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.
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.
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.
Marginal Biofilm Distribution and Periodontal Response to Supragingival and Juxtagingival Aligner Designs: A Prospective Split-Mouth Clinical Study
Comparison of Patient-Reported Comfort Between Supragingival and Juxtagingival Clear Aligner Trimming-Line Designs: A Cross-Sectional, Within-Subject Split-Mouth Study
Who cites it
24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 34 citations in OpenAlex.
- Adverse effects of removable orthodontic aligners: A systematic review with single-arm meta-analysis.PloS one · 2026Pooled it
- The effectiveness of oral irrigators on periodontal health status and oral hygiene of orthodontic patients: a systematic review and meta-analysis.BMC oral health · 2024Pooled it
- Plaque removal efficacy of manual versus powered toothbrushes in patients with clear aligners: a single-brushing randomized controlled trial.BMC oral health · 2026Trial
- Evaluation of Salivary Total Oxidant Status (TOS) and Total Antioxidant Status (TAS) in Orthodontic Patients Treated With Clear Aligners vs Conventional Brackets.Medical science monitor : international medical journal of experimental and clinical research · 2026Article
- Article
- Review
- Clear Aligner Therapy and Marginal Edge Design: Clinical and Laboratory Evidence on Periodontal and Biological Outcomes-A Scoping Review.Dentistry journal · 2026Review
- Review
- Review
- The Effect of Periodontally Accelerated Osteogenic Orthodontics on Periodontal Phenotypes in Adult Patients With Skeletal Class II Malocclusion: A Retrospective Cohort Study.International dental journal · 2026Article
- Evaluating the Impact of Clear Dental Aligners on Dental and Periodontal Conditions, Oral Microbial Patterns, and the Immune System.Advances in experimental medicine and biology · 2026Review
- Iterative finite element analysis of clear aligner-induced bodily canine movement under alveolar bone loss conditions.Korean journal of orthodontics · 2025Article
- Bacterial Colonization of Orthodontic Devices (Molar Bands, Nance Buttons, and Acrylic Plates) and Its Impact on the Marginal Periodontium and Palatal Fibromucosa in Teenagers: A Cross-Sectional Clinical-Microbiological Study.Medicina (Kaunas, Lithuania) · 2025Article
- Evaluation of the effect of periodontal health and orthodontic treatment on gingival recession: a cross-sectional study.BMC oral health · 2025Article
- Factors influencing open gingival embrasures in orthodontic treatment: a retrospective clinical study.Progress in orthodontics · 2025Review
- [Clinical efficacy of clear aligner treatment for pathologically migrated teeth in the anterior region of patients with severe periodontitis].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2025Article
- Three-Dimensional Analysis of Occlusal Plane Changes After Clear Aligner Therapy: A Retrospective Study.International journal of dentistry · 2025Article
- A finite element analysis on the execution effects of two novel distalization sequences in clear aligners.Frontiers in bioengineering and biotechnology · 2025Article
- Retrospective Study on Orthodontic Gingival Recession Correction Using Clear Aligners.Medicina (Kaunas, Lithuania) · 2024Article
- Periodontal changes induced by fixed orthodontic therapy.Medicine and pharmacy reports · 2024Article
Corrections and comments
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Authors and funding
2 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
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
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.