» Articles » PMID: 38344587

Stability and Success of Clear Aligners in Orthodontics: A Narrative Review

Overview
Journal Cureus
Date 2024 Feb 12
PMID 38344587
Authors
Affiliations
Soon will be listed here.
Abstract

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.

Citing Articles

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.


Accuracy Evaluation of Indirect Bonding Techniques for Clear Aligner Attachments Using 3D-Printed Models: An In Silico and Physical Model-Based Study.

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.


Class II Correction and Crowding Treatment Using In-House Direct Printed Clear Aligners: A Literature Review and Case Report.

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.


References
1.
Galluccio G, De Stefano A, Horodynski M, Impellizzeri A, Guarnieri R, Barbato E . Efficacy and Accuracy of Maxillary Arch Expansion with Clear Aligner Treatment. Int J Environ Res Public Health. 2023; 20(5). PMC: 10002100. DOI: 10.3390/ijerph20054634. View

2.
Tripathi T, Singh N, Rai P, Kalra S . A Modified Clear Aligner. Int J Orthod Milwaukee. 2018; 27(2):29-31. View

3.
Liu X, Cheng Y, Qin W, Fang S, Wang W, Ma Y . Effects of upper-molar distalization using clear aligners in combination with Class II elastics: a three-dimensional finite element analysis. BMC Oral Health. 2022; 22(1):546. PMC: 9714146. DOI: 10.1186/s12903-022-02526-2. View

4.
Mao B, Tian Y, Xiao Y, Li J, Zhou Y . The effect of maxillary molar distalization with clear aligner: a 4D finite-element study with staging simulation. Prog Orthod. 2023; 24(1):16. PMC: 10183381. DOI: 10.1186/s40510-023-00468-1. View

5.
Xing X, Qin H, Sun J, Li K . Asymmetric Extraction Treatment in a Middle-Aged Patient with Dental Crowding and Protrusion using Clear Aligners. Case Rep Dent. 2023; 2023:8836409. PMC: 10482525. DOI: 10.1155/2023/8836409. View