Orthodontic treatment with clear aligners for a patient with chronic periodontitis

Zhang, Jiehua; Li, Jun; Peng, Yulin

doi:10.4041/kjod21.263

Cited by 4 publications

(1 citation statement)

References 18 publications

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“…[ 84 85 86 87 88 ] If the patient is suffering from active periodontal disease, or has uncontrolled decay or gingival disease, CAT might be contraindicated. [ 89 90 91 ]…”

Section: Indicationsmentioning

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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“…[ 84 85 86 87 88 ] If the patient is suffering from active periodontal disease, or has uncontrolled decay or gingival disease, CAT might be contraindicated. [ 89 90 91 ]…”

Section: Indicationsmentioning

confidence: 99%

Clear Aligner Therapy: Up to date review article

AlMogbel

2023

Journal of Orthodontic Science

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Clear aligner treatment among patients with compromised periodontal tissue

dos Santos,

Fagundes,

da Costa

et al. 2024

Seminars in Orthodontics

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The interrelationship of orthodontic tooth movement in patients with periodontitis and Diabetes mellitus

Bernardo,

Guimarães,

Camargo

2024

RGO, Rev. Gaúch. Odontol.

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Orthodontic tooth movement is a mechanically induced bone remodeling process aimed at aligning malpositioned teeth. Periodontitis is a polymicrobial infection of the supporting tissues of the teeth that results in the destruction of the periodontium. Diabetes Mellitus is a metabolic disorder that contributes to several types of comorbidities and even premature death of an individual. Due to the high demand of diabetic patients with periodontitis and the need for orthodontic therapy to achieve better periodontal health, we aimed to carry out a bibliographic review on orthodontic tooth movement in patients with periodontitis and diabetes mellitus. The search for articles in this literature review took place between February 2022 and March 2023. The articles were researched, selected and extracted through the database: PUBMED, LILACS and GOOGLE SCHOLAR available online, in the range of years between 1990 and 2022. Diabetes and periodontitis may adversely affect bone remodeling in orthodontic tooth movement. However, despite the need for further long-term studies to elucidate the mechanism of orthodontic tooth movement in diabetic patients with a history of periodontitis, the literature suggests that if there is a well-established periodontal-orthodontic therapy associated with the patient’s glycemic control, the treatment will be successful.

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Orthodontic treatment with clear aligners for a patient with chronic periodontitis

Cited by 4 publications

References 18 publications

Clear Aligner Therapy: Up to date review article

Clear Aligner Therapy: Up to date review article

Clear aligner treatment among patients with compromised periodontal tissue

The interrelationship of orthodontic tooth movement in patients with periodontitis and Diabetes mellitus

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