scholarly journals Clear aligner therepy – A review

2021 ◽  
Vol 9 (2) ◽  
pp. 46-52
Author(s):  
Sanjana Shetty ◽  
Naazia Shaikh

Aesthetics is a major factor in Orthodontic treatment and it is a primary concern among patients seeking orthodontic treatment. To meet the growing aesthetic desire for an alternative to traditional braces, researchers have created a variety of alternatives, including ceramic or composite braces, lingual orthodontics, and transparent aligners. Clear aligner therapy is a treatment that consists of a set of clear dental appliances that are custom-made to fit the contour of a patient's teeth. Clear Aligners are an alternative to traditional braces that are used to guide teeth into appropriate alignment. Clear aligners, like braces, utilise a progressive force to regulate tooth movement, but without the need of metal wires or brackets.

Materials ◽  
2021 ◽  
Vol 14 (17) ◽  
pp. 4926
Author(s):  
Kyungjae Hong ◽  
Wonhyeon Kim ◽  
Emmanuel Eghan-Acquah ◽  
Jongho Lee ◽  
Bukyu Lee ◽  
...  

Clear aligner technology has become the preferred choice of orthodontic treatment for malocclusions for most adult patients due to their esthetic appeal and comfortability. However, limitations exist for aligner technology, such as corrections involving complex force systems. Composite attachments on the tooth surface are intended to enable active control of tooth movements. However, unintended tooth movements still occur. In this study, we present an effective attachment design of an attachment that can efficiently induce tooth movement by comparing and analyzing the movement and rotation of teeth between a general attachment and an overhanging attachment. The 3D finite element modes were constructed from CBCT data and used to analyze the distal displacement of the central incisor using 0.5- and 0.75-mm-thick aligners without an attachment, and with general and overhanging attachments. The results show that the aligner with the overhanging attachment can effectively reduce crown tipping and prevent axial rotation for an intended distal displacement of the central incisor. In all models, an aligner with or without attachments was not capable of preventing the lingual inclination of the tooth.


2008 ◽  
Vol 32 (4) ◽  
pp. 331-339 ◽  
Author(s):  
Tae Weon Kim ◽  
Jae Hyun Park

Management of space problems is an important factor in the mixed dentition. The Clear Aligner can carry out minor tooth movement with no brackets bonded to the teeth. In addition, it can provide tooth movement for the following: crowding resolution, space closure, arch expansion or constriction, space maintenance or regaining, intrusion or extrusion, guidance of the eruption, and other interceptive orthodontic treatment.


2021 ◽  
pp. 146531252110064
Author(s):  
Ama Johal ◽  
Lars Bondemark

Orthodontics has witnessed not only an exponential rise in demand from adult patients but accompanying this, the emergence of alternate aesthetic treatment options to the more traditional fixed labial appliance. The concept of using clear aligners as a means of achieving tooth movement has increased in popularity among both patients and clinicians alike. However, the question over best research evidence as to their clinical effectiveness to treat a range of malocclusion traits remains elusive and controversial among the profession. In an attempt to offer the profession some clear guidance, The Angle Society of Europe reviewed and discussed the current published evidence (2005–2018) on their clinical use, during the annual meeting in January 2020, to help formulate a consensus viewpoint on the clinical applications.


2021 ◽  
Vol 10 (37) ◽  
pp. 3288-3294
Author(s):  
Binu Punnoose Gold ◽  
Suvetha Siva ◽  
Sangeetha Duraisamy ◽  
Azmina Idaayath ◽  
Ravi Kannan

BACKGROUND Clear aligners are orthodontic devices that are transparent, a plastic used to correct malaligned teeth. Here patient wears a series of customized clear, removable aligners that gradually move the teeth to the desired position. The clear aligner system is a modern adaptation of the systems described since the middle of the 20th century, therefore there were different devices and philosophies that have led to its creation and the system has evolved a lot over the decades. Clear aligner therapy has been a part of the orthodontic practice for years, but, popularity was increased since the introduction of Invisalign appliances (Align Technology) in 1998. There are almost 27 different clear aligner products currently on offer for orthodontic treatment. Nowadays, more people prefer clear aligner treatment because it is aesthetically superior to brackets and lingual orthodontics. The superiority of clear aligners lies in their aesthetics. The optical properties of the clear aligner material play a major role in aesthetics. The rising demand among adult patients for “invisible” orthodontic treatment has led to an exponential growth in the clear aligner market. Indeed, these aligners have a low aesthetic impact, as well as being able to effectively and progressively guide the teeth into their programmed positions. They are also removable and therefore do not hamper oral hygiene maintenance, in turn reducing the risk of white spots, caries, gingivitis and periodontal disease. All the materials do not possess the same chemical composition. The properties change before and after wear. In this article, we bring out the different materials used for the manufacture of clear aligners and their various properties. KEY WORDS Clear Aligners, Optical Properties, Thermoplastic Material, Mechanical Properties


2012 ◽  
Author(s):  
Mei Li ◽  
Qingsong Ye ◽  
Qu Wenwen ◽  
Taixiang Wu ◽  
Qiao Ju

Author(s):  
Mei Li ◽  
Qingsong Ye ◽  
Qu Wenwen ◽  
Taixiang Wu ◽  
Qiao Ju

Author(s):  
Ruman Uddin Chowdhury ◽  
Hiroshi Churei ◽  
Gen Tanabe ◽  
Yuriko Yoshida ◽  
Kairi Hayashi ◽  
...  

2021 ◽  
Vol 11 (2) ◽  
pp. 521
Author(s):  
Simina Chelărescu ◽  
Petra Șurlin ◽  
Mioara Decusară ◽  
Mădălina Oprică ◽  
Eugen Bud ◽  
...  

Background: The crevicular fluid analysis represents a useful diagnosis tool, with the help of which noninvasive cellular metabolic activity can be analyzed. The aim of the study is to investigate comparatively IL1β and IL6 in the gingival crevicular fluid of clinically healthy adolescents and young adults during the acute phase of orthodontic treatment. Methods: Gingival crevicular fluid was collected from 20 patients (aged between 11 and 28) undergoing orthodontic treatment. Measurements were taken before (T0) and after 24 h after distalization forces were activated (T1). IL1β and IL 6 were analyzed using Elisa tests. The statistical tests used were two-sided t tests. Results: Between the two time periods there was a significant raise both in the crevicular fluid rate (0.57 µL at T0 vs. 0.95 µL at T1, p = 0.001) and in IL1β levels (15.67 pg/µL at T0 vs. 27.94 pg/µL at T1, p = 0.009). We were able to identify IL6 only in a third of the sites. There is a significantly increased level of ILβ at T1 in adolescents, more than in young adults (42.96 pg/µL vs. 17.93 pg/µL, p = 0.006). Conclusions: In the early stage of orthodontic treatment, the periodontal tissues of adolescents are more responsive to orthodontic forces than those of young adults.


2021 ◽  
pp. 232020682110034
Author(s):  
Hamad Alzoman ◽  
Khalid Alamoud ◽  
Waad K. Alomran ◽  
Abdullazez Almudhi ◽  
Naif A. Bindayel

Aim: To evaluate the periodontal status before and after orthodontic treatment and to analyze the confounding factors associated with it. Materials and Methods: The present retrospective study analyzed pre- and posttreatment records of a total of 60 patients. Intraoral digital photographs before and after the orthodontic treatment were used to measure the following three periodontal variables: (a) width of the keratinized gingiva, (b) gingival recession, and (c) the status of interdental papilla. The ImageJ 46 software imaging program was used to perform the required measurements. The clinical data were then analyzed in an association with the participants’ demographic data, the type of orthodontic tooth movement, and other confounding factors. The data obtained were manually entered into the statistical package and analyzed using a significance level set at P < .05. Descriptive statistics, paired t-tests, and Pearson’s correlation analysis were used to identify differences among the studied variables. Results: Among the 60 patients, the majority (66.7%) were females. Most cases of the treated malocclusion were Class II, and most patients underwent intrusion and retrusion movements. The width of keratinized gingiva increased for most sites of upper teeth. In contrast, the lower teeth showed a mix of improvement and compromised width of keratinized gingiva. As a measure of gingival recession, the difference of clinical crown height revealed the tendency toward a reduced clinical crown height for most sites. Upper left lateral incisors and canines showed significant values with regard to keratinized gingival width measurements and tooth movements such as extrusion and intrusion movements. Likewise, with regard to the clinical crown height, upper right central incisors showed significant differences when correlated with the interincisal angle, lower incisors to the mandibular plane, and upper incisors to the NA line. The upper lateral incisors also showed significant correlations to certain cephalometric measurements. Conclusions: The orthodontic treatment was found to exert a significantly positive impact on the surrounding periodontium, particularly in the upper canine areas. Likewise, various types of tooth movement were found to positively affect the periodontium.


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