Orthodontic Treatment with Clear Aligners and The Scientific Reality Behind Their Marketing: A Literature Review

Tamer, İpek; Öztaş, Evren; Marşan, Gülnaz

doi:10.5152/turkjorthod.2019.18083

Cited by 83 publications

(65 citation statements)

References 34 publications

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“…Current literature guidelines [29,30] in the comparison between invisible aligners and traditional orthodontic devices propose a less enthusiastic view of clear aligners because although their effectiveness even in moderate complex cases is recognized, they would not be superior in terms of long-term stability of the result and would be more inefficient in correcting antero-posterior and vertical malocclusions [31]. In our study, in accordance with what is stated in the literature [32], treatments with clear aligners progress faster.…”

Section: Discussionsupporting

confidence: 87%

Impact of the SARS-Cov2 Pandemic on Orthodontic Therapies: An Italian Experience of Teleorthodontics

Putrino

Caputo

Giovannoni

et al. 2020

Pesqui. Bras. Odontopediatria Clín. Integr.

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To assess the possibility of controlling patients at a distance according to principles of teleorthodontics to understand its possible usefulness in the future routine activity and the impact pandemic may have had on different types of orthodontic treatments. Material and Methods: One hundred orthodontic patients (57 F, 43 M, age 7-46) during quarantine were checked through videocalls and photos sent by patients following proper instructions. Three groups have been distinguished based on the type of therapy: A-fixed appliances; B-removable appliances; C-clear aligners. Relevant events about dental and gingival health, integrity of appliances, orthodontic therapies related symptoms and overall progress of treatments were recorded. Results: A and B groups reported higher percentages of gingival inflammation (27 and 22%), dental plaque (16 and 13%), deciduous tooth loss (8 and 16%). Bracket and attachment detachment were the most frequent events in A and C groups (22 and 23%). Pain and discomfort were reported in A and B groups (35 and 32%). Therapies continued to progress better in C (51% improved dental alignment) and B (31% improved malocclusions) groups. Conclusion: Orthodontics is safe and allows during emergencies to postpone checks. Everyday mobile-technology is useful in managing orthodontic patients unable to carry out in-person control. When their effectiveness equals other systems, treatments with clear aligners without attachments should be preferred in patients unavailable for regular checks.

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Section: Discussionsupporting

confidence: 87%

Impact of the SARS-Cov2 Pandemic on Orthodontic Therapies: An Italian Experience of Teleorthodontics

Putrino

Caputo

Giovannoni

et al. 2020

Pesqui. Bras. Odontopediatria Clín. Integr.

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“…In this context, previous studies reported positive changes and high satisfaction with Invisalign treatment especially with eating, chewing and appearance 19,36,37 . Invisalign treatment was associated with better satisfaction, better oral health related quality of life, and less negative impacts on oral health than fixed orthodontics [12][13][14][15][16]19,20,37,38 . They were associated with less disruption to eating and chewing and were rated as more satisfactory than fixed appliances 16 .…”

Section: Discussionmentioning

confidence: 93%

“…Furthermore, Invisalign and clear aligners were associated with less pain than fixed orthodontics [13][14][15][16] . This might be explained by that fixed orthodontic appliances could cause more tension, pressure, pain and sensitivity of teeth due to continuous force exerted by the appliance components.…”

Section: Discussionmentioning

confidence: 95%

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Relationship between oral health impacts and personality profiles among orthodontic patients treated with Invisalign clear aligners

Nazeh

Alshahrani

Badran

et al. 2020

Sci Rep

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This within subject clinical experiment assessed oral health impacts before and after Invisalign orthodontic treatment and their relationships with personality characteristics. 50 patients (26 females and 24 males; mean age = 27.62 ± 8.25 years, SE = 1.17, 95% CI = 24.71–29.89 years) were assessed before and after treatment with Invisalign orthodontic treatment. Treatment clinical success was evaluated according defined clinical guidelines. Oral health impacts before and after Invisalign orthodontic treatment were measured via the Oral Health Impact Profile (OHIP). Personality features were measured via the NEO Five-Factor Inventory (NEO-FFI). Probability of α = .05 was utilized to identify significant findings. Females scored less OHIP scores after treatment (had less negative impacts) in comparison to baseline OHIP scores (t = 3.782, df = 25, P = .001, 95% CI of mean difference = 2.750–9.327). Among males, openness scores (R2 = .911, B = 5.235, 95% CI for B = 0.062–10.407, t = 2.601, P = .048) were able to predict OHIP scores before treatment; meanwhile, extraversion (R2 = .959, B = − 8.224, 95% CI for B = − 14.605–1.843, t = − 3.313, P = .021), openness (R2 = .959, B = 21.795, 95% CI for B = 10.737–32.853, t = 5.067, P = .004), and conscientiousness (R2 = .959, B = 10.293, 95% CI for B = 4.796–15.790, t = 4.813, P = .005) scores were useful to predict OHIP scores after treatment (R2 = .959, P < .05). NEO-FFI scores were not useful to predict OHIP scores before or after treatment among females (P > .05). These findings demonstrate that oral health impacts of Invisalign orthodontic treatment and personality profiles contribution to oral health impacts were different between genders.

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“…Recent years, more attentions have been paid to the effects of clear aligner on periodontal diseases due to its aesthetics and comfort on wearers [ 7 ]. As a new type of orthodontic treatment, clear aligner can cover all the teeth and keratinized gingiva without obvious damage to the periodontal tissues [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

The optimal orthodontic displacement of clear aligner for mild, moderate and severe periodontal conditions: an in vitro study in a periodontally compromised individual using the finite element model

2021

BMC Oral Health

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Background Pathologic tooth migration (PTM) is a common complication of mild to severe periodontitis and proper orthodontic treatment is helpful to alleviate periodontal diseases. The goal of this study is to explore an optimal orthodontic displacement of clear aligner using a three-dimensional (3D) finite element model (FEM). Methods The cone beam computed tomography (CBCT) data of a patient received invisible orthodontics without diabetes and other systemic diseases were collected. Based on the new classification scheme for periodontal diseases in 2017 (stage I: mild periodontitis, [M1]; stage II: moderate periodontitis, [M2]; stage III: severe periodontitis, [M3]), 3D-FEMs of mandible were established using MIMICS 10.0 and ABAQUS 6.5 softwares. The 3D stress distribution diagrams and stress value of the teeth (left lower incisor, left lower central incisor, right lower lateral incisor, and right lower central incisor) under three different periodontal conditions (M1, M2, and M3) with axial inclination 90° and 100° were obtained by ABAQUS 6.5. Results The stress of anterior teeth was concentrated in the teeth neck, and became greater when the periodontal condition was worse. The stress value of anterior teeth and the strain at the top of the alveolar crest are greater as the displacement increasing. The stress value of anterior teeth and the strain at the top of the alveolar crest in axial inclination 100° are relatively great compared to those of axial inclination 90°. For patients with excessively inclined anterior teeth (such as 100°), the optimal orthodontic displacement is 0.18 mm. In order to ensure that alveolar ridge crest is not deformed, the displacement is less than 0.18 mm (strain for 0.165 mm), 0.15 mm (strain for 0.167 mm) and 0.10 mm (strain for 0.117 mm) respectively when alveolar bone is normal, resorption 1/3 or 1/3–1/2. Conclusions The optimal orthodontic displacement for patients (M1, M2, and M3) with excessively inclined anterior teeth (axial inclination 100°) is 0.18 mm. To avoid the strain at the top of the alveolar crest, the optimal displacements for M1, M2 and M3 periodontal disease patients are less than 0.18 mm, 0.15 mm and 0.10 mm, respectively.

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Orthodontic Treatment with Clear Aligners and The Scientific Reality Behind Their Marketing: A Literature Review

Cited by 83 publications

References 34 publications

Impact of the SARS-Cov2 Pandemic on Orthodontic Therapies: An Italian Experience of Teleorthodontics

Impact of the SARS-Cov2 Pandemic on Orthodontic Therapies: An Italian Experience of Teleorthodontics

Relationship between oral health impacts and personality profiles among orthodontic patients treated with Invisalign clear aligners

The optimal orthodontic displacement of clear aligner for mild, moderate and severe periodontal conditions: an in vitro study in a periodontally compromised individual using the finite element model

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