Accuracy of Invisalign® on Upper Incisors: A Systematic Review

The current systematic review appraises the effectiveness of the types of tooth movements performed with Invisalign® clear aligner on the maxillary incisors. An electronic literature search of published trials was performed through PubMed, LILACS, Scopus, Cochrane Library, and Web of Science databas...

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Main Authors: Aline Gonçalves, Athénaïs Collard, Francisca Monteiro, David Matos, Óscar Carvalho, Rui Azevedo, Filipe S. Silva, Teresa Pinho
Format: Article
Language:English
Published: Galenos Yayinevi 2023-06-01
Series:Turkish Journal of Orthodontics
Subjects:
Online Access: http://www.turkjorthod.org/archives/archive-detail/article-preview/accuracy-of-nvisalignsup-sup-on-upper-ncisors-a-sy/58630
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author Aline Gonçalves
Athénaïs Collard
Francisca Monteiro
David Matos
Óscar Carvalho
Rui Azevedo
Filipe S. Silva
Teresa Pinho
author_facet Aline Gonçalves
Athénaïs Collard
Francisca Monteiro
David Matos
Óscar Carvalho
Rui Azevedo
Filipe S. Silva
Teresa Pinho
author_sort Aline Gonçalves
collection DOAJ
description The current systematic review appraises the effectiveness of the types of tooth movements performed with Invisalign® clear aligner on the maxillary incisors. An electronic literature search of published trials was performed through PubMed, LILACS, Scopus, Cochrane Library, and Web of Science databases, and selected journals, from 2009 to 2020. Out of 291 references, five relevant publications were identified for analysis: four studies were performed retrospectively and one prospectively, all non-randomized. Despite the limited set of selected articles, the sample size is significant, with 148 subjects included in the reviewed studies involving the orthodontic treatment of upper incisors. We concluded that movements with the Invisalign® clear aligner on the upper incisors present distinct accuracy, possibly related with movement complexity; intrusion of the incisors has low accuracy (in some cases, 0% of accuracy was reported when the tooth extruded), while incisor extrusion exhibit some of the highest accuracy values reported in the included studies (45%-142%, when the achieved movement was greater than the predicted). Besides, axial (i.e., torque and tip) and horizontal (i.e., translation and rotation) movements are usually effective, with accuracy values between 39%-156% and 42%-79%, respectively. Overall, we determined that the efficiency of aligner to reach the desired movements in the upper incisors was low, as often refinements were required in the included studies. The use of aligner features must be more often considered to improve movement accuracy.
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spelling doaj.art-0e229d1d599e410383f896ee9a1e3a392023-08-01T11:04:50ZengGalenos YayineviTurkish Journal of Orthodontics2528-96592148-95052023-06-0136212613310.4274/TurkJOrthod.2022.2021.025413049054Accuracy of Invisalign® on Upper Incisors: A Systematic ReviewAline Gonçalves0Athénaïs Collard1Francisca Monteiro2David Matos3Óscar Carvalho4Rui Azevedo5Filipe S. Silva6Teresa Pinho7 UNIPRO - Oral Pathology and Rehabilitation Research Unit, University Institute of Health Sciences (IUCS), CESPU, Gandra, Portugal UNIPRO - Oral Pathology and Rehabilitation Research Unit, University Institute of Health Sciences (IUCS), CESPU, Gandra, Portugal Center for Microelectromechanical Systems (CMEMS), University of Minho, Campus Azurém, Guimarães, Portugal UNIPRO - Oral Pathology and Rehabilitation Research Unit, University Institute of Health Sciences (IUCS), CESPU, Gandra, Portugal Center for Microelectromechanical Systems (CMEMS), University of Minho, Campus Azurém, Guimarães, Portugal TOXRUN, Toxicology Research Unit, University Institute of Health Sciences, CESPU, CRL, Gandra, Portugal Center for Microelectromechanical Systems (CMEMS), University of Minho, Campus Azurém, Guimarães, Portugal UNIPRO - Oral Pathology and Rehabilitation Research Unit, University Institute of Health Sciences (IUCS), CESPU, Gandra, Portugal The current systematic review appraises the effectiveness of the types of tooth movements performed with Invisalign® clear aligner on the maxillary incisors. An electronic literature search of published trials was performed through PubMed, LILACS, Scopus, Cochrane Library, and Web of Science databases, and selected journals, from 2009 to 2020. Out of 291 references, five relevant publications were identified for analysis: four studies were performed retrospectively and one prospectively, all non-randomized. Despite the limited set of selected articles, the sample size is significant, with 148 subjects included in the reviewed studies involving the orthodontic treatment of upper incisors. We concluded that movements with the Invisalign® clear aligner on the upper incisors present distinct accuracy, possibly related with movement complexity; intrusion of the incisors has low accuracy (in some cases, 0% of accuracy was reported when the tooth extruded), while incisor extrusion exhibit some of the highest accuracy values reported in the included studies (45%-142%, when the achieved movement was greater than the predicted). Besides, axial (i.e., torque and tip) and horizontal (i.e., translation and rotation) movements are usually effective, with accuracy values between 39%-156% and 42%-79%, respectively. Overall, we determined that the efficiency of aligner to reach the desired movements in the upper incisors was low, as often refinements were required in the included studies. The use of aligner features must be more often considered to improve movement accuracy. http://www.turkjorthod.org/archives/archive-detail/article-preview/accuracy-of-nvisalignsup-sup-on-upper-ncisors-a-sy/58630 accuracyefficiencyincisorinvisalign®tooth movement
spellingShingle Aline Gonçalves
Athénaïs Collard
Francisca Monteiro
David Matos
Óscar Carvalho
Rui Azevedo
Filipe S. Silva
Teresa Pinho
Accuracy of Invisalign® on Upper Incisors: A Systematic Review
Turkish Journal of Orthodontics
accuracy
efficiency
incisor
invisalign®
tooth movement
title Accuracy of Invisalign® on Upper Incisors: A Systematic Review
title_full Accuracy of Invisalign® on Upper Incisors: A Systematic Review
title_fullStr Accuracy of Invisalign® on Upper Incisors: A Systematic Review
title_full_unstemmed Accuracy of Invisalign® on Upper Incisors: A Systematic Review
title_short Accuracy of Invisalign® on Upper Incisors: A Systematic Review
title_sort accuracy of invisalign r on upper incisors a systematic review
topic accuracy
efficiency
incisor
invisalign®
tooth movement
url http://www.turkjorthod.org/archives/archive-detail/article-preview/accuracy-of-nvisalignsup-sup-on-upper-ncisors-a-sy/58630
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AT davidmatos accuracyofinvisalignonupperincisorsasystematicreview
AT oscarcarvalho accuracyofinvisalignonupperincisorsasystematicreview
AT ruiazevedo accuracyofinvisalignonupperincisorsasystematicreview
AT filipessilva accuracyofinvisalignonupperincisorsasystematicreview
AT teresapinho accuracyofinvisalignonupperincisorsasystematicreview