Stability and Success of Clear Aligners in Orthodontics: A Narrative Review
Overview
Authors
Affiliations
The implementation of Clear Aligner Therapy (CAT) in adult orthodontics exemplifies the integration of advanced technology in the dental healthcare sector. Representing a significant shift in modern orthodontics, CAT offers a convenient and aesthetic alternative to traditional fixed appliance treatments for mal-aligned dentition. This narrative review aims to explore the applicability of CAT, delineating its biomechanics, indications, contraindications, scope, limitations, and factors influencing long-term stability and successful outcomes. A comprehensive literature search was conducted using databases like Google Scholar, PubMed, Cereus, and the Cochrane Library. Articles were selected based on their relevance to clear aligners, without brand specificity, and covered a wide range of cases to establish CAT's scope and limitations. This review includes individual case studies, systemic reviews, comparative analyses, case reports, finite element analyses, and prospective and retrospective analyses, all contributing to a nuanced understanding of CAT's applicability and long-term treatment stability. The conclusion underscores CAT's growing acceptance in orthodontics, including its application in challenging cases, and highlights key determinants that bolster its long-term efficacy.
Expert consensus on the clinical strategies for orthodontic treatment with clear aligners.
Wang Y, Long H, Zhao Z, Bai D, Han X, Wang J Int J Oral Sci. 2025; 17(1):19.
PMID: 40074738 PMC: 11904224. DOI: 10.1038/s41368-025-00350-2.
Raluca Fratila C, Alonso-Ezpeleta L, Poveda-Saenz M, Giovannini G, Lobo-Galindo A, Flores-Fraile J Materials (Basel). 2025; 18(4).
PMID: 40004304 PMC: 11857747. DOI: 10.3390/ma18040780.
Accuracy and Stability of Clear Aligner Treatment: A Systematic Review.
Vigneshkumar V, Deepak E, Ferreira V, Waremani A, Nishaevitha N, Ammal K J Pharm Bioallied Sci. 2025; 16(Suppl 4):S3077-S3079.
PMID: 39926927 PMC: 11805322. DOI: 10.4103/jpbs.jpbs_1048_24.
Retrospective Study on Orthodontic Gingival Recession Correction Using Clear Aligners.
Bucur S, Bud E, Decusara M, Olteanu C Medicina (Kaunas). 2025; 60(12.
PMID: 39768904 PMC: 11728395. DOI: 10.3390/medicina60122024.
Viet H, Lam T, Phuc N, Ngoc Lenh N, Thao D Cureus. 2024; 16(7):e65024.
PMID: 39165437 PMC: 11333988. DOI: 10.7759/cureus.65024.