with their treatment.
"As more orthodontic practices embrace the concept of self-ligation, it is becoming apparent that stainless steel and elastomeric ligatures will eventually be as outdated as full banding is today. Considering the advantages of self-ligating brackets for the clinician, staff, and patient, they (self-ligating appliances) may well become the 'conventional' appliance systems of the 21st century."