The purpose is to fill knowledge gaps identified for orthodontic treatment using a novel study design that has not been implemented in the dental field or in orthodontics. The study design comprises an analysis, where outcomes of two techniques are assessed at several efficacy levels by different methods. Moreover, the project is designed to include a longtime follow-up that is unique in orthodontic treatment. The aim is to compare two techniques with buccally fixed appliance in a multicenter RCT of adolescents aged 12 to 17 years with crowding and tooth displacement. In the intervention group, patients will be treated with a self-ligating bracket system, and in the control group with a conventional bracket system. Outcomes will be assessed from the clinical, patients' and economic perspectives as: * Tooth alignment, function and adverse side effects * Patients' perception of pain, function and quality of life * Cost-effectiveness.
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Evaluating change in treatment outcomes at the clinical level
Timeframe: 2 years
Evaluating longitudinal change in treatment outcomes
Timeframe: 5 years