Trial reportJournal of orofacial orthopedics = Fortschritte der Kieferorthopadie : Organ/official journal Deutsche Gesellschaft fur Kieferorthopadie2015
Periodontal health in teenagers treated with removable aligners and fixed orthodontic appliances.
Trial report in Journal of orofacial orthopedics = Fortschritte der Kieferorthopadie : Organ/official journal Deutsche Gesellschaft fur Kieferorthopadie, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 75 papers, 7 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
75 citing papers in PubMed, 7 syntheses or guidelines pooled it, 153 citations in OpenAlex.
- Root resorption caused by aligners, self-ligating appliances, and conventional fixed appliances: a CBCT-based meta-analysis.BMC oral health · 2025Pooled it
- Effects of clear aligners treatment in growing patients: a systematic review.Frontiers in oral health · 2024Pooled it
- White spot lesions, plaque accumulation and salivary caries-associated bacteria in clear aligners compared to fixed orthodontic treatment. A systematic review and meta- analysis.BMC oral health · 2023Pooled it
- Assessment of the periodontal health status and gingival recession during orthodontic treatment with clear aligners and fixed appliances: A systematic review and meta-analysis.Medicina oral, patologia oral y cirugia bucal · 2023Pooled it
- Impact of Aligners and Fixed Appliances on Oral Health during Orthodontic Treatment: A Systematic Review and Meta-Analysis.Oral health & preventive dentistry · 2021Pooled it
- The periodontal status of removable appliances vs fixed appliances: A comparative meta-analysis.Medicine · 2020Pooled it
- Pooled it
- Evaluation of the impact of AI-based chatbot on orthodontic patient education: a preliminary randomised controlled trial.Clinical oral investigations · 2025Trial
- Orthognathic surgery and aligners. A comparative assessment of periodontal health and quality of life in postsurgical orthodontic treatment with aligners versus traditional fixed appliances: a randomized controlled trial.Medicina oral, patologia oral y cirugia bucal · 2023Trial
- Comparison between clear aligners and 2 × 4 mechanics in the mixed dentition: a randomized clinical trial.The Angle orthodontist · 2023Trial
- Fluoride varnish, ozone and octenidine reduce the incidence of white spot lesions and caries during orthodontic treatment: randomized controlled trial.Scientific reports · 2022Trial
- Differences in finished case quality between Invisalign and traditional fixed appliances.The Angle orthodontist · 2022Trial
- Effects of adhesive flash-free brackets on enamel demineralization and periodontal status.The Angle orthodontist · 2020Trial
- Debonding of Clear Aligner Attachments With Fluorescence-Aided Identification Technique (FIT): An In Vitro Study.The journal of adhesive dentistry · 2026Article
- Impact of common cleaning protocols on the surface integrity and nanoscale topography of PET-G clear aligners: an AFM and profilometric study.BMC oral health · 2026Article
- Biocompatibility of a novel directly printed orthodontic aligner at variable material thicknesses.Scientific reports · 2026Article
- Article
- Do treatment outcomes of clear aligners remain stable over time? A systematic review.Journal of orthodontic science · 2026Review
- Influence of Water Storage on the Mechanical Properties of 3D-Printed Aligners: An In Vitro Study.Bioengineering (Basel, Switzerland) · 2025Article
- Article
15 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThe purpose of this study was to explore the microbiological and periodontal changes occurring in adolescents during 12 months of orthodontic therapy with removable aligners and with fixed appliances. MATERIAL AND
methodsDuring the years 2012-2013, 50 teenagers aged 10-18 years with similar initial orthodontic conditions participated in this trial in a university clinic in northern Italy. After receiving professional oral hygiene and instructions on a standardized oral hygiene protocol, the adolescents were randomly assigned to either orthodontic treatment with traditional fixed brackets (n = 25) or to treatment with Invisalign® aligners (n = 25). Subgingival microbiological samples, probing depth (PD), plaque index (PI), and bleeding on probing (BOP) were obtained and documented from the mesiovestibular subgingival sulcus of the upper right first molar and left central incisor at the beginning of treatment and 3, 6, and 12 months later. Compliance with oral hygiene procedures, full mouth plaque score (FMPS), and full mouth bleeding score (FMBS) were assessed at the beginning of treatment and 12 months later. Two sample independent t-tests and the χ(2) test were used to study whether the indices of periodontal health differed in the teenagers due to the experimental conditions.
resultsNone of the patients was positive for the periodontal anaerobes analyzed. The PI, PD, BOP, FMPS, and FMBS scores were significantly lower and compliance with oral hygiene was significantly higher in the group treated with Invisalign® than in the group treated with fixed brackets.
conclusionTeenagers treated with removable appliances display better compliance with oral hygiene, less plaque, and fewer gingival inflammatory reactions than their peers with fixed appliances.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.