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Podcast Episode

45- Do Self-Ligating Brackets Really Change Treatment

Evidence in Orthodontics··15 August 2026·3 min

About this episode

Claims: Self-ligating brackets are advertised as reducing friction, shortening chair time, and increasing comfort. Research Findings: A 2010 review by Fleming and Johal examined 17 clinical trials. Results showed: No significant difference in alignment efficiency and pain perception compared to conventional brackets. Bone failures, plaque levels, arch width, and root resorption were clinically equivalent. Slightly lower early bacterial counts were transient and trivial. Conclusion: No robust evidence supports the superiority of self-ligating brackets over conventional ones. Recommendation: Choose appliance systems based on handling, reliability, and familiarity, rather than unsupported claims. The patient's biology, cooperation, and clinician's skill are more decisive than the bracket design. ……………………. Take Your Practice to the Next Level! Feeling overwhelmed trying to figure out how to optimize your practice, choose the right tools, and actually implement them day-to-day? You’re not alone – and you don’t have to do it all on your own! If you want to deepen your understanding and expand your skillset step by step, the Lean Orthodontics book series offers structured insights and practical strategies you can apply immediately in your daily workflow And if you would like personal 1:1 guidance while implementing these ideas in your own practice: Here’s the deal: You’ve got the drive, and I’ve got the expertise to guide you. Let’s work together to unlock your practice’s full potential. 🎯 Book your free consultation call now. Let’s make it happen! – Dr. Dr. Martin Baxmann