Interceptive Treatment with Invisalign<sup>®</sup> First in Moderate and Severe Cases: A Case Series

The increasing demand for more aesthetic/comfortable orthodontic alternatives fostered the utilization of clear aligners in recent years. However, the efficacy of clear aligners for treating complex malocclusions is often treated with scepticism. This case series aims to evaluate the predictability...

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Main Authors: Teresa Pinho, Duarte Rocha, Sofia Ribeiro, Francisca Monteiro, Selma Pascoal, Rui Azevedo
Format: Article
Language:English
Published: MDPI AG 2022-08-01
Series:Children
Subjects:
Online Access:https://www.mdpi.com/2227-9067/9/8/1176
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author Teresa Pinho
Duarte Rocha
Sofia Ribeiro
Francisca Monteiro
Selma Pascoal
Rui Azevedo
author_facet Teresa Pinho
Duarte Rocha
Sofia Ribeiro
Francisca Monteiro
Selma Pascoal
Rui Azevedo
author_sort Teresa Pinho
collection DOAJ
description The increasing demand for more aesthetic/comfortable orthodontic alternatives fostered the utilization of clear aligners in recent years. However, the efficacy of clear aligners for treating complex malocclusions is often treated with scepticism. This case series aims to evaluate the predictability of the Invisalign<sup>®</sup> First system in moderate and severe cases requiring interceptive orthodontic treatments in mixed dentition. A total of 23 patients with 102 interceptive orthodontic malocclusion traits were selected for orthodontic treatment with Invisalign<sup>®</sup> First and were examined over 18 months (Phase 1). Clinical assessments included ClinCheck<sup>®</sup> predictions, cephalometric measurements, and measuring tools commonly used to quantify tooth movement. Measurements taken at the beginning and end of the treatment were compared. The complexity degree of each case was established based on the set of problems presented by each patient. All treatment objectives were achieved within 18 months, except for two Class II cases, with 69% of them solved with the first set of aligners. Additional aligners were used in the remaining cases. Even though these 23 cases suggest that the Invisalign<sup>®</sup> First (Phase 1) may be effective in most interceptive problems, controlled randomized clinical trials are required to evaluate movement predictability and how this relates to the problem complexity and additional aligners required.
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spelling doaj.art-dc777160f8de48cc9089876e9283d76e2023-12-03T13:28:26ZengMDPI AGChildren2227-90672022-08-0198117610.3390/children9081176Interceptive Treatment with Invisalign<sup>®</sup> First in Moderate and Severe Cases: A Case SeriesTeresa Pinho0Duarte Rocha1Sofia Ribeiro2Francisca Monteiro3Selma Pascoal4Rui Azevedo5UNIPRO—Oral Pathology and Rehabilitation Research Unit, University Institute of Health Sciences (IUCS), Cooperativa de Ensino Superior Politécnico e Universitário (CESPU), 4585-116 Gandra, PortugalUNIPRO—Oral Pathology and Rehabilitation Research Unit, University Institute of Health Sciences (IUCS), Cooperativa de Ensino Superior Politécnico e Universitário (CESPU), 4585-116 Gandra, PortugalUNIPRO—Oral Pathology and Rehabilitation Research Unit, University Institute of Health Sciences (IUCS), Cooperativa de Ensino Superior Politécnico e Universitário (CESPU), 4585-116 Gandra, PortugalCenter for MicroElectroMechanical Systems (CMEMS), University of Minho, 4800-058 Guimarães, PortugalUNIPRO—Oral Pathology and Rehabilitation Research Unit, University Institute of Health Sciences (IUCS), Cooperativa de Ensino Superior Politécnico e Universitário (CESPU), 4585-116 Gandra, PortugalUNIPRO—Oral Pathology and Rehabilitation Research Unit, University Institute of Health Sciences (IUCS), Cooperativa de Ensino Superior Politécnico e Universitário (CESPU), 4585-116 Gandra, PortugalThe increasing demand for more aesthetic/comfortable orthodontic alternatives fostered the utilization of clear aligners in recent years. However, the efficacy of clear aligners for treating complex malocclusions is often treated with scepticism. This case series aims to evaluate the predictability of the Invisalign<sup>®</sup> First system in moderate and severe cases requiring interceptive orthodontic treatments in mixed dentition. A total of 23 patients with 102 interceptive orthodontic malocclusion traits were selected for orthodontic treatment with Invisalign<sup>®</sup> First and were examined over 18 months (Phase 1). Clinical assessments included ClinCheck<sup>®</sup> predictions, cephalometric measurements, and measuring tools commonly used to quantify tooth movement. Measurements taken at the beginning and end of the treatment were compared. The complexity degree of each case was established based on the set of problems presented by each patient. All treatment objectives were achieved within 18 months, except for two Class II cases, with 69% of them solved with the first set of aligners. Additional aligners were used in the remaining cases. Even though these 23 cases suggest that the Invisalign<sup>®</sup> First (Phase 1) may be effective in most interceptive problems, controlled randomized clinical trials are required to evaluate movement predictability and how this relates to the problem complexity and additional aligners required.https://www.mdpi.com/2227-9067/9/8/1176clear alignersearly diagnosis and treatmentinterceptive orthodontic treatmentInvisalign<sup>®</sup> First
spellingShingle Teresa Pinho
Duarte Rocha
Sofia Ribeiro
Francisca Monteiro
Selma Pascoal
Rui Azevedo
Interceptive Treatment with Invisalign<sup>®</sup> First in Moderate and Severe Cases: A Case Series
Children
clear aligners
early diagnosis and treatment
interceptive orthodontic treatment
Invisalign<sup>®</sup> First
title Interceptive Treatment with Invisalign<sup>®</sup> First in Moderate and Severe Cases: A Case Series
title_full Interceptive Treatment with Invisalign<sup>®</sup> First in Moderate and Severe Cases: A Case Series
title_fullStr Interceptive Treatment with Invisalign<sup>®</sup> First in Moderate and Severe Cases: A Case Series
title_full_unstemmed Interceptive Treatment with Invisalign<sup>®</sup> First in Moderate and Severe Cases: A Case Series
title_short Interceptive Treatment with Invisalign<sup>®</sup> First in Moderate and Severe Cases: A Case Series
title_sort interceptive treatment with invisalign sup r sup first in moderate and severe cases a case series
topic clear aligners
early diagnosis and treatment
interceptive orthodontic treatment
Invisalign<sup>®</sup> First
url https://www.mdpi.com/2227-9067/9/8/1176
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AT duarterocha interceptivetreatmentwithinvisalignsupsupfirstinmoderateandseverecasesacaseseries
AT sofiaribeiro interceptivetreatmentwithinvisalignsupsupfirstinmoderateandseverecasesacaseseries
AT franciscamonteiro interceptivetreatmentwithinvisalignsupsupfirstinmoderateandseverecasesacaseseries
AT selmapascoal interceptivetreatmentwithinvisalignsupsupfirstinmoderateandseverecasesacaseseries
AT ruiazevedo interceptivetreatmentwithinvisalignsupsupfirstinmoderateandseverecasesacaseseries