Class II treatment of transverse maxillary deficiency with a single bone-borne appliance and hybrid clear aligner approach in an adult patient: A case report

Palone, Mario; Baciliero, M; Cervinara, Francesca; Maino, Giovanna; Paoletto, Emanuele; Cremonini, Francesca; Lombardo, Luca

doi:10.1016/j.ejwf.2021.12.004

Cited by 7 publications

(8 citation statements)

References 24 publications

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“…40 Recent case reports also propose a hybrid treatment modality for complex malocclusions, in which maintaining good anchorage and root positioning control is key. 41,42 These approaches are comprised of a first stage of fixed appliance treatment, followed by another phase of CAT and therefore a minimised period of visible braces.…”

Section: Aligners Versus Fixed Appliances In Adult Orthodonticsmentioning

confidence: 99%

Increased demand for orthodontic treatments during the COVID-19 pandemic: a commentary

Omran

Dowie

2023

Br Dent J

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Section: Aligners Versus Fixed Appliances In Adult Orthodonticsmentioning

confidence: 99%

Increased demand for orthodontic treatments during the COVID-19 pandemic: a commentary

Omran

Dowie

2023

Br Dent J

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“…In these cases, traditional braces or other orthodontic treatments may be more appropriate. [ 101 102 103 ]…”

Section: Effectivenessmentioning

confidence: 99%

Clear Aligner Therapy: Up to date review article

AlMogbel

2023

Journal of Orthodontic Science

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The advantages of Clear Aligners Therapy (CAT) include the braces being virtually invisible, comfortable to wear, and removable for eating and brushing; that way, CAT can be used to treat a wide range of orthodontic issues. In 1999, the company Align Technology introduced the frst commercial clear aligner system called Invisalign. The Invisalign system was initially only available to orthodontists, but later became available to general dentists as well. The system quickly gained popularity among patients who were looking for a more discreet and comfortable alternative to traditional braces. In 2000, Align Technology received FDA clearance for the Invisalign system, which further increased its popularity. The biomechanics of clear aligners involve the use of custom-made tooth aligners that are specifcally shaped to guide teeth into desired positions. These aligners are typically made from flexible materials such as polyurethane or ethylene vinyl acetate and are adjusted to apply the necessary forces for tooth movement. Attachment devices, such as power ridges or buttons, are often used to enhance or assist in specifc tooth movements and for retention of the aligner. The use of attachments allows for the exertion of desired force on the teeth, which is crucial for the success of Clear Aligner Therapy. CAT should be used if patients are concerned about the esthetic appearances of their teeth—for example, actors and other individuals that rely on their appearances in public in a professional context—and if the misalignment is not severe, so that clear aligners can still work. One should not use CAT in cases of severe crowding or spacing issues that require extractions. If the patient has complex jaw discrepancies or skeletal issues or if teeth need to be moved extensively in multiple directions, CAT is likely not going to be strong enough. In conclusion, Clear Aligner Therapy is a safe, effective, and convenient orthodontic treatment option that offers patients a virtually invisible way to achieve a straighter, more beautiful smile. With continued advancements in technology and a growing body of research supporting its effectiveness, the future of Clear Aligner Therapy looks bright.

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“…Palone et al, in 2022, explain how maxillary skeletal contraction is a common problem in adults and can cause aesthetic and functional problems. The rapid jaw expander is an effective treatment to correct this condition in young patients but becomes less effective with age [73,95]. The use of a traditional expander in adults may primarily involve tooth expansion and may have periodontal side effects with unstable results and a high likelihood of recurrence [73,96].…”

Section: Tadsmentioning

confidence: 99%

“…The rapid jaw expander is an effective treatment to correct this condition in young patients but becomes less effective with age [73,95]. The use of a traditional expander in adults may primarily involve tooth expansion and may have periodontal side effects with unstable results and a high likelihood of recurrence [73,96]. Skeletal anchorage using TADs is an effective method for correcting Class II malocclusions in adults without the need for extraoral devices and with little risk of loss of anterior anchorage.…”

Section: Tadsmentioning

confidence: 99%

“…Skeletal anchorage using TADs is an effective method for correcting Class II malocclusions in adults without the need for extraoral devices and with little risk of loss of anterior anchorage. The use of transparent aligners is ideal in the finishing phase of an orthodontic treatment, despite some limitations in tooth movement [73,97]. The hybrid approach, with the use of a skeletally anchored maxillary expander and distalizing appliance, followed by transparent aligners to complete the orthodontic treatment of an adult patient, has also proven to be particularly effective [73].…”

Section: Tadsmentioning

confidence: 99%

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Predictability of Dental Distalization with Clear Aligners: A Systematic Review

Inchingolo,

Carpentiere

et al. 2023

Bioengineering

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The current review aims to evaluate the scientific evidence relating to the effectiveness of treatment with clear aligners (CAs) in controlling distalization orthodontic tooth movement. “Orthodontics, aligners” and “distalization” were the search terms used on the Scopus, Web of Science and Pubmed databases with the Boolean operator “AND”. The results of the last ten years of research were 146 studies; of these, 19 publications were included for this review. The distalization movement is possible with invisible masks alone, but the risk of losing anchorage in the anterior sectors is very probable. The stability of the results and the reduction of unwanted effects can be guaranteed by the use of skeletal anchoring devices and interproximal enamel reduction (IPR), with which compensations are obtained to reduce the initial overjet. Temporary anchorage devices (TADs) can be used to manage posterior anchorage after distalization of maxillary molars with aligners. This hybrid approach has demonstrated the greatest orthodontic success. TADs are useful aids to provide direct and indirect skeletal anchorage. The opposite effect must be considered when planning dental distalization, especially of the molars, in patients with large overjet, and corrective measures or the use of auxiliaries may be necessary to prevent midcourse corrections. This systematic review provides a critical evidence-based assessment of the predictability of dental distalization with CAs, an ever-evolving orthodontic technique.

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Class II treatment of transverse maxillary deficiency with a single bone-borne appliance and hybrid clear aligner approach in an adult patient: A case report

Cited by 7 publications

References 24 publications

Increased demand for orthodontic treatments during the COVID-19 pandemic: a commentary

Increased demand for orthodontic treatments during the COVID-19 pandemic: a commentary

Clear Aligner Therapy: Up to date review article

Predictability of Dental Distalization with Clear Aligners: A Systematic Review

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