Immediate effect of clear aligners and fixed appliances on perioral soft tissues and speech.
3D facial imaging; speech
brackets
clear aligners
fixed appliances
stereophotogrammetry
Journal
Orthodontics & craniofacial research
ISSN: 1601-6343
Titre abrégé: Orthod Craniofac Res
Pays: England
ID NLM: 101144387
Informations de publication
Date de publication:
Aug 2023
Aug 2023
Historique:
revised:
04
11
2022
received:
28
07
2022
accepted:
04
12
2022
medline:
5
7
2023
pubmed:
11
12
2022
entrez:
10
12
2022
Statut:
ppublish
Résumé
To compare the immediate three-dimensional (3D) perioral soft-tissue changes and impact on speech induced by clear aligners and fixed appliances. In this repeated-measure experimental study, stereophotogrammetric 3D photographs of 40 participants were recorded before and immediately after the introduction of clear aligners and fixed appliances. The 3D surface meshes were registered to quantify changes in the direction and magnitude of nine soft tissue landmarks located on the upper and lower lips. Self-reported speech disturbance was evaluated using a questionnaire. Data were analysed using repeated-measures analysis of variance. In the vertical plane, the clear aligners induced inferior displacement (range 0.4-1.5 mm) for all nine landmarks (P < .01), whereas fixed appliances induced inferior displacement only of A-point (0.4 ± 0.9 mm), right crista philtri (0.5 ± 1.1 mm) and left crista philtri (0.7 ± 1.1 mm). The clear aligners induced greater vertical changes than fixed appliances for all landmarks (P < .05). In the sagittal plane, both clear aligners and fixed appliances slightly advanced all perioral landmarks, except subnasale. Fixed appliances caused greater changes than clear aligners for right cheilion (+0.8 mm), left cheilion (+0.8 mm) and labrale inferius (+0.9 mm) (P < .01). Both orthodontic appliances had a significant self-perceived effect on speech, with clear aligners affecting speech to a greater degree. Clear aligners and fixed appliances produced immediate effects on perioral soft tissues, which are most evident in the vertical plane for clear aligners, and in the sagittal plane for fixed appliances. Speech was affected by both appliances.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
425-432Informations de copyright
© 2022 The Authors. Orthodontics & Craniofacial Research published by John Wiley & Sons Ltd.
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