ORTHODONTIC WAVES, cilt.78, sa.3, ss.93-101, 2019 (ESCI)
Purpose: The purpose of this study was to make a systematic review and meta-analysis of studies investigated the effects of positional factors on the bonding failure of brackets. Methods: Electronic databases (PubMed, Web of science, Scopus) were searched by 3 independent researchers. Randomized studies comparing maxilla-mandibular region, anterior-posterior segments, and right-left arch were included in the meta-analysis. The odds ratio was used as the effect size. A two-tailed test was performed to compare the factors. Heterogeneity was calculated with the Cochran Q test and I-2 statistics. Results: Association was found between bonding failure and dental regions (OR= 1.24, 95% CI: 1.05, 1.46) (p= 0.009) and between bonding failure and anterior-posterior segments, too (OR= 1.96, 95% CI: 1.58, 2.45) (p <0.001). But, no association was found bonding failure and arch sides (OR= 1.11, 95% CI: 0.96, 1.29) (p= 0.26). Conclusion: Clinicians should more care, especially when operating in the mandibular region and posterior segment. However, there is no difference between the left and right arch in terms of the loss of the bracket. (C) 2019 Published by Elsevier Ltd and The Japanese Orthodontic Society.