Ensayo doble ciego de casos clínicos: Invisalign® versus multibrackets

Juan Carlos Rivero Lesmes
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Abstract

This article presents the results of a double-blind clinical trial of orthodontic cases.

Two cases with similar characteristics of dental malocclusion were presented to three groups of observer orthodontists. The first case was treated with a fixed multibracket appliance with straight arch wire, and the second, with the Invisalign® system.

The observers were shown the initial and final records of both cases and a template featuring four possible orthodontic techniques. Without knowing which technique had been used, the observers were asked to indicate the technique they believed had been employed in each of the patients.

The total number of observers was 86. The results of a statistical evaluation by a blinded investigator were cross validated and revealed that only 12.7% of the observers correctly identified the technique used in the first case and only 18.5 did so in the second.

In view of these results, we conclude that, on average, 84% of observer orthodontists fail to identify the technique used to treat a patient.

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临床病例双盲试验:Invisalign®与多支架
这篇文章提出了一个双盲临床试验的结果正畸病例。将2例具有相似牙错特征的病例分为三组观察正畸医师。第一个病例使用带直弓丝的固定多支架矫治器治疗,第二个病例使用Invisalign®系统治疗。观察人员展示了这两个病例的初始和最终记录以及包含四种可能的正畸技术的模板。在不知道使用了哪种技术的情况下,观察员被要求指出他们认为在每个病人身上使用的技术。观察员总数为86人。由一名盲法研究者进行的统计评估结果被交叉验证,结果显示,只有12.7%的观察者正确识别了第一个病例中使用的技术,而在第二个病例中只有18.5%的观察者正确识别了使用的技术。鉴于这些结果,我们得出结论,平均而言,84%的观察员正畸医生未能识别用于治疗患者的技术。
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