Clear aligners with differentiated thickness and without attachments - A case report.


Journal

Journal of clinical and experimental dentistry
ISSN: 1989-5488
Titre abrégé: J Clin Exp Dent
Pays: Spain
ID NLM: 101603132

Informations de publication

Date de publication:
Jun 2022
Historique:
received: 11 04 2022
accepted: 13 05 2022
entrez: 29 6 2022
pubmed: 30 6 2022
medline: 30 6 2022
Statut: epublish

Résumé

Most clear aligner systems use straight or scalloped gingival margin aligners that are replaced weekly and that mainly use attachments to guide many movements. Yet in the literature some studies show the effectiveness of the aligner margin extended beyond the gingival margin, and divots instead of attachments and the biological advantage given by the use of aligners with differentiated thickness. A female patient (23 years old) with a pronounced proclination of the upper and lower incisors and moderate crowding who was treated with aligners weekly replaced with differentiated thickness, divots, no attachments and a straight margin beyond the gingival margin. The therapy was carried out in 5 months and did not need any refinements. A total of 40 aligners were used (20 with soft thickness and 20 with hard thickness for each arch). Invisible aligners without attachments and with other therapeutic strategies such as divots and differentiated thickness are a valid alternative to traditional aligners that cannot be ignored.

Sections du résumé

Background UNASSIGNED
Most clear aligner systems use straight or scalloped gingival margin aligners that are replaced weekly and that mainly use attachments to guide many movements. Yet in the literature some studies show the effectiveness of the aligner margin extended beyond the gingival margin, and divots instead of attachments and the biological advantage given by the use of aligners with differentiated thickness.
Material and Methods UNASSIGNED
A female patient (23 years old) with a pronounced proclination of the upper and lower incisors and moderate crowding who was treated with aligners weekly replaced with differentiated thickness, divots, no attachments and a straight margin beyond the gingival margin.
Results UNASSIGNED
The therapy was carried out in 5 months and did not need any refinements. A total of 40 aligners were used (20 with soft thickness and 20 with hard thickness for each arch).
Conclusions UNASSIGNED
Invisible aligners without attachments and with other therapeutic strategies such as divots and differentiated thickness are a valid alternative to traditional aligners that cannot be ignored.

Identifiants

pubmed: 35765362
doi: 10.4317/jced.59618
pii: 59618
pmc: PMC9233912
doi:

Types de publication

Case Reports

Langues

eng

Pagination

e514-e519

Informations de copyright

Copyright: © 2022 Medicina Oral S.L.

Déclaration de conflit d'intérêts

Conflicts of interest The authors declare no conflict of interest.

Références

Int J Environ Res Public Health. 2021 Mar 11;18(6):
pubmed: 33799682
Am J Orthod Dentofacial Orthop. 2015 Jul;148(1):174-83
pubmed: 26124040
J Clin Orthod. 2012 Nov;46(11):697-702; quiz 705
pubmed: 23395874
Eur J Orthod. 2021 Jun 8;43(3):353-359
pubmed: 32613250
Dental Press J Orthod. 2018 Aug 01;23(4):36-42
pubmed: 30304152
Orthod Craniofac Res. 2020 May;23(2):133-142
pubmed: 31651082
J Clin Orthod. 2020 Mar;54(3):159-166
pubmed: 32554918
J Orofac Orthop. 2020 Jan;81(1):30-40
pubmed: 31834419
Am J Orthod Dentofacial Orthop. 2021 Jan;159(1):e41-e48
pubmed: 33223374
Angle Orthod. 2021 Nov 1;91(6):794-803
pubmed: 34061964
SSO Schweiz Monatsschr Zahnheilkd. 1970 May;80(5):579-96
pubmed: 5267768
J World Fed Orthod. 2022 Feb;11(1):12-21
pubmed: 34965910
Am J Orthod Dentofacial Orthop. 2020 Sep;158(3):400-409
pubmed: 32620476
J Clin Orthod. 2019 Apr;53(4):225-226
pubmed: 31390608

Auteurs

Alessandra Putrino (A)

DDS, Specialist in Orthodontics, PhD Researcher, Post-doc Programme in New Technologies and Law at MICHR - "Mediterranea International Centre for Human Rights Research", Reggio Calabria; Università degli Studi di Roma "La Sapienza".

Maria-Rosaria Abed (MR)

DDS, Specialist in Orthodontics, PhD Researcher , Private practice in Madrid, Spain.

Carlo Lilli (C)

DDS, Specialist in Orthodontics , Private practice in Lodz, Poland.

Classifications MeSH