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Table 4 Assessment of risk of bias

From: Effects of low-level laser therapy on orthodontic miniscrew stability: a systematic review

Article

Judgement

Support for judgement

Abdullah Ekizer et al. 2016

 Random sequence generation (selection bias)

Low risk

Quote: Trial and placebo sides were selected on a random basis. (coin toss)

 Allocation concealment (selection bias)

Low risk

Quote: Twenty envelopes containing the subjects’ information were used to ensure allocation concealment from the researchers. Sequential numbers were written on the envelopes

 Blinding of participants and personnel

Low risk

Both the investigators and the participants remained blinded to treatment

 Blinding of outcome assessment (detection bias)

Low risk

Quote: The measurements of the data were done by a clinician blinded to the assignment

 Incomplete outcome data (attrition bias)

Low risk

All randomized patients were accounted for

 Selective reporting (reporting bias)

Low risk

No suggestion of incomplete reporting of data and outcome

 Other bias

Low risk

Study appears to be free of other sources of bias

Osman A et al. 2017

 Random sequence generation (selection bias)

Low risk

Quote: Both sides were randomly selected by tossing a coin, in which the face was the study side and the back was the control side for each selected patient

 Allocation concealment (selection bias)

Unclear risk

Method of concealment was not mentioned

 Blinding of participants and personnel

High risk

Participants was blind, but not Clinician and investigator

 Blinding of outcome assessment (detection bias)

Unclear risk

it was not mentioned whether blinding of outcome assessors was done or not

 Incomplete outcome data (attrition bias)

Low risk

All randomized patients were accounted for

 Selective reporting (reporting bias)

Low risk

No suggestion of incomplete reporting of data and outcome

 Other bias

Unclear risk

Source of funding was not mentioned

Ahmed Mohamed Abohabib et al. 2018

 Random sequence generation (selection bias)

Low risk

Quote: Block randomization was performed with a 1:1 allocation. The sequence of the sides subjected to low-intensity laser light and the control was computer-generated with random numbers

 Allocation concealment (selection bias)

Low risk

Quote: The allocation was carried out using opaque sealed envelopes. On the day of mini-implant placement, which was also the first day of laser light application, each subject chose one envelope to detect their randomized allocation

 Blinding of participants and personnel

Low risk

Both the clinician and the participants remained blinded to treatment

 Blinding of outcome assessment (detection bias)

Low risk

Assessor measured the stability values blindly for each side at every evaluation interval

 Incomplete outcome data (attrition bias)

Low risk

Dropout patients were reported and the reasons were mentioned

 Selective reporting (reporting bias)

High risk

No suggestion of incomplete reporting of data and outcome

 Other bias

Unclear risk

Source of funding was not mentioned