Clear Aligner Therapy Concerns: Addressing Discrepancies Between Digitally Anticipated Outcomes and Clinical Ground Realities.

IF 0.8 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Turkish Journal of Orthodontics Pub Date : 2024-06-30 DOI:10.4274/TurkJOrthod.2024.2024.4
Yashodhan M Bichu, Tony Weir, Bingshuang Zou, Samar Adel, Nikhilesh R Vaid
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Abstract

Expeditious strides in the fields of biomaterials, computer-aided design, and manufacturing have catapulted clear aligner therapy (CAT) to become a comprehensive orthodontic treatment modality. The efficiency of achieving planned tooth movement with clear aligners is a significant consideration while setting up the final treatment goals, as well as calculating treatment times and costs based on the available evidence. Contemporary research outcomes confirm that one of the most commonly reported clinical concerns with CAT is the discrepancy between the prescribed outcome in the digital treatment plan and the clinically achieved outcome from a given series of aligners. Inaccurate prediction of tooth movements may not only lead to a prolonged duration of aligner treatment with an additional need for refinement strategies; but it may also cause other concerns, such as patient burnout and increased potential for relapse. The authors of this paper have elucidated some of the critical elements that may help address this discrepancy between digitally prescribed and clinical outcomes based on an evidence-based approach with regard to the predictability and accuracy of CAT. A strong diagnostic acumen, judicious case selection, solid biomechanical understanding of various types of orthodontic tooth movements, a research framework that keeps pace with technological and material developments and provides evidence-based knowledge of the limitations of CAT; and above all, the ability of the clinician to continually innovate as per different clinical scenarios, all contribute to attaining treatment predictability, efficacy, and efficiency with CAT.

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Clear Aligner 治疗关注点:解决数字预期结果与临床实际情况之间的差异。
生物材料、计算机辅助设计和制造领域的飞速发展使透明矫治器疗法(CAT)成为一种全面的正畸治疗方式。在制定最终治疗目标以及根据现有证据计算治疗时间和成本时,使用透明矫治器实现计划牙齿移动的效率是一个重要的考虑因素。当代的研究结果证实,临床上最常报告的 CAT 问题之一是数字治疗计划中规定的治疗效果与特定系列矫治器的临床治疗效果之间的差异。对牙齿移动的不准确预测不仅可能导致矫治器治疗时间延长,需要采取额外的改进策略,还可能引起其他问题,如患者倦怠和复发的可能性增加。本文作者根据CAT的可预测性和准确性方面的循证方法,阐明了有助于解决数字处方和临床结果之间差异的一些关键因素。强大的诊断敏锐度、明智的病例选择、对各类正畸牙齿移动的扎实的生物力学理解、与技术和材料发展同步的研究框架,以及对 CAT 的局限性提供的循证知识;最重要的是,临床医生根据不同临床情况不断创新的能力,这些都有助于通过 CAT 实现治疗的可预测性、疗效和效率。
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来源期刊
Turkish Journal of Orthodontics
Turkish Journal of Orthodontics Dentistry-Orthodontics
CiteScore
2.10
自引率
9.10%
发文量
34
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