title: Do you do Damon®? What is the current evidence base underlying the philosophy of this appliance system?
abstract: Self-ligating bracket systems are increasing in popularity amongst orthodontists. This reflects their high quality engineering, improved reliability and relative ease of use. However, it might also be related to claims of superior function made by the manufacturers of these appliances. In particular, the Damon(®) appliance system claims to offer significant advantages to both orthodontist and patient over conventional-ligation and other forms of self-ligated appliances. We have reviewed current literature relating to use of the Damon(®) appliance system. There is some evidence to suggest this appliance may lead to reductions in chairside time for the orthodontist, particularly those experienced with this system, in comparison to conventional-ligation. However, evidence that pain experience is reduced for the patient when using Damon(®) brackets is not conclusive. In the presence of identical archwire sequences, there is no evidence that Damon(®) brackets can align teeth faster or in a qualitatively differently manner, when compared with conventional-ligation. There is no high quality evidence that treatment with the Damon(®) appliance takes place more rapidly or leads to a superior occlusal or aesthetic result. Indeed, the best available evidence would suggest there is no difference in treatment outcome or time, at least in extraction cases. There is no evidence that treatment with the Damon(®) appliance is more stable. Claims relating to improved clinical performance of the Damon(®) appliance system are currently being made to orthodontists and patients that are not substantiated in the scientific literature.
authors.affiliation: King’s College London Dental Institute, London, UK.
authors.forename: Natasha
authors.initials: N
authors.lastname: Wright
authors.forename: Faranak
authors.initials: F
authors.lastname: Modarai
authors.forename: Martyn T
authors.initials: MT
authors.lastname: Cobourne
authors.forename: Andrew T
authors.initials: AT
authors.lastname: Dibiase
mesh_terms: D001696:Biomechanical Phenomena; D055094:Evidence-Based Dentistry; D006801:Humans; D016910:Orthodontic Brackets; D009969:Orthodontic Wires; D010043:Outcome and Process Assessment, Health Care; D013997:Time Factors; D014087:Tooth Movement Techniques / Q000295:instrumentation*