ArticleJournal of clinical medicine2023
Occlusal Changes with Clear Aligners and the Case Complexity Influence: A Longitudinal Cohort Clinical Study.
Article in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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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.
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Who cites it
16 citing papers in PubMed, 19 citations in OpenAlex.
- The 'Roller Coaster Effect' in Clear Aligner Premolar Extraction Cases: Posterior Open Bite and Cephalometric Risk Factors.Orthodontics & craniofacial research · 2026Article
- Longitudinal analysis of bite force and strength of orofacial tissues during orthodontic aligner treatment.Journal of orofacial orthopedics = Fortschritte der Kieferorthopadie : Organ/official journal Deutsche Gesellschaft fur Kieferorthopadie · 2026Article
- Predictability of In-Office Clear Aligner at Final Canine Retraction: A Comparison of Interproximal Contact Tightness and Canine Distalization Between Virtual and Actual Outcomes in Premolar Extraction Cases.Orthodontics & craniofacial research · 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
- Dimensional stability of pet-g clear aligners with different thickness through cyclic compressive load tests: AnJournal of clinical and experimental dentistry · 2025Article
- The Impact of Clear Aligner Treatment in Masticatory Function and Temporomandibular Disorders: A Clinical Cohort Pilot Study.Healthcare (Basel, Switzerland) · 2025Article
- Orthodontic Management of Class II Malocclusion with Clear Aligners: Mandibular Advancement vs. Class II Elastics.Children (Basel, Switzerland) · 2025Article
- Three-Dimensional Analysis of Occlusal Plane Changes After Clear Aligner Therapy: A Retrospective Study.International journal of dentistry · 2025Article
- Effects of Class II elastics on lower incisors during treatment with clear aligners vs. fixed appliance: a randomized clinical trial.Frontiers in dental medicine · 2025Article
- Teenage Patients with Class II Subdivision Treated with Aligners and Elastics: A Retrospective Study.Medicina (Kaunas, Lithuania) · 2024Article
- An Evaluation of the Estimated Aligners Needed to Correct Malocclusion Traits Using Invisalign ClinCheck™ Pro Software: A Retrospective Study.Journal of clinical medicine · 2024Article
- Anatomical factors of the maxillary tuberosity that influence molar distalization.Korean journal of orthodontics · 2024Article
- The Impact of Technology Teaching in the Dental Predoctoral Curriculum on Students' Perception of Digital Dentistry.Dentistry journal · 2024Article
- Curve of Spee modification in different vertical skeletal patterns after clear aligner therapy: a 3D set-up retrospective study.Progress in orthodontics · 2024Article
- Clear Aligners and Miniscrews in a Scissor Bite Adult Treatment.Case reports in dentistry · 2024Article
- Efficiency and Predictability of Coronal Maxillary Expansion Repercussion with the Aligners System: A Retrospective Study.Dentistry journal · 2023Article
Corrections and comments
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Authors and funding
10 authors at 4 institutions in 3 countries.
Funding
Abstract
backgroundClear aligners (CA) are used 22 h daily, creating a bite-block effect. This work aims to (i) analyze occlusal changes before the beginning of treatment, after the first set of CA and after the use of additional aligners; (ii) compare planned occlusal contacts with the ones obtained after the first set of CA; (iii) analyze the occlusal changes occurred after reaching the orthodontic goals after 3 months of using CA only at night; (iv) evaluate and characterize which tooth movements did not allow the treatment to be completed at the end of the first set of aligners, and finally (v) verify the possible relation between the changes in occlusal contact and areas and parameters such as case complexity and facial biotype. MATERIALS AND
methodsA quantitative, comparative, and observational longitudinal cohort study design was implemented to evaluate the clinical data and the complexity levels of cases receiving CA. A non-probabilistic and convenience sample of 82 individuals was recruited. The orthodontic malocclusion traits were classified as simple, moderate, or complex corrections based on the basis of the Align
resultsA statistically significant decrease in area and occlusal contacts number were observed from before the start of orthodontic treatment (T0) to the end of treatment (T1). The changes in the occlusal area (from T0 to T1) were statistically different between hyperdivergent (28.24 [15.51-40.91]) and hypodivergent (16.23 [8.11-24.97]) biotypes (
conclusionsOcclusal contact and area were decreased, either at the end of the first set or after the use of additional aligners. Anterior occlusal contacts obtained were higher than planned as opposed to posterior occlusal contacts obtained. The hardest tooth movements to achieve to complete the treatment were distalization, rotation, and posterior extrusion. After completing orthodontic treatment (T1) to 3 months after (T2) using additional aligners only at night, posterior occlusal contacts were significantly increased, which could be due to the natural settling of the teeth in this period.
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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.