Conventional Braces and Clear Aligners: An Evaluation of Outcome and Treatment
DOI:
https://doi.org/10.58445/rars.1197Keywords:
Orthodontics, braces, alignersAbstract
Conventional orthodontic treatment to treat a variety of malocclusions using wires, brackets, or ligatures has been around since 1770. Development of new research and technology in the late 20th and early 21st century brought CAD/CAM manufacturing, which has allowed the development of plastic orthodontics including Invisalign. This systematic review focused on the following question: In young adults in need of orthodontic treatment, which orthodontic appliance, traditional braces, or clear aligners, will have the best outcome and treatment in the most effective way possible? Orthodontic wires such as Nickel-Titanium and Stainless steel exert a great amount of force once applied. The time for the clear aligners was most likely shorter as it does not need a detailing or finishing phase, while traditional braces take up to 6 months for it. However, the American Board of Orthodontics objective grading system showed that the aligners did not correct malocclusions as well as braces did.Data gathered by Kaklamanos et al (29) showed that aligners for treatment may offer further advantages to the improved Oral Health-Related Quality of Life (OHRQoL) seen with orthodontic correction, compared to traditional treatment using conventional metal fixed appliances. These advantages could include enhanced comfort during sleep, eating, and social interactions, as well as increased self-esteem and overall satisfaction with oral health (29). Clear aligners and traditional braces aim to accomplish the same result through different methods. However, this study showed clear aligners improve quality of life in a more efficient, time reduced manner. It also corrects malocclusion and provided better outcomes for patients with periodontal disease.
References
Hepdarcan, S. S., Yılmaz, R. B. N., & Nalbantgil, D. (2016). Which Orthodontic Wire and Working Sequence Should be Preferred for Alignment Phase? A Review. Turkish journal of orthodontics, 29(2), 47–50. https://doi.org/10.5152/TurkJOrthod.2016.160009
AlMogbel A. (2023). Clear Aligner Therapy: Up to date review article. Journal of orthodontic science, 12, 37. https://doi.org/10.4103/jos.jos_30_23.
SmartTrackTM material: The difference is clear. (n.d.). Retrieved from https://www.diamondbraces.com/invisalign/smarttrack-aligners
Suresmile®. Orthodontic Associates. (2022, August 10). https://orthodonticassoc.com/treatments/suresmile/#:~:text=SureSmile%20creates%20a%203D%20computer,your%20teeth%20and%20their%20roots
ClearCorrect: Clear. simple. friendly. ClearCorrect | A lifetime of smiles starts today. (2024, March). https://www.straumann.com/clearcorrect/us/en/patients.html
Archambault, A., Major, T. W., Carey, J. P., Heo, G., Badawi, H., & Major, P. W. (2010). A comparison of torque expression between stainless steel, titanium molybdenum alloy, and copper nickel titanium wires in metallic self-ligating brackets. The Angle orthodontist, 80(5), 884–889. https://doi.org/10.2319/102809-604.1
Hepdarcan, S. S., Yılmaz, R. B. N., & Nalbantgil, D. (2016). Which Orthodontic Wire and Working Sequence Should be Preferred for Alignment Phase? A Review. Turkish journal of orthodontics, 29(2), 47–50. https://doi.org/10.5152/TurkJOrthod.2016.160009
Beddis, H. P., Durey, K., Alhilou, A., & Chan, M. F. (2014). The restorative management of the deep overbite. British dental journal, 217(9), 509–515. https://doi.org/10.1038/sj.bdj.2014.953
Watkinson, S., Harrison, J. E., Furness, S., & Worthington, H. V. (2013). Orthodontic treatment for prominent lower front teeth (Class III malocclusion) in children. The Cochrane database of systematic reviews, (9), CD003451. https://doi.org/10.1002/14651858.CD003451.pub2.
Belmonte, F. M., Macedo, C. R., Day, P. F., Saconato, H., & Fernandes Moça Trevisani, V. (2013). Interventions for treating traumatised permanent front teeth: luxated (dislodged) teeth. The Cochrane database of systematic reviews, 2013(4), CD006203. https://doi.org/10.1002/14651858.CD006203.pub2
Kanas, R. J., Carapezza, L., & Kanas, S. J. (2008). Treatment classification of Class III malocclusion. The Journal of clinical pediatric dentistry, 33(2), 175–185. https://doi.org/10.17796/jcpd.33.2.431877341u182416
Willmot D. Orthodontic Treatment and the Compromised Periodontal Patient. Eur. J. Dent. 2008;2:1–2. doi: 10.1055/s-0039-1697352.
Weiss, R. O., 2nd, Ong, A. A., Reddy, L. V., Bahmanyar, S., Vincent, A. G., & Ducic, Y. (2021). Orthognathic Surgery-LeFort I Osteotomy. Facial plastic surgery : FPS, 37(6), 703–708. https://doi.org/10.1055/s-0041-1735308
Asiry M. A. (2018). Biological aspects of orthodontic tooth movement: A review of literature. Saudi journal of biological sciences, 25(6), 1027–1032. https://doi.org/10.1016/j.sjbs.2018.03.008.
Liu, Y., Li, C. X., Nie, J., Mi, C. B., & Li, Y. M. (2023). Interactions between Orthodontic Treatment and Gingival Tissue. The Chinese journal of dental research, 26(1), 11–18. https://doi.org/10.3290/j.cjdr.b3978667
Golež, A., Ovsenik, M., & Cankar, K. (2023). The effect of orthodontic tooth movement on the sensitivity of dental pulp: A systematic review and meta-analysis. Heliyon, 9(4), e14621. https://doi.org/10.1016/j.heliyon.2023.e14621
Meeran N. A. (2013). Cellular response within the periodontal ligament on application of orthodontic forces. Journal of Indian Society of Periodontology, 17(1), 16–20. https://doi.org/10.4103/0972-124X.107468
Verna, C., Dalstra, M., & Melsen, B. (2000). The rate and the type of orthodontic tooth movement is influenced by bone turnover in a rat model. European journal of orthodontics, 22(4), 343–352. https://doi.org/10.1093/ejo/22.4.343
Tamer, İ., Öztaş, E., & Marşan, G. (2019). Orthodontic Treatment with Clear Aligners and The Scientific Reality Behind Their Marketing: A Literature Review. Turkish journal of orthodontics, 32(4), 241–246. https://doi.org/10.5152/TurkJOrthod.2019.18083
Higa, R. H., Semenara, N. T., Henriques, J. F., Janson, G., Sathler, R., & Fernandes, T. M. (2016). Evaluation of force released by deflection of orthodontic wires in conventional and self-ligating brackets. Dental press journal of orthodontics, 21(6), 91–97. https://doi.org/10.1590/2177-6709.21.6.091-097.oar
Katib, H. S., Hakami, A. M., Albalawei, M., Alhajri, S. A., Alruwaily, M. S., Almusallam, M. I., & Alqahtani, G. H. (2024). Stability and Success of Clear Aligners in Orthodontics: A Narrative Review. Cureus, 16(1), e52038. https://doi.org/10.7759/cureus.52038
Kapila, S., & Sachdeva, R. (1989). Mechanical properties and clinical applications of orthodontic wires. American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics, 96(2), 100–109. https://doi.org/10.1016/0889-5406(89)90251-5
de Leyva, P., Eslava, J. M., Hernández-Alfaro, F., & Acero, J. (2023). Orthognathic surgery and aligners. A comparative assessment of periodontal health and quality of life in postsurgical orthodontic treatment with aligners versus traditional fixed appliances: a randomized controlled trial. Medicina oral, patologia oral y cirugia bucal, 28(3), e208–e216. https://doi.org/10.4317/medoral.25555/
Cardoso, P. C., Espinosa, D. G., Mecenas, P., Flores-Mir, C., & Normando, D. (2020). Pain level between clear aligners and fixed appliances: a systematic review. Progress in orthodontics, 21(1), 3. https://doi.org/10.1186/s40510-019-0303-z
Khoo, E. (2015, December). Accelerated orthodontic tooth movement with clear-aligner therapy . Accelerated Orthodontic Tooth Movement with Clear Aligner Therapy
Alsino, H. I., Hajeer, M. Y., Burhan, A. S., Alkhouri, I., & Darwich, K. (2022). The Effectiveness of Periodontally Accelerated Osteogenic Orthodontics (PAOO) in Accelerating Tooth Movement and Supporting Alveolar Bone Thickness During Orthodontic Treatment: A Systematic Review. Cureus, 14(5), e24985. https://doi.org/10.7759/cureus.24985
Buschang, P. H., Shaw, S. G., Ross, M., Crosby, D., & Campbell, P. M. (2013). Comparative time efficiency of aligner therapy and conventional edgewise braces. The Angle orthodontist, Advance online publication. https://doi.org/10.2319/062113-466.1
Levrini, L., Mangano, A., Montanari, P., Margherini, S., Caprioglio, A., & Abbate, G. M. (2015). Periodontal health status in patients treated with the Invisalign(®) system and fixed orthodontic appliances: A 3 months clinical and microbiological evaluation. European journal of dentistry, 9(3), 404–410. https://doi.org/10.4103/1305-7456.163218
Kaklamanos, E. G., Makrygiannakis, M. A., & Athanasiou, A. E. (2023). Oral Health-Related Quality of Life throughout Treatment with Clear Aligners in Comparison to Conventional Metal Fixed Orthodontic Appliances: A Systematic Review. International journal of environmental research and public health, 20(4), 3537. https://doi.org/10.3390/ijerph20043537/
Li, Q., Du, Y., & Yang, K. (2023). Comparison of pain intensity and impacts on oral health-related quality of life between orthodontic patients treated with clear aligners and fixed appliances: a systematic review and meta-analysis. BMC oral health, 23(1), 920. https://doi.org/10.1186/s12903-023-03681-w
Di Spirito, F., D'Ambrosio, F., Cannatà, D., D'Antò, V., Giordano, F., & Martina, S. (2023). Impact of Clear Aligners versus Fixed Appliances on Periodontal Status of Patients Undergoing Orthodontic Treatment: A Systematic Review of Systematic Reviews. Healthcare (Basel, Switzerland), 11(9), 1340. https://doi.org/10.3390/healthcare11091340.
Papadimitriou, A., Mousoulea, S., Gkantidis, N., & Kloukos, D. (2018). Clinical effectiveness of Invisalign® orthodontic treatment: a systematic review. Progress in orthodontics, 19(1), 37. https://doi.org/10.1186/s40510-018-0235-z
The truth about invisalign cost - how to save more money. diamondbraces. (n.d.-b). https://www.diamondbraces.com/invisalign/invisalign-cost/
Average cost of braces in Washington - Spain orthodontics. Spain Orthodontics | Shoreline, WA. (2023, January 31). https://spainortho.com/blog/average-cost-of-braces-in-washington-state/
How modern clear manufactures millions of clear aligners with 3D printing. Formlabs. (2023, November). https://dental.formlabs.com/blog/clear-aligner-production-modern-clear/
Tartaglia, G. M., Mapelli, A., Maspero, C., Santaniello, T., Serafin, M., Farronato, M., & Caprioglio, A. (2021). Direct 3D Printing of Clear Orthodontic Aligners: Current State and Future Possibilities. Materials (Basel, Switzerland), 14(7), 1799. https://doi.org/10.3390/ma14071799
Grant, J., Foley, P., Bankhead, B., Miranda, G., Adel, S. M., & Kim, K. B. (2023). Forces and moments generated by 3D direct printed clear aligners of varying labial and lingual thicknesses during lingual movement of maxillary central incisor: an in vitro study. Progress in orthodontics, 24(1), 23. https://doi.org/10.1186/s40510-023-00475-2
Park, C., Giap, H. V., Kwon, J. S., Kim, K. H., Choi, S. H., Lee, J. S., & Lee, K. J. (2023). Dimensional accuracy, mechanical property, and optical stability of zirconia orthodontic bracket according to yttria proportions. Scientific reports, 13(1), 20418. https://doi.org/10.1038/s41598-023-47827-w
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