THE RELIABILITY OF CLEAR ALIGNERS IN RESOLVING CROWDING

Aim of the study Despite advancements in clear aligner therapy, there are still limitations regarding the predictability of tooth movements. Therefore, this study aims to evaluate how reliably clear aligners can address dental crowding. Materials and methods This retrospective study evaluated the or...

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Main Authors: Mohammed A. Barashi, Hesham A. Alhazmi
Format: Article
Language:English
Published: Romanian Society of Oral Rehabilitation 2024-12-01
Series:Romanian Journal of Oral Rehabilitation
Subjects:
Online Access:https://rjor.ro/the-reliability-of-clear-aligners-in-resolving-crowding/
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author Mohammed A. Barashi
Hesham A. Alhazmi
author_facet Mohammed A. Barashi
Hesham A. Alhazmi
author_sort Mohammed A. Barashi
collection DOAJ
description Aim of the study Despite advancements in clear aligner therapy, there are still limitations regarding the predictability of tooth movements. Therefore, this study aims to evaluate how reliably clear aligners can address dental crowding. Materials and methods This retrospective study evaluated the orthodontic treatment outcomes using clear aligners in a sample of 60 patients. The study included healthy adults ages 18 to 60 who had non-extraction cases of crowding. Data were collected on their demographic details and clinical variables, with statistical analyses performed to compare initial and final crowding measurements and assess the need for orthodontic refinement. Chi-square tests and logistic regression were used to analyze the data and determine significant associations, if any. Results The predictability of clear aligners in resolving crowding was 65% (n = 39). Overall, the initial mean crowding of 4.13 mm (SD = 2.0) was reduced to a final mean crowding of 0.66 mm (SD=1.1). Patients who required an interproximal reduction (IPR) alone or an IPR with arch expansion were 2.38 times more likely to need refinement compared to those who had arch expansion only. This effect is statistically significant (p-value = <0.01). Conclusions Although the level of crowding had significantly decreased by the end of the study, the crowding was not fully resolved without additional refinements. Future studies should explore targeted interventions and have longer follow-up periods to achieve the complete resolution of crowding.
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spelling doaj-art-29c0960328ce4dbcb4be8038989c9a482025-01-21T13:37:25ZengRomanian Society of Oral RehabilitationRomanian Journal of Oral Rehabilitation2066-70002601-46612024-12-01164252261THE RELIABILITY OF CLEAR ALIGNERS IN RESOLVING CROWDINGMohammed A. BarashiHesham A. AlhazmiAim of the study Despite advancements in clear aligner therapy, there are still limitations regarding the predictability of tooth movements. Therefore, this study aims to evaluate how reliably clear aligners can address dental crowding. Materials and methods This retrospective study evaluated the orthodontic treatment outcomes using clear aligners in a sample of 60 patients. The study included healthy adults ages 18 to 60 who had non-extraction cases of crowding. Data were collected on their demographic details and clinical variables, with statistical analyses performed to compare initial and final crowding measurements and assess the need for orthodontic refinement. Chi-square tests and logistic regression were used to analyze the data and determine significant associations, if any. Results The predictability of clear aligners in resolving crowding was 65% (n = 39). Overall, the initial mean crowding of 4.13 mm (SD = 2.0) was reduced to a final mean crowding of 0.66 mm (SD=1.1). Patients who required an interproximal reduction (IPR) alone or an IPR with arch expansion were 2.38 times more likely to need refinement compared to those who had arch expansion only. This effect is statistically significant (p-value = <0.01). Conclusions Although the level of crowding had significantly decreased by the end of the study, the crowding was not fully resolved without additional refinements. Future studies should explore targeted interventions and have longer follow-up periods to achieve the complete resolution of crowding.https://rjor.ro/the-reliability-of-clear-aligners-in-resolving-crowding/clear alignersdental crowdingorthodontic refinementinterproximal reductionarch expansion
spellingShingle Mohammed A. Barashi
Hesham A. Alhazmi
THE RELIABILITY OF CLEAR ALIGNERS IN RESOLVING CROWDING
Romanian Journal of Oral Rehabilitation
clear aligners
dental crowding
orthodontic refinement
interproximal reduction
arch expansion
title THE RELIABILITY OF CLEAR ALIGNERS IN RESOLVING CROWDING
title_full THE RELIABILITY OF CLEAR ALIGNERS IN RESOLVING CROWDING
title_fullStr THE RELIABILITY OF CLEAR ALIGNERS IN RESOLVING CROWDING
title_full_unstemmed THE RELIABILITY OF CLEAR ALIGNERS IN RESOLVING CROWDING
title_short THE RELIABILITY OF CLEAR ALIGNERS IN RESOLVING CROWDING
title_sort reliability of clear aligners in resolving crowding
topic clear aligners
dental crowding
orthodontic refinement
interproximal reduction
arch expansion
url https://rjor.ro/the-reliability-of-clear-aligners-in-resolving-crowding/
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