The Influence of Clear Aligners on Periodontal Health
A Systemic Comprehensive Comparative Analysis with Fixed Orthodontic Appliances
Keywords:
Alveolar Bone Support, Clear Aligners, Fixed Orthodontic Appliances, Gingival Inflammation, Orthodontic Treatment, Periodontal Health, Plaque AccumulationAbstract
The increasing popularity of clear aligners as an alternative to traditional fixed orthodontic appliances has prompted significant interest in their impact on periodontal health. This review examines the comparative effects of these two orthodontic modalities on key periodontal parameters, including plaque accumulation, gingival inflammation, and alveolar bone support. Evidence from various studies indicates that clear aligners offer potential advantages in reducing plaque retention and gingival inflammation due to their removability and ease of hygiene maintenance. However, differences across studies and inconsistencies in methodologies highlight the need for standardized research approaches and long-term clinical trials to confirm the sustainability of these benefits. Understanding the periodontal implications of orthodontic treatment choices is essential for clinicians to adopt a patient-centered approach that optimizes periodontal health throughout and after treatment.
References
Antoun, J., Mei, L., Gibbs, K., & Farella, M. (2017, April 21). Effect of orthodontic treatment on the periodontal tissues. Wiley, 74(1), 140-157. https://doi.org/10.1111/prd.12194
Bichu, Y M., Alwafi, A., Liu, X., Andrews, J., Ludwig, B., Bichu, A Y., & Zou, B. (2022, October 19). Advances in orthodontic clear aligner materials. Elsevier BV, 22, 384-403. https://doi.org/10.1016/j.bioactmat.2022.10.006
Cerroni, S., Pasquantonio, G., Condò, R., & Cerroni, L. (2018, September 28). Orthodontic Fixed Appliance and Periodontal Status: An Updated Systematic Review. Bentham Science Publishers, 12(1), 614-622. https://doi.org/10.2174/1745017901814010614
P de Leyva, J-M Eslava, F Hernández-Alfaro, J Acero 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 Med Oral Patol Oral Cir Bucal 2023 May 1;28(3):e208-e216. https://doi.org/10.4317/medoral.25555.
Chazalon, J. (2016, January 1). Invisalign®—15 years later, has it become a real alternative to fixed appliances?. EDP Sciences, 19(4), 407-407. https://doi.org/10.1051/odfen/2016027
Christensen, L R., & Luther, F. (2015, February 1). Adults seeking orthodontic treatment: expectations, periodontal and TMD issues. Springer Nature, 218(3), 111-117. https://doi.org/10.1038/sj.bdj.2015.46
Davis, S M., Plonka, A B., Fulks, B A., Taylor, K L., & Bashutski, J D. (2014, June 28). Consequences of orthodontic treatment on periodontal health: Clinical and microbial effects. Elsevier BV, 20(3), 139-149. https://doi.org/10.1053/j.sodo.2014.06.002
M crego-ruiz, A Jorba-Garcia Med Oral Patol Oral Cir Bucal 2023 Jul 1;28(4):e330-e340 https://doi.org/10.4317/medoral.25760
Abbate GM, Caria MP, Montanari P, Mannu C, Orru G, Caprioglio A. Periodontal health in teenagers treated with removable aligners and fixed orthodontic aplliances. J Orofac Orthop. 2015;76:240-50. https://doi.org/10.1007/s00056-015-0285-5
Flores‐Mir, C. (2019, May 8). Clear Aligner Therapy Might Provide a Better Oral Health Environment for Orthodontic Treatment Among Patients at Increased Periodontal Risk. Elsevier BV, 19(2), 198-199. https://doi.org/10.1016/j.jebdp.2019.05.006
Han, J., Park, S H., Kim, J., Hwang, K., & Park, C. (2021, January 1). Clinical factors affecting the longevity of fixed retainers and the influence of fixed retainers on periodontal health in periodontitis patients: a retrospective study. , 51(3), 163-163. https://doi.org/10.5051/jpis.2003140157
Johal, A., & Lee, R T. (1998, May 1). The periodontal-orthodontic interface: a simple solution to a difficult problem.. Maney Publishing, 25(2), 95-99. https://doi.org/10.1093/ortho/25.2.95
Madariaga, A C P., Bucci, R., Rongo, R., Simeon, V., D’Antò, V., & Valletta, R. (2020, January 2). Impact of Fixed Orthodontic Appliance and Clear Aligners on the Periodontal Health: A Prospective Clinical Study. Multidisciplinary Digital Publishing Institute, 8(1), 4-4. https://doi.org/10.3390/dj8010004
Moshiri, M. (2021, March 29). Product review and demonstration of the Invisalign clear aligner system. Elsevier BV, 1(1), 7-21. https://doi.org/10.1016/j.xaor.2021.02.003
Park, J., & Boyd, R L. (2020, February 21). TADs and Invisalign. , 541-554. https://doi.org/10.1002/9781119513636.ch51
Partouche, A J D., Castro, F., Baptista, A S., Costa, L G., Fernandes, J C H., & Fernandes, G V O. (2022, September 21). Effects of Multibracket Orthodontic Treatment versus Clear Aligners on Periodontal Health: An Integrative Review. Multidisciplinary Digital Publishing Institute, 10(10), 177-177. https://doi.org/10.3390/dj10100177
Sebbar, M., Abidine, Z., Laslami, N., & Bentahar, Z. (2015, March 11). Periodontal Health and Orthodontics. https://doi.org/10.5772/59249
Spirito, F D., D’Ambrosio, F., Cannatà, D., D’Antò, V., Giordano, F., & Martina, S. (2023, May 6). Impact of Clear Aligners versus Fixed Appliances on Periodontal Status of Patients Undergoing Orthodontic Treatment: A Systematic Review of Systematic Reviews. Multidisciplinary Digital Publishing Institute, 11(9), 1340-1340. https://doi.org/10.3390/healthcare11091340
Thai, J K., Araújo, E., McCray, J., Schneider, P P., & Kim, K B. (2020, June 30). Esthetic perception of clear aligner therapy attachments using eye-tracking technology. Elsevier BV, 158(3), 400-409. https://doi.org/10.1016/j.ajodo.2019.09.014
Wu, Y., Cao, L., & Cong, J. (2020, December 10). The periodontal status of removable appliances vs fixed appliances. Wolters Kluwer, 99(50), e23165-e23165. https://doi.org/10.1097/md.0000000000023165
Xing, X., Qin, H., Jing, S., & Li, K. (2023, August 30). Asymmetric Extraction Treatment in a Middle-Aged Patient with Dental Crowding and Protrusion using Clear Aligners. Hindawi Publishing Corporation, 2023, 1-13. https://doi.org/10.1155/2023/8836409
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