SynthesisInternational journal of environmental research and public health2023
Attachments for the Orthodontic Aligner Treatment-State of the Art-A Comprehensive Systematic Review.
Synthesis in International journal of environmental research and public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 3 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
31 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Evaluation of bonding of clear aligner attachments on aesthetic crown materials: a systematic review ofFrontiers in dental medicine · 2026Pooled it
- Predictability of mesiodistal movement of upper and lower molars with clear aligners: a systematic review.The Angle orthodontist · 2025Pooled it
- The biomechanical effects of clear aligner trimline designs and extensions on orthodontic tooth movement: a systematic review.BMC oral health · 2024Pooled it
- Comparison between flowable and flowable bulk-fill composites in the manufacture of attachments for orthodontic aligners: a split-mouth randomized clinical trial.Clinical oral investigations · 2026Trial
- Comparison of the effects of maxillary expansion applying rapid maxillary expanders or clear aligners in mixed dentition : A 3D finite element study.Journal of orofacial orthopedics = Fortschritte der Kieferorthopadie : Organ/official journal Deutsche Gesellschaft fur Kieferorthopadie · 2026Article
- Effects of attachment design and location on derotation of mandibular second premolars : A finite element analysis.Journal of orofacial orthopedics = Fortschritte der Kieferorthopadie : Organ/official journal Deutsche Gesellschaft fur Kieferorthopadie · 2026Article
- Effect of attachment design and light-curing duration on shear bond strength in clear aligners.BMC oral health · 2026Article
- Fit analysis of 3D-printed versus thermoformed clear aligners for labial tooth movement using micro-CT: an in vitro study.Scientific reports · 2026Article
- Tridimensional Analysis of Maxillary Teeth Movements in Premolar-Extraction Cases Treated With Clear Aligners.International dental journal · 2026Article
- The Accuracy of Maxillary Canines' Rotation with Different Attachment Designs: A Retrospective Study.Journal of clinical medicine · 2026Article
- Effects of attachment designs on clear aligner tooth movement: A finite element analysis.PloS one · 2026Article
- Influence of low viscosity resin infiltrant on the adhesion of orthodontic attachments.Dental press journal of orthodontics · 2026Article
- Clear aligner therapy: a scoping review of treatment prediction, clinical effectiveness, and limitations.Frontiers in dental medicine · 2026Review
- Effectiveness of Modified Clear Aligner Attachment Designs on Molar Extrusion: An In Vitro Typodont Study.Dentistry journal · 2025Article
- Properties enhancements of clear aligners after the laser surface texturing modification on thermoplastic polyurethane.Clinical oral investigations · 2025Article
- Shear Bond Strength and Enamel Effects of Bioactive Composite Attachments for Clear Aligners.Journal of clinical and experimental dentistry · 2025Review
- Clear Aligner Attachments: A Comprehensive Review.Turkish journal of orthodontics · 2025Article
- Evaluating the Clinical Success of Clear Aligners for Rotational Tooth Movements in Adult Patients: A Systematic Review.Dentistry journal · 2025Review
- Review
- Bonding Orthodontic Attachments to 3D-Printed Photosensitive Definitive Resin: An In Vitro Study.Dentistry journal · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn recent years the burden of aligner treatment has been growing. However, the sole use of aligners is characterized by limitations; thus attachments are bonded to the teeth to improve aligner retention and tooth movement. Nevertheless, it is often still a challenge to clinically achieve the planned movement. Thus, the aim of this study is to discuss the evidence of the shape, placement and bonding of composite attachments.
methodsA query was carried out in six databases on 10 December 2022 using the search string ("orthodontics" OR "malocclusion" OR "Tooth movement techniques AND ("aligner*" OR "thermoformed splints" OR "invisible splint*" AND ("attachment*" OR "accessor*" OR "auxill*" AND "position*").
resultsThere were 209 potential articles identified. Finally, twenty-six articles were included. Four referred to attachment bonding, and twenty-two comprised the influence of composite attachment on movement efficacy. Quality assessment tools were used according to the study type.
conclusionsThe use of attachments significantly improves the expression of orthodontic movement and aligner retention. It is possible to indicate sites on the teeth where attachments have a better effect on tooth movement and to assess which attachments facilitate movement. The research received no external funding. The PROSPERO database number is CRD42022383276.
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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.