ArticleProgress in orthodontics2023
A quantitative three-dimensional comparative study of alveolar bone changes and apical root resorption between clear aligners and fixed orthodontic appliances.
Article in Progress in orthodontics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 3 of them syntheses that pooled it.
What it found
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Who cites it
24 citing papers in PubMed, 3 syntheses or guidelines pooled it, 35 citations in OpenAlex.
- Adverse effects of removable orthodontic aligners: A systematic review with single-arm meta-analysis.PloS one · 2026Pooled it
- Root resorption caused by aligners, self-ligating appliances, and conventional fixed appliances: a CBCT-based meta-analysis.BMC oral health · 2025Pooled it
- Root resorption in clear aligner treatment detected by CBCT: a Systematic review and Meta-analysis.International dental journal · 2024Pooled it
- Quantifying Root Resorption on the Incisors After Clear Aligner and Fixed Appliance Therapy Using Artificial Intelligence Tool Based CBCT Surface Models: Randomized Clinical Trial.Orthodontics & craniofacial research · 2026Trial
- CBCT-Based Assessment of External Apical Root Resorption in Clear Aligner Versus Fixed Orthodontic Therapy: A Systematic Review and Meta-Analysis.Healthcare (Basel, Switzerland) · 2026Review
- Article
- [Follow-up study evaluating morphological changes in alveolar bone in the maxillary anterior region after extraction retraction in adult patients treated with clear aligners on the basis of cone beam computed tomography data].Hua xi kou qiang yi xue za zhi = Huaxi kouqiang yixue zazhi = West China journal of stomatology · 2026Article
- Clinical Soft Tissue Adaptation to Biomechanical Modulation with the Bone Protection System (BPS): A Two-Case Report in Thin-Biotype Patients.Journal of clinical medicine · 2026Article
- Apical root resorption in Class III patients following pronounced mandibular incisor retraction with lingual high precision fixed appliances: a retrospective cohort study.Head & face medicine · 2026Article
- Resorption of roots in conventional braces versus advanced aligners: A comparative study.Bioinformation · 2026Article
- Three-dimensional alveolar bone changes and root resorption in Class I malocclusion treated with extraction and non-extraction protocols: a comparative study of fixed appliances and clear aligners.BMC oral health · 2025Article
- External Apical Root Resorption Following Orthodontic Treatment with Clear Aligners Versus Fixed Appliances: A Systematic Review and Meta-Analysis.Dentistry journal · 2025Review
- Factors influencing fenestration and dehiscence in the anterior teeth after clear aligner treatment: a multicenter retrospective study.Progress in orthodontics · 2025Article
- Alveolar bone changes and root resorption in adult patients undergoing mandibular molar distalization with clear aligners: a retrospective CBCT study.BMC oral health · 2025Article
- Article
- External apical root resorption assessment revisited: a scoping review.The Angle orthodontist · 2025Article
- Effects of torque overcorrection on mandibular incisor intrusion using clear aligners in the first premolar non-extraction and extraction conditions: a finite element analysis study.BMC oral health · 2025Article
- Root resorption in fixed versus clear aligner therapy: A CBCT-based comparative study.Bioinformation · 2025Article
- Panoramic evaluation of external root resorption in mandibular molars during orthodontic treatment: a comparison between root-filled and vital teeth treated with fixed appliances or clear aligners.BMC oral health · 2024Article
- Cone-Beam Computed Tomography Study of Incisive Canal and Maxillary Central Incisors in Dravidian Population.Cureus · 2024Article
Corrections and comments
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Authors and funding
7 authors at 5 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThis study aimed to evaluate and compare the alveolar bone changes and to investigate the prevalence and severity of orthodontically induced inflammatory root resorption (OIIRR) of maxillary incisors in patients who received treatment with clear aligners (CA) versus conventional fixed appliances (FA), using cone-beam computed tomography (CBCT).
methodsOne hundred sixty maxillary incisors from 40 patients with similar baseline characteristics based on the American Board of Orthodontics discrepancy index scores were divided into the CA and FA groups. The dentoalveolar quantitative changes were analyzed using pre- (T0) and post-treatment (T1) CBCT. The measured parameters included alveolar bone thickness (ABT), alveolar bone height (ABH), root length (OIIRR), and maxillary incisor inclinations.
resultsPost-treatment, the average palatal and total ABT significantly decreased in central and lateral incisors in the FA group. In contrast, the CA group's average labial ABT of the lateral incisors decreased considerably. Regarding the ABH, both groups showed significant labial and palatal marginal bone resorption. In both groups, root lengths significantly decreased after treatment (p < 0.005). The inter-group comparison revealed that ABT and root length had significantly decreased in the FA group compared to the CA group, while the ABH showed no significant difference between the two groups. The mean absolute reductions of ABT and OIIRR in the CA group were significantly less (- 0.01 ± 0.89 and 0.31 ± 0.42) than those in the FA group (0.20 ± 0.82 and 0.68 ± 0.97), respectively.
conclusionsCA and FA treatments appear to cause a significant ABT reduction and a statistically significant increased OIIRR in the maxillary incisor region, with a greater extent expected with FA treatment. However, the increased OIIRR values in the majority of both groups' cases were not clinically significant. Both treatment modalities resulted in a significant ABH reduction, with the highest found in the labial side of lateral incisors in the CA group.
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