Dentistry Journal最新文献

{"title":"The Protective Effects of Silver Fluoride Solution and Fluoride Varnish on Dental Erosion-An In Vivo Study.","authors":"Julie Marie Haabeth Brox, Amela Tulek, Amer Sehic, Aida Mulic, Tor Paaske Utheim, Qalbi Khan","doi":"10.3390/dj13020046","DOIUrl":"10.3390/dj13020046","url":null,"abstract":"<p><p><b>Objectives:</b> Dental erosion has evolved into a common condition with growing concern in the dental community. The aim of this study was to explore the protective effects of two highly fluoridated products, silver fluoride solution (silver diamine fluoride-potassium iodide solution, SDF-KI) and fluoride varnish, on dental erosion in mouse. <b>Methods:</b> Two groups of ten young CD-1 mouse were given a cola drink ad libitum over a 6-week period. A prophylactic treatment with a silver fluoride solution (38% SDF 48,000 ppm F with a silver concentration of 253,900 ppm) and a fluoride varnish (NaF, 22,600 ppm F) were applied on the mandibular molars, performed under sedation twice a week during the whole experiment. Furthermore, two control groups of ten mice were included, a positive (cola drink) and a negative (distilled water) control. A terminal procedure was followed by dissection of mandibular molars and analysis of them using scanning electron microscopy (SEM). The first molars were transversely ground, further analyzed by SEM, and measured for tooth height and tooth tissue loss. <b>Results:</b> Analyses of mandibular molars treated with a fluoride varnish indicated a 5% decreased tooth tissue loss, compared to the molars which served as a positive control. The best effect was achieved with the application of silver fluoride solution, displaying a 35% decreased tooth tissue loss compared to the positive control group. <b>Conclusions:</b> Preventive treatment with a solution of silver fluoride solution exhibits greater protection against dental erosion compared to a traditional fluoride varnish. This study indicates that silver fluoride solution is an effective fluoride compound and is highly beneficial in a clinical setting with the aim of preventing dental erosion.</p>","PeriodicalId":11269,"journal":{"name":"Dentistry Journal","volume":"13 2","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11854291/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143491280","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative Analysis of Whitening Outcomes of Over-the-Counter Toothpastes: An In Vitro Study.","authors":"Md Sofiqul Islam, Vivek Padmanabhan, Kamar Ali Shanati, Ahmed Malalah Naser, Nada Tawfig Hashim, Smriti Aryal A C","doi":"10.3390/dj13020045","DOIUrl":"10.3390/dj13020045","url":null,"abstract":"<p><p><b>Background/Objectives</b>: Whiter teeth are widely accepted as the most beautiful. With the growing demand for whiter teeth, several manufacturers have launched different brands of whitening toothpaste claiming to be effective in removing tooth stains and whitening teeth. The objective of this in vitro study was to evaluate and compare the whitening effect of eight over-the-counter available toothpastes by measuring the changes in color using a digital colorimeter in a simulated staining-brushing cycle model. <b>Methods</b>: A total of 32 extracted bovine enamel were polished with 1000-2000 grit SIC paper and immersed in a tea staining solution for 30 min at 37 °C to create extrinsic staining. The specimens were randomly divided into eight groups (<i>n</i> = 4) and subjected to a staining-brushing cycle for 2 weeks. During this period, the specimens were stained for 5 min twice, brushed for 2 min twice per day, and immersed in artificial saliva for the remaining time. The colors of the enamel surfaces L*, a*, and b* were recorded, and the color difference (ΔE) was measured before the treatment and after 1 and 2 weeks of the staining-brushing cycle. <b>Results</b>: The repeated measures showed a significant reduction of (ΔE) after 1 week of the staining-brushing cycle in all eight experimental groups (<i>p</i> < 0.05). The (ΔE) was significantly reduced after the second week of the staining-brushing cycle in groups 1, 3, and 5 (<i>p</i> < 0.05). However, it was insignificant in groups 2, 6, 7, and 8 (<i>p</i> > 0.05). Among the tested materials, group 1 showed the highest and group 8 showed the lowest teeth-whitening effects. <b>Conclusions:</b> The over-the-counter toothpaste used in this study showed effective teeth-whitening. Charcoal-based toothpaste showed the highest efficiency in teeth whitening.</p>","PeriodicalId":11269,"journal":{"name":"Dentistry Journal","volume":"13 2","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11854843/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143491184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of Side Effects Between Miniscrew-Assisted Rapid Palatal Expansion (MARPE) and Surgically Assisted Rapid Palatal Expansion (SARPE) in Adult Patients: A Scoping Review.","authors":"Nicolò Sicca, Giulia Benedetti, Agnese Nieri, Sara Vitale, Gaia Lopponi, Silvia Mura, Alessio Verdecchia, Enrico Spinas","doi":"10.3390/dj13020047","DOIUrl":"10.3390/dj13020047","url":null,"abstract":"<p><p><b>Background/Objectives</b>: The aim of this study is to investigate the side effects of two techniques of rapid maxillary expansion-Surgically Assisted Rapid Palatal Expansion (SARPE) and Miniscrew-Assisted Rapid Palatal Expansion (MARPE)-in adult patients, to guide the selection of the most cost-effective clinical treatment plan. <b>Methods</b>: The review protocol was developed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis-extension for Scoping Reviews (PRISMA-ScR) guidelines. Eligibility criteria were defined based on the study objectives. The research team formulated a PICO question to identify relevant studies in the literature. Five databases were queried: MEDLINE (via PubMed), Scopus, Cochrane Library, Web of Science, and Embase. Additionally, a manual search was conducted. <b>Results</b>: The computer-assisted search identified 746 articles, of which only 26 fully met the inclusion criteria and were included in the scoping review. Among the included studies, 11 were retrospective, 12 were prospective, and 3 were randomized clinical trials. SARPE was evaluated in 21 studies, MARPE in 4 studies, and 1 article reported complications associated with both techniques. The side effects described in the studies were synthesized and categorized into five groups: expansion failure, asymmetric expansion, dentoalveolar issues, surgical complications, and appliance-related problems. <b>Conclusions</b>: The results indicate that both techniques involve risks. The most reported adverse effects were dentoalveolar and surgical in nature. Dentoalveolar side effects, such as dental tipping, were predominantly associated with the MARPE technique, while surgical complications were more commonly observed with the SARPE technique. Patient age is crucial for treatment choice as well as proper design and planning of the expansion device. Consequently, careful patient selection and treatment planning are essential to minimize the side effects of maxillary expansion in adult patients.</p>","PeriodicalId":11269,"journal":{"name":"Dentistry Journal","volume":"13 2","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11854554/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143491303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of Free Sugar Consumption on Dental Caries: A Cross-Sectional Analysis of Children in the United States.","authors":"Val Joseph Cheever, Amir Mohajeri, Kavina Patel, Richard Collin Burris, Man Hung","doi":"10.3390/dj13020048","DOIUrl":"10.3390/dj13020048","url":null,"abstract":"<p><p><b>Background/Objectives:</b> The excessive consumption of free sugars adversely impacts health, contributing to systemic disorders and significantly increasing the risk of dental caries. Children are particularly vulnerable to dental caries due to their dietary habits and oral hygiene practices. This study aimed to examine the relationship between sugar intake and dental caries experience in a sample of children aged 6-12 years. <b>Methods:</b> Data were analyzed from the National Health and Nutrition Examination Survey (NHANES) covering the years 2011-2016. This cross-sectional study utilized nationally representative data from NHANES, which provides comprehensive health assessments on the U.S. population. This study focused on 3658 children aged 6-12 years. Free sugar intake and its association with dental caries were evaluated using the Decayed, Missing, and Filled Teeth (DMFT) index, a widely accepted measure for assessing cumulative caries experience in permanent teeth. Demographic and socioeconomic factors were also accounted for. The sample primarily consisted of generally healthy children, with mild to moderate health conditions included in the analysis. <b>Results:</b> The average Decayed, Missing, and Filled Teeth (DMFT) score was 1.69 (SD = 2.61). Untreated dental caries affected 19.1% of the sample, with disproportionately higher rates observed among Mexican American children (23.8%), children from lower socioeconomic backgrounds (24.2%), those with less-educated parents (25.1%), and overweight children (22.9%). Mean daily free sugar intake was 72.46 g (SD = 50.45), with significant variations across race/ethnicity, parental education, and gender. A statistically significant association was found between free sugar intake and dental caries in U.S. children (<i>p</i> < 0.001). <b>Conclusions:</b> Free sugar intake is strongly associated with an increased risk of dental caries. Disparities in caries prevalence were evident based on race/ethnicity, socioeconomic status, and parental education levels. Regulating sugar intake and promoting dietary education are effective strategies to reduce the risk of dental caries and improve oral health outcomes among children.</p>","PeriodicalId":11269,"journal":{"name":"Dentistry Journal","volume":"13 2","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11854531/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143491322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Immediate Patient Satisfaction with Dental Esthetics After Endodontic and Prosthodontic Treatment of Dental Dyschromia.","authors":"Adrian Jantea, Sorin Gheorghe Mihali, Dan Lolos, Anca Tudor, Roxana Oancea, Liliana Porojan","doi":"10.3390/dj13010044","DOIUrl":"10.3390/dj13010044","url":null,"abstract":"<p><p><b>Objectives:</b> This study aimed to evaluate patients' satisfaction with the esthetic outcomes of combined endodontic and prosthetic treatments for devitalized or dyschromic teeth, a condition influenced by various intrinsic and extrinsic factors that present a growing concern in modern dentistry. <b>Methods:</b> A total of 104 patients, including 43 men and 61 women, underwent treatment using lithium disilicate restorations for esthetic zones and zirconium oxide restorations for regions with higher occlusal demands. Patient satisfaction was evaluated through a post-treatment questionnaire, classifying responses as either \"satisfied\" or \"dissatisfied\". Dissatisfied participants were further asked to specify their concerns. <b>Results:</b> The study revealed a high satisfaction rate of 93%. Dissatisfaction was slightly more prevalent among women than men, but this difference was statistically insignificant. The primary reasons for dissatisfaction included darker restoration color, chipping, and gingival recessions. <b>Conclusions:</b> Combined endodontic and prosthetic treatments, utilizing lithium disilicate and zirconium oxide restorations, achieved high levels of patient satisfaction. Nevertheless, addressing specific issues, such as color matching and gingival health, could enhance outcomes further.</p>","PeriodicalId":11269,"journal":{"name":"Dentistry Journal","volume":"13 1","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11764403/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143031926","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Practical Implications in Contemporary Dental Aesthetics-Shade Selection Assessment Using Intraoral Scanners.","authors":"Alice Arina Ciocan Pendefunda, Cristina Gena Dascalu, Sebastian Bahrim, Cristina Iordache, Odette Luca, Magda-Ecaterina Antohe","doi":"10.3390/dj13010043","DOIUrl":"10.3390/dj13010043","url":null,"abstract":"<p><p><b>Background/Objectives:</b> Aesthetics is a challenging aspect to restore for both dentists and dental technicians. One of the characteristics of aesthetic restoration is the shade. The purpose of the study is to assess the accuracy of the shade selection feature of intraoral scanners (CEREC Omnican, 3Shape TRIOS) in comparison with an already established method-the VITA Easyshade V spectrophotometer (VE)-and test if there is any significant difference between the three devices. <b>Methods:</b> To conduct this in vitro study, the VITA Classical shade guide was used. The intraoral scanners would not be able to scan the VITA Classical as it is, hence, a study model (SM) was fabricated. To be able to test the accuracy of the intraoral scanners (IOSs) in detecting the dental color, a spectrophotometer had to be included in the study, as it was shown that it is the most accurate instrument for this purpose. Therefore, for the current study, the VITA Easyshade V spectrophotometer (VITA Zahnfabrik, Bad Sackingen, Germany) was selected. <b>Results:</b> The accuracy of the three devices when measuring the shade of the study model was calculated as a percentage. When comparing the primary results of the VE and the results obtained by the Omnicam and TRIOS, the latter is the most accurate (26.67%), whereas the other two scored 20%. The study also revealed the limitations of the instrumental devices that were used. <b>Conclusions:</b> First, both the VE and IOSs obtained unexpectedly low accuracy results. Possibly, the material VC is made of influenced the final accuracy values, but in practice, on a daily basis, dental materials represent a factor that cannot really be controlled.</p>","PeriodicalId":11269,"journal":{"name":"Dentistry Journal","volume":"13 1","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11763794/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143032160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical Outcomes and Complication Rates of Endodontically Treated Teeth with Fixed Dental Prostheses: A Retrospective Study.","authors":"Sarah Aloqayli, Hanin Alsalhi, Ali Alenezi","doi":"10.3390/dj13010042","DOIUrl":"10.3390/dj13010042","url":null,"abstract":"<p><p><b>Background/Objectives</b>: Endodontically treated teeth (ETT) often have significant structural damage and require multiple reinforcing methods during the reconstruction process. The aim of this study was to evaluate the complication rates of ETT with and without a post. <b>Methods</b>: The study investigated various clinical factors, including technical complications as well as biological complications. All patients who had previously received fixed dental prostheses (FDPs) were subjected to clinical and radiographical examinations during their follow-up visits. Clinical and radiographic assessments were performed to determine the cumulative survival rate, and life table survival analyses of FDPs in the presence of complications were performed. <b>Results</b>: A total of 287 ETT were evaluated in this study, in which 219 were placed in females and 68 in males, with an average follow-up time of 82.4 months. There were no significant differences between ETT with a post and ETT without a post regarding the complication rates. The complication rates of the FDPs without a post revealed a survival rate of 58% after 5 years, 44% after 10 years, and 29% after 15 years. On the other hand, the complication rates of the FDPs with a post revealed survival rates of 50%, 30%, and 21% after 5, 10, and 15 years, respectively. The Kaplan-Meier survival analysis showed no significant differences in the complication rates, regardless of the existing of the posts (<i>p</i> = 0.830). <b>Conclusions</b>: ETT restored with FDPs with or without a post can show similar complication rates in a long-term evaluation. Furthermore, the types of final restoration may not have an effect on the complication rate with ETT.</p>","PeriodicalId":11269,"journal":{"name":"Dentistry Journal","volume":"13 1","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11764337/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143032617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Does the Type of Resin Luting Material Affect the Bonding of CAD/CAM Materials to Dentin?","authors":"Burcu Dikici, Elif Türkeş Başaran, Esra Can","doi":"10.3390/dj13010041","DOIUrl":"10.3390/dj13010041","url":null,"abstract":"<p><p><b>Background/Objectives:</b> This study aimed to investigate the microtensile bond strength (µTBS) of composite-based (Cerasmart), polymer-infiltrated (Vita Enamic), and feldspathic (Cerec) CAD/CAM blocks luted to dentin using a dual-cure resin cement (LinkForce), as well as micro-hybrid (G-aenial) and flowable composites (G-aenial Universal Flo), and evaluate the microhardness (HV) of luting materials through the CAD/CAM blocks. <b>Methods:</b> Cerasmart, Enamic, and Cerec were luted to dentin using three luting materials; LinkForce, G-aenial, and Universal Flo (n = 5). For HV, 117 disk-shaped specimens from LinkForce, G-aenial, and Universal Flo (n = 13) were polymerized through 3 mm thick CAD/CAM. Thirty-nine light-cured specimens without CAD/CAM were used as control. Following 24 h storage, the µTBS and HV were evaluated. Data were analyzed using the two-way ANOVA and post hoc Tukey tests (<i>p</i> < 0.05). <b>Results:</b> The µTBS to dentin and HV were significantly influenced by the type of luting material and CAD/CAM material. With all the CAD/CAM materials, LinkForce and Universal Flo exhibited a significantly similar µTBS to that of dentin (<i>p</i> > 0.05). Compared with the control group, all the HV values of the luting materials decreased significantly (<i>p</i> < 0.05). <b>Conclusions:</b> Heavily filled flowable composites exhibit a bonding effectiveness similar to that of dual-cure resin cements. All the luting materials showed similar HV when polymerized through the polymer-infiltrated CAD/CAM material.</p>","PeriodicalId":11269,"journal":{"name":"Dentistry Journal","volume":"13 1","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11763494/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143032619","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Influence of Posterior Class II Composite Restoration Location and Techniques on Marginal Sealing.","authors":"Mishel Haddad, Diva Lugassy, Mohana Barhum, Tamar Brosh, Shlomo Matalon","doi":"10.3390/dj13010039","DOIUrl":"10.3390/dj13010039","url":null,"abstract":"<p><p><b>Background/Objectives</b>: The success of treatment and prevention for secondary caries hinges significantly on the techniques employed in Class II composite restoration. Additionally, the location of the restored tooth within the oral cavity has emerged as a potential factor determining the quality of the restoration. A comprehensive understanding of these interrelated variables is crucial for advancing the efficacy and durability of dental composite restorations. The aim of this study was to assess how various restoration techniques and the specific location of the tooth restoration in the oral cavity affect marginal sealing, verified by the gap created in the tooth-restoration interface. <b>Methods</b>: Sixty extracted human teeth that had been indicated for orthodontic extraction were collected and embedded into a custom-made holder that was located in one of the four quadrants of a laboratory phantom head. Class II resin composite restorations, using flowable and packable composites, were performed on all teeth using two techniques: Pre-cure and Co-cure. The aging of the restored teeth was conducted using cyclic loading and thermocycling. After aging, the teeth were examined under a scanning electron microscope to measure the gap within the tooth-composite interface. Kolmogorov-Smirnov tests were used to assess the data distribution. Unpaired <i>T</i>-tests were employed to compare the mean gaps between the Pre-cure and Co-cure techniques. Additionally, unpaired <i>T</i>-tests were utilized to compare the mean gaps between the mesial and distal parts of the teeth. The Kruskal-Wallis test was used to compare the mean gaps among the four quadrants. The statistical significance was set at <i>p</i> = 0.05. <b>Results</b>: No significant difference in the gaps between the Pre-cure and Co-cure techniques was found (<i>p</i> = 0.212). The tooth's location did not generally affect the restoration's gap interface (<i>p</i> = 0.136). <b>Conclusions</b>: Flowable composites aid in restoring the deep margins of Class II composite restoration. Thus, the potential for further microleakage is similar for both the Pre-cure and Co-cure restoration techniques. The marginal seal of Class II composite restorations is effective when using both Pre-cure and Co-cure techniques, and the restoration site within the oral cavity does not significantly influence the tooth-composite interface seal.</p>","PeriodicalId":11269,"journal":{"name":"Dentistry Journal","volume":"13 1","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11763528/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143032436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clear Aligner Treatment: Indications, Advantages, and Adverse Effects-A Systematic Review.","authors":"Clara Rasborg Hartogsohn, Liselotte Sonnesen","doi":"10.3390/dj13010040","DOIUrl":"10.3390/dj13010040","url":null,"abstract":"<p><p><b>Background/Objectives</b>: Clear aligner treatment (CAT) has gained interest among clinicians as well as among patients. The aim of the present study was to systematically review the literature regarding current viewpoints on indications, contraindications, advantages, disadvantages, and adverse effects in CAT. <b>Methods</b>: A search was performed in the PubMed and Embase databases, yielding 18 studies eligible for inclusion. <b>Results</b>: Current indications for CAT are mild to moderate malocclusions. Severe malocclusions with impactions or severe craniofacial skeletal deviations are contraindications. The advantages were oral hygiene and oral health as the most common, and disadvantages of CAT have been noted by several studies, including CAT still being inferior to fixed appliance treatment (FAT) in all orthodontic movements. Adverse effects were potential health risks due to microplastics and a decrease in condyle bone volume. <b>Conclusions</b>: No firm conclusions can be drawn regarding indications for CAT except for mild to moderate malocclusion. Severe malocclusions with impactions or severe craniofacial skeletal deviations are considered contraindications. In more complex cases, CAT is still considered inferior to FAT, although CAT contains advantages. There are disadvantages in CAT which clinicians should consider when choosing a type of orthodontic appliance for treating specific malocclusions. Only a few adverse effects in CAT were presented by the included studies. More high-quality research is needed regarding indications and contraindications for CAT.</p>","PeriodicalId":11269,"journal":{"name":"Dentistry Journal","volume":"13 1","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11764167/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143032616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}