Abstract

Self-ligating bracket systems are accepted more by orthodontists nowadays. This is because of their superior quality, improved reliability and 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 present 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. There is no high quality evidence that treatment with the Damon appliance takes place more quickly or gives a superior occlusal or aesthetic result. 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.

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