The Impact of Malocclusion Severity on the Number of Prescribed, Used Aligners and Treatment Duration; A Retrospective, Singe-Centre, Cohort Study.

IF 2.7 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE
Angeliki Anna Gkinosati, Candice Durgnat, Effimia Koumpia, Nikolaos Pandis, Christodoulos Laspos, Alexandra K Papadopoulou
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引用次数: 0

Abstract

Objective: To assess the impact of baseline malocclusion severity on the number of prescribed, used aligners and treatment duration.

Materials and methods: An unrestricted, independent search was conducted on the Invisalign ClinCheck database of a private practice for patients without any missing anterior teeth and whose treatment was finished between April 2021 and December 2024. Descriptive statistics were generated, and the feature selection Boruta algorithm (random forest algorithm) was implemented to identify important predictors for the number of aligners (prescribed, used) and treatment duration.

Results: A total of 404 patients were included (age: 29.57 [10.7] years). Mean numbers of prescribed, used and unused aligners were 72.21 (37.52), 65.63 (30.40) and 6.57 (14.09), respectively. Important predictors of the numbers of the prescribed and used aligners were relatively similar and included molar and canine relationships, maxillary crowding, overjet, presence and number of missing or extracted posterior teeth, overbite, presence and number of teeth in posterior crossbite and midline discrepancies. Treatment duration was associated with baseline maxillary crowding, molar and canine relationships, overjet, overbite, midline discrepancies and the presence and number of missing or extracted posterior teeth.

Conclusions: Factors related to the baseline malocclusion severity significantly affect the number of prescribed, used aligners and treatment duration. This information could be used for informed practice and patient communication, including future evaluation of the biological and environmental footprint of aligners.

错牙合严重程度对使用矫正器数量和治疗时间的影响回顾性、单中心、队列研究。
目的:评估基线错颌严重程度对处方、使用矫正器数量和治疗时间的影响。材料和方法:在一家私人诊所的Invisalign ClinCheck数据库中,对2021年4月至2024年12月期间没有任何前牙缺失的患者进行了不受限制的独立搜索。生成描述性统计数据,并实施特征选择Boruta算法(随机森林算法)来识别校准器(规定的、使用的)数量和治疗时间的重要预测因子。结果:共纳入404例患者,年龄29.57[10.7]岁。处方矫正器、使用矫正器和未使用矫正器的平均数量分别为72.21(37.52)、65.63(30.40)和6.57(14.09)。规定的和使用的牙齿矫正器数量的重要预测因素相对相似,包括磨牙和犬牙关系,上颌拥挤,覆盖,缺失或拔出后牙的存在和数量,覆盖,后牙交叉咬合中牙齿的存在和数量以及中线差异。治疗时间与基线上颌拥挤、磨牙和犬齿关系、覆盖、覆盖咬合、中线差异以及缺失或拔出后牙的存在和数量有关。结论:与基线错牙合严重程度相关的因素显著影响处方、使用矫正器的数量和治疗时间。这些信息可用于知情实践和患者沟通,包括未来评估校准器的生物和环境足迹。
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来源期刊
Orthodontics & Craniofacial Research
Orthodontics & Craniofacial Research 医学-牙科与口腔外科
CiteScore
5.30
自引率
3.20%
发文量
65
审稿时长
>12 weeks
期刊介绍: Orthodontics & Craniofacial Research - Genes, Growth and Development is published to serve its readers as an international forum for the presentation and critical discussion of issues pertinent to the advancement of the specialty of orthodontics and the evidence-based knowledge of craniofacial growth and development. This forum is based on scientifically supported information, but also includes minority and conflicting opinions. The objective of the journal is to facilitate effective communication between the research community and practicing clinicians. Original papers of high scientific quality that report the findings of clinical trials, clinical epidemiology, and novel therapeutic or diagnostic approaches are appropriate submissions. Similarly, we welcome papers in genetics, developmental biology, syndromology, surgery, speech and hearing, and other biomedical disciplines related to clinical orthodontics and normal and abnormal craniofacial growth and development. In addition to original and basic research, the journal publishes concise reviews, case reports of substantial value, invited essays, letters, and announcements. The journal is published quarterly. The review of submitted papers will be coordinated by the editor and members of the editorial board. It is policy to review manuscripts within 3 to 4 weeks of receipt and to publish within 3 to 6 months of acceptance.
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