Evidence map›Paper›PMID 36641738›Full record

SynthesisMedicina oral, patologia oral y cirugia bucal2023

Assessment of the periodontal health status and gingival recession during orthodontic treatment with clear aligners and fixed appliances: A systematic review and meta-analysis.

M Crego-Ruiz, A Jorba-García

2 registry-linked trialsOpen access · diamondAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Medicina oral, patologia oral y cirugia bucal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
7.1field-weighted citation impact, top 2% of its field
1 · What the graph read from 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.

2 · The registry

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.

NCT07642037 nacompletednot on this mapstarted 2025, after this paper: background citation

Marginal Biofilm Distribution and Periodontal Response to Supragingival and Juxtagingival Aligner Designs: A Prospective Split-Mouth Clinical Study

TypeinterventionalSponsorGeorge Emil Palade University of Medicine, Pharmacy, Sciences and Technology of Targu MuresRan2025 to 2026Enrolled20ConditionsPeriodontal Diseases, Dental Plaque, GingivitisArmsSupragingival aligner trimming-line, Juxtagingival festooned aligner trimming-line
NCT07660809 completednot on this mapstarted 2026, after this paper: background citation

Comparison of Patient-Reported Comfort Between Supragingival and Juxtagingival Clear Aligner Trimming-Line Designs: A Cross-Sectional, Within-Subject Split-Mouth Study

TypeobservationalSponsorGeorge Emil Palade University of Medicine, Pharmacy, Sciences and Technology of Targu MuresRan2026 to 2026Enrolled70ConditionsPatient Comfort, Malocclusion, Oral HealthArmsSupragingival trimming-line design, Juxtagingival festooned trimming-line design
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 34 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

2 authors at 2 institutions in 1 country.

M Crego-RuizFaculty of Medicine and Health Sciences Campus de Bellvitge. University of Barcelona C/ Feixa Llarga s/n; Pavelló Govern, 2ª planta, Despatx 2.9 08907 - L'Hospitalet de Llobregat (Barcelona), Spain adriajorba@hotmail.com.
A Jorba-García
Ajuntament de L’Hospitalet · ESUniversitat de Barcelona · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim was to assess periodontal health maintenance and gingival recessions development in patients undergoing an orthodontic treatment with clear aligners (CA) and fixed appliances (FA). MATERIAL AND

methodsAn electronic search in MEDLINE, Scopus, The Cochrane Library, and Web of Science was performed up to September 2022 to identify all potential articles. Two investigators independently selected the studies according to the inclusion criteria. Prospective and retrospective studies assessing the periodontal health status and gingival recession development during the orthodontic treatment with buccal FA and CA were included. Case series, cross-sectional studies, and studies with less than two months of follow-up were excluded. Two investigators independently extracted the data from included articles and assessed risk of bias across studies using the Cochrane Collaboration tool. Qualitative and quantitative analyses of the data were performed. Pairwise meta-analysis using a random-effects model were used to compare periodontal indices between FA and CA treatment in different follow-up periods.

resultsFrom the 129 potential studies, finally 12 studies were included. Only 8 could be included in the quantitative analysis. CA seems to slightly maintain better periodontal health indices. Only plaque index in a mid-term follow-up (mean difference (MD): -0.99; 95%; Confidence interval (CI) [-1.94 to -0.03]; P=.04; I2=99%), and pocket probing depth at a long-term follow-up (MD: -0.93mm; 95% CI [-1.16 to 0.7]; P<0.0001) reported statistically significant results favoring CA.

conclusionsUp to the date there is not enough evidence to conclude that CA maintains better periodontal health during an orthodontic treatment than FA.

Indexed as

Gingival RecessionOrthodontic Appliances, RemovableCross-Sectional StudiesHumansOrthodontic AppliancesOrthodontic Appliances, FixedProspective StudiesRetrospective Studies

Identifiers

PMID36641738
PMCPMC10314350
OpenAlexW4316335320

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.