Accuracy of Invisalign® on Upper Incisors: A Systematic Review.

IF 0.8 Q4 DENTISTRY, ORAL SURGERY & MEDICINE
Aline Gonçalves, Athénaïs Collard, Francisca Monteiro, David Matos, Óscar Carvalho, Rui Azevedo, Filipe S Silva, Teresa Pinho
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引用次数: 1

Abstract

The current systematic review appraises the effectiveness of the types of tooth movements performed with Invisalign® clear aligner on the maxillary incisors. An electronic literature search of published trials was performed through PubMed, LILACS, Scopus, Cochrane Library, and Web of Science databases, and selected journals, from 2009 to 2020. Out of 291 references, five relevant publications were identified for analysis: four studies were performed retrospectively and one prospectively, all non-randomized. Despite the limited set of selected articles, the sample size is significant, with 148 subjects included in the reviewed studies involving the orthodontic treatment of upper incisors. We concluded that movements with the Invisalign® clear aligner on the upper incisors present distinct accuracy, possibly related with movement complexity; intrusion of the incisors has low accuracy (in some cases, 0% of accuracy was reported when the tooth extruded), while incisor extrusion exhibit some of the highest accuracy values reported in the included studies (45%-142%, when the achieved movement was greater than the predicted). Besides, axial (i.e., torque and tip) and horizontal (i.e., translation and rotation) movements are usually effective, with accuracy values between 39%-156% and 42%-79%, respectively. Overall, we determined that the efficiency of aligner to reach the desired movements in the upper incisors was low, as often refinements were required in the included studies. The use of aligner features must be more often considered to improve movement accuracy.

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Invisalign®在上门牙上的准确性:系统评价。
目前的系统综述评估了使用Invisalign®透明矫正器在上颌门牙上进行牙齿运动类型的有效性。从2009年到2020年,通过PubMed、LILACS、Scopus、Cochrane Library和Web of Science数据库以及选定的期刊对已发表的试验进行电子文献检索。在291篇参考文献中,有5篇相关的出版物被确定用于分析:4项研究是回顾性的,1项是前瞻性的,所有研究都是非随机的。尽管所选文章的集合有限,但样本量很重要,有148名受试者纳入了所审查的涉及上门牙正畸治疗的研究。我们的结论是,使用Invisalign®透明矫正器在上门牙上的运动具有明显的准确性,可能与运动复杂性有关;门牙的侵入精度较低(在某些情况下,牙挤压时报告的精度为0%),而门牙挤压在包括的研究中显示出一些最高的精度值(45%-142%,当实现的运动大于预测时)。此外,轴向(即扭矩和尖端)和水平(即平移和旋转)运动通常是有效的,精度值分别在39%-156%和42%-79%之间。总的来说,我们确定矫正器在上门牙达到预期运动的效率很低,因为在纳入的研究中经常需要改进。必须经常考虑使用对准器功能来提高运动精度。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Turkish Journal of Orthodontics
Turkish Journal of Orthodontics Dentistry-Orthodontics
CiteScore
2.10
自引率
9.10%
发文量
34
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