Customized adjuncts with clear aligner therapy: “The Golden Circle Model” explained!

Vaid, Nikhilesh R.; Sabouni, Waddah; Wilmes, Benedict; Bichu, Yashodhan M.; Thakkar, Digant; Adel, Samar M.

doi:10.1016/j.ejwf.2022.10.005

Cited by 17 publications

(12 citation statements)

References 15 publications

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“…In adult class II patients, clear aligners have been used to correct the class II malocclusion either alone 10 or in combination with auxiliaries, adjuncts either pre‐aligner therapy in the form of fixed functional appliances or concomitantly with aligners in the form of temporary skeletal anchorage devices placed either Buccally or Palatally. In some cases, extraction of some teeth might be necessary 8 . However, these alternative options involve more complex treatment with increased treatment time and additional expenses and require more patient compliance throughout treatment.…”

Section: Discussionmentioning

confidence: 99%

“…In some cases, extraction of some teeth might be necessary. 8 However, these alternative options involve more F I G U R E 2 ClinCheck virtual setup complex treatment with increased treatment time and additional expenses and require more patient compliance throughout treatment. Distalization of maxillary molars is frequently the treatment of choice required in class II nonextraction patients.…”

Section: Discussionmentioning

confidence: 99%

“…Obviously, successful treatment with clear aligners involves much more than moving teeth virtually by a software 6,7 . The application of adjunctive biomechanics through the addition of orthodontic attachments, elastics, and other devices and features has certainly created more individualized options for more predictable tooth movement across a wider range of malocclusions 8–10 …”

Section: Introductionmentioning

confidence: 99%

“…6,7 The application of adjunctive biomechanics through the addition of orthodontic attachments, elastics, and other devices and features has certainly created more individualized options for more predictable tooth movement across a wider range of malocclusions. [8][9][10] Though scholarly literature for treating complex cases is still in its early phase, published case reports have demonstrated satisfying outcomes with complex cases, such as those involving class II malocclusions. [10][11][12] Furthermore, the precision of movements has improved exponentially in recent years reaching values of 70%-80% due to the continuous research performed by Align Technology and the incorporation of attachments and auxiliaries in the treatment protocols.…”

Section: Introductionmentioning

confidence: 99%

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Distalization using efficient attachment protocol in clear aligner therapy—A case report

Sabouni¹,

Pandian

Vaid

et al. 2023

Clinical Case Reports

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To describe an esthetic orthodontic treatment using aligners in an adult patient with dental class II malocclusion associated with crowding. A 25-year-old female patient with skeletal class I, bilateral class II relation, increased overjet and overbite and crowding in both arches presented for orthodontic treatment. The patient refused conventional fixed multibracket treatment in favor of aligners. Pre-and post-treatment records are presented. Treatment objectives were achieved in 10 months, and the patient was satisfied with the functional and esthetic outcomes. Combining aligners with appropriate attachment location and geometry is an efficacious means of resolving orthodontic issues such as class II malocclusion in a time frame comparable to that of conventional fixed orthodontics.Staging in distalization increases the predictability of movement. Furthermore, this system is associated with optimal oral hygiene and excellent esthetics.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Distalization using efficient attachment protocol in clear aligner therapy—A case report

Sabouni¹,

Pandian

Vaid

et al. 2023

Clinical Case Reports

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“…e discrepancy between the predicted and actual clinical outcomes with clear aligner therapy (CAT) is around 50% necessitating midcourse corrections, refinements, additional aligners, or even a conversion to fixed appliances before the end of treatment. [10] is percentage accuracy was further found to be affected by the registration algorithm software used for the superimposition of digital models. [4] Studies assessed different aspects of CAT effectiveness including biological aspects, treatment outcomes, geometrical and biomechanical considerations, biomaterials as well as patient-related outcomes.…”

Section: Introductionmentioning

confidence: 99%

Clear aligner therapy in contemporary orthodontics: A scoping review of scholarly literature

Adel

Hansa

Vaid

2023

APOS

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Background: Over the last two decades, clear aligners have become a mainstay in contemporary orthodontic practice primarily due to improvements in digital and 3D printing technologies, a growing interest in esthetic orthodontics, especially in the adult population, and aggressive manufacturer marketing internationally. Material and Methods: PubMed, Google Scholar, Cochrane Library, and EMBASE databases were searched from January 1998 to November 2021. The search terms used were “Invisalign” OR “clear aligner.” A total of 7000 records were searched, of which 369 potentially relevant articles were retrieved in full. 190 studies met the selection criteria following screening and were included in the scoping review. Results: This review scopes and analyses published orthodontic literature about CA according to a year-wise distribution into 3 groups, 2001–2010/2011–2020/2021. Most of the studies were published in the period between 2011 and 2020, with 138 studies accounting for 73%. The year 2021 followed, with 31 studies accounting for 16%, which was greater than the number of studies published in 10 years from 2001 to 2010. Studies were also classified based on the study designs with most of the published studies representing the lowest level of evidence including case reports, case series, narrative reviews, expert opinions, and editorials accounting for 137 studies, whereas case-control studies were the least reported studies with only 4 studies reported in the literature. In addition, they were categorized into seven main domains: (1) Biological considerations associated with clear aligner therapy (CAT), (2) Treatment outcomes considerations associated with CAT, (3) Geometrical considerations associated with CAT (clinical), (4) Biomechanical considerations associated with CAT (Laboratory/Finite element analysis), (5) Biomaterial considerations associated with CAT, (6) Patient education and experience and aesthetic and social perception of CAT, and (7) Miscellaneous. Treatment outcome considerations associated with CAT had the greatest percentage representing 36% of the total published domains, while the final place was occupied by the biomechanical considerations associated with CAT accounting for only 4% of the published domains about CAT. Conclusion: Treatment outcome was the domain most commonly reported by studies accounting for (36%). Most of the published studies are at the lowest level of evidence including case reports, case series, narrative reviews, and expert opinions. The vast majority of studies utilized only a single clear aligner brand. There is a greater need for research that studies CAT from a holistic perspective.

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Evaluating the efficacy and predictability of distalization protocols for maxillary molars in Class II treatment with clear Aligners: A narrative review

Hmud,

Alamri

2024

The Saudi Dental Journal

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Customized adjuncts with clear aligner therapy: “The Golden Circle Model” explained!

Cited by 17 publications

References 15 publications

Distalization using efficient attachment protocol in clear aligner therapy—A case report

Distalization using efficient attachment protocol in clear aligner therapy—A case report

Clear aligner therapy in contemporary orthodontics: A scoping review of scholarly literature

Evaluating the efficacy and predictability of distalization protocols for maxillary molars in Class II treatment with clear Aligners: A narrative review

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