Impact of Clear Aligners on Oral Health and Oral Microbiome During Orthodontic Treatment

The demand for clear aligners has risen over the past decade because they satisfy patients’ desire for less noticeable and more comfortable orthodontic appliances. Because clear aligners are increasingly used in orthodontics, there is a big push to learn more about the physiologic and microbial chan...

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Main Authors: Maierdanjiang Rouzi, Xiaoqi Zhang, Qingsong Jiang, Hu Long, Wenli Lai, Xiaolong Li
Format: Article
Language:English
Published: Elsevier 2023-10-01
Series:International Dental Journal
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0020653923000655
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author Maierdanjiang Rouzi
Xiaoqi Zhang
Qingsong Jiang
Hu Long
Wenli Lai
Xiaolong Li
author_facet Maierdanjiang Rouzi
Xiaoqi Zhang
Qingsong Jiang
Hu Long
Wenli Lai
Xiaolong Li
author_sort Maierdanjiang Rouzi
collection DOAJ
description The demand for clear aligners has risen over the past decade because they satisfy patients’ desire for less noticeable and more comfortable orthodontic appliances. Because clear aligners are increasingly used in orthodontics, there is a big push to learn more about the physiologic and microbial changes that occur during treatment. The present work highlighted further links between clear aligners and changes in oral health and the oral microbiome and provided plaque control methods for clear aligner trays. Existing literature revealed that clear aligners have no significant influence on the structure of the oral microbiome during orthodontic therapy. Clear aligner treatment demonstrated promising results in terms of controlling plaque index, gingival health, and the prevalence of white spot lesions. Nevertheless, grooves, ridges, microcracks, and abrasions on the aligner surface would provide a prime environment for bacterial adherence and the development of plaque biofilms. A combination of mechanical and chemical methods seems to be a successful approach for removing plaque biofilm from aligners whilst also preventing pigment adsorption.
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spelling doaj.art-7d9c57a247b64d9ea0e33fadfc78e7fb2023-09-14T04:52:22ZengElsevierInternational Dental Journal0020-65392023-10-01735603611Impact of Clear Aligners on Oral Health and Oral Microbiome During Orthodontic TreatmentMaierdanjiang Rouzi0Xiaoqi Zhang1Qingsong Jiang2Hu Long3Wenli Lai4Xiaolong Li5State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, West China School of Stomatology, Sichuan University, Chengdu, ChinaState Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, West China School of Stomatology, Sichuan University, Chengdu, ChinaState Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, West China School of Stomatology, Sichuan University, Chengdu, ChinaDepartment of Orthodontics, State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, ChinaDepartment of Orthodontics, State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, China; Corresponding authors. 14 Renmin South Road Third Section, Chengdu 610041, China.Department of Orthodontics, State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, China; Corresponding authors. 14 Renmin South Road Third Section, Chengdu 610041, China.The demand for clear aligners has risen over the past decade because they satisfy patients’ desire for less noticeable and more comfortable orthodontic appliances. Because clear aligners are increasingly used in orthodontics, there is a big push to learn more about the physiologic and microbial changes that occur during treatment. The present work highlighted further links between clear aligners and changes in oral health and the oral microbiome and provided plaque control methods for clear aligner trays. Existing literature revealed that clear aligners have no significant influence on the structure of the oral microbiome during orthodontic therapy. Clear aligner treatment demonstrated promising results in terms of controlling plaque index, gingival health, and the prevalence of white spot lesions. Nevertheless, grooves, ridges, microcracks, and abrasions on the aligner surface would provide a prime environment for bacterial adherence and the development of plaque biofilms. A combination of mechanical and chemical methods seems to be a successful approach for removing plaque biofilm from aligners whilst also preventing pigment adsorption.http://www.sciencedirect.com/science/article/pii/S0020653923000655Clear alignerOral microbiomeWhite spot lesionsPlaque control
spellingShingle Maierdanjiang Rouzi
Xiaoqi Zhang
Qingsong Jiang
Hu Long
Wenli Lai
Xiaolong Li
Impact of Clear Aligners on Oral Health and Oral Microbiome During Orthodontic Treatment
International Dental Journal
Clear aligner
Oral microbiome
White spot lesions
Plaque control
title Impact of Clear Aligners on Oral Health and Oral Microbiome During Orthodontic Treatment
title_full Impact of Clear Aligners on Oral Health and Oral Microbiome During Orthodontic Treatment
title_fullStr Impact of Clear Aligners on Oral Health and Oral Microbiome During Orthodontic Treatment
title_full_unstemmed Impact of Clear Aligners on Oral Health and Oral Microbiome During Orthodontic Treatment
title_short Impact of Clear Aligners on Oral Health and Oral Microbiome During Orthodontic Treatment
title_sort impact of clear aligners on oral health and oral microbiome during orthodontic treatment
topic Clear aligner
Oral microbiome
White spot lesions
Plaque control
url http://www.sciencedirect.com/science/article/pii/S0020653923000655
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AT xiaoqizhang impactofclearalignersonoralhealthandoralmicrobiomeduringorthodontictreatment
AT qingsongjiang impactofclearalignersonoralhealthandoralmicrobiomeduringorthodontictreatment
AT hulong impactofclearalignersonoralhealthandoralmicrobiomeduringorthodontictreatment
AT wenlilai impactofclearalignersonoralhealthandoralmicrobiomeduringorthodontictreatment
AT xiaolongli impactofclearalignersonoralhealthandoralmicrobiomeduringorthodontictreatment