Impact of clear aligner therapy on masticatory musculature and stomatognathic system: a systematic review conducted according to PRISMA guidelines and the Cochrane handbook for systematic reviews of interventions
Abstract Background Clear aligner therapy has gained popularity as a minimally invasive orthodontic treatment option. However, its impact on the masticatory musculature and the stomatognathic system is an area of growing interest, as it involves the adjustment of occlusion and tooth movement. This s...
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| Format: | Article |
| Language: | English |
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BMC
2024-03-01
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| Series: | BMC Oral Health |
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| Online Access: | https://doi.org/10.1186/s12903-024-04029-8 |
| _version_ | 1827309951204196352 |
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| author | Sultan Abdulrahman Almalki AlBandary Hassan Al Jameel Inderjit Murugendrappa Gowdar Akshayraj Langaliya Sunil Kumar Vaddamanu Marco Di Blasio Gabriele Cervino Giuseppe Minervini |
| author_facet | Sultan Abdulrahman Almalki AlBandary Hassan Al Jameel Inderjit Murugendrappa Gowdar Akshayraj Langaliya Sunil Kumar Vaddamanu Marco Di Blasio Gabriele Cervino Giuseppe Minervini |
| author_sort | Sultan Abdulrahman Almalki |
| collection | DOAJ |
| description | Abstract Background Clear aligner therapy has gained popularity as a minimally invasive orthodontic treatment option. However, its impact on the masticatory musculature and the stomatognathic system is an area of growing interest, as it involves the adjustment of occlusion and tooth movement. This systematic review aims to comprehensively assess and synthesise existing evidence regarding the influence of clear aligner therapy on the masticatory musculature and the stomatognathic system. Methods An exhaustive search was performed on electronic databases that adhered to PRISMA guidelines. Clinical studies that evaluated the impact of patients receiving aligner orthodontic treatment on the muscles of the mastication and stomatognathic systems were included. A standardised data extraction form was devised for relevant variables. Two reviewers extracted the data variables. ROB-2 was used for bias evaluation in the selected studies. Results A total of six studies met the inclusion criteria. The wearing of clear aligners significantly impacted the muscles of mastication. Muscle activity and discomfort showed a significant alteration in the initial days of appliance placement. but this observation was temporary, with no significant changes thereafter in subsequent follow-up. Bite force reduction was also noted. All the studies evaluated showed good methodological quality. Conclusion The review found that aligned orthodontic treatment may have a variable impact on muscles of mastication, with a potential for initial exacerbation of symptoms followed by possible improvement. However, due to the limited number of studies and their heterogeneous nature, further robust research is recommended to fully understand the relationship between aligned orthodontic treatment and masticatory muscles. |
| first_indexed | 2024-04-24T19:51:55Z |
| format | Article |
| id | doaj.art-9c594bcd368e4d3c8f1c36d53ef90e94 |
| institution | Directory Open Access Journal |
| issn | 1472-6831 |
| language | English |
| last_indexed | 2024-04-24T19:51:55Z |
| publishDate | 2024-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Oral Health |
| spelling | doaj.art-9c594bcd368e4d3c8f1c36d53ef90e942024-03-24T12:35:54ZengBMCBMC Oral Health1472-68312024-03-0124111110.1186/s12903-024-04029-8Impact of clear aligner therapy on masticatory musculature and stomatognathic system: a systematic review conducted according to PRISMA guidelines and the Cochrane handbook for systematic reviews of interventionsSultan Abdulrahman Almalki0AlBandary Hassan Al Jameel1Inderjit Murugendrappa Gowdar2Akshayraj Langaliya3Sunil Kumar Vaddamanu4Marco Di Blasio5Gabriele Cervino6Giuseppe Minervini7Department of Preventive Dental Sciences, College of Dentistry, Prince Sattam Bin AbdulAziz UniversityDepartment of Periodontics and Community Dentistry, College of Dentistry, King Saud UniversityDepartment of Preventive Dental Sciences, College of Dentistry, Prince Sattam Bin AbdulAziz UniversityDepartment of Conservative Dentistry and Endodontics, AMC Dental College and HospitalDepartment of Dental Technology College of Applied Medical Siecence, King Khalid UniversityDepartment of Medicine and Surgery, University Center of Dentistry, University of ParmaSchool of Dentistry, Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of MessinaSaveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences (SIMATS), Saveetha UniversityAbstract Background Clear aligner therapy has gained popularity as a minimally invasive orthodontic treatment option. However, its impact on the masticatory musculature and the stomatognathic system is an area of growing interest, as it involves the adjustment of occlusion and tooth movement. This systematic review aims to comprehensively assess and synthesise existing evidence regarding the influence of clear aligner therapy on the masticatory musculature and the stomatognathic system. Methods An exhaustive search was performed on electronic databases that adhered to PRISMA guidelines. Clinical studies that evaluated the impact of patients receiving aligner orthodontic treatment on the muscles of the mastication and stomatognathic systems were included. A standardised data extraction form was devised for relevant variables. Two reviewers extracted the data variables. ROB-2 was used for bias evaluation in the selected studies. Results A total of six studies met the inclusion criteria. The wearing of clear aligners significantly impacted the muscles of mastication. Muscle activity and discomfort showed a significant alteration in the initial days of appliance placement. but this observation was temporary, with no significant changes thereafter in subsequent follow-up. Bite force reduction was also noted. All the studies evaluated showed good methodological quality. Conclusion The review found that aligned orthodontic treatment may have a variable impact on muscles of mastication, with a potential for initial exacerbation of symptoms followed by possible improvement. However, due to the limited number of studies and their heterogeneous nature, further robust research is recommended to fully understand the relationship between aligned orthodontic treatment and masticatory muscles.https://doi.org/10.1186/s12903-024-04029-8Temporomandibular disordersMasticatory musculatureOrthodontic treatmentAlignersBite forceOrthodontics |
| spellingShingle | Sultan Abdulrahman Almalki AlBandary Hassan Al Jameel Inderjit Murugendrappa Gowdar Akshayraj Langaliya Sunil Kumar Vaddamanu Marco Di Blasio Gabriele Cervino Giuseppe Minervini Impact of clear aligner therapy on masticatory musculature and stomatognathic system: a systematic review conducted according to PRISMA guidelines and the Cochrane handbook for systematic reviews of interventions BMC Oral Health Temporomandibular disorders Masticatory musculature Orthodontic treatment Aligners Bite force Orthodontics |
| title | Impact of clear aligner therapy on masticatory musculature and stomatognathic system: a systematic review conducted according to PRISMA guidelines and the Cochrane handbook for systematic reviews of interventions |
| title_full | Impact of clear aligner therapy on masticatory musculature and stomatognathic system: a systematic review conducted according to PRISMA guidelines and the Cochrane handbook for systematic reviews of interventions |
| title_fullStr | Impact of clear aligner therapy on masticatory musculature and stomatognathic system: a systematic review conducted according to PRISMA guidelines and the Cochrane handbook for systematic reviews of interventions |
| title_full_unstemmed | Impact of clear aligner therapy on masticatory musculature and stomatognathic system: a systematic review conducted according to PRISMA guidelines and the Cochrane handbook for systematic reviews of interventions |
| title_short | Impact of clear aligner therapy on masticatory musculature and stomatognathic system: a systematic review conducted according to PRISMA guidelines and the Cochrane handbook for systematic reviews of interventions |
| title_sort | impact of clear aligner therapy on masticatory musculature and stomatognathic system a systematic review conducted according to prisma guidelines and the cochrane handbook for systematic reviews of interventions |
| topic | Temporomandibular disorders Masticatory musculature Orthodontic treatment Aligners Bite force Orthodontics |
| url | https://doi.org/10.1186/s12903-024-04029-8 |
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