Evidence map›Paper›PMID 40435056›Full record

ArticleDental press journal of orthodontics2025

Does the need for refinement sets of orthodontic clear aligners correlate with professional experience?

Victor de Miranda Ladewig, Kamila de Oliveira Novais Machado, Thaís Maria Freire Fernandes, Renata Rodrigues de Almeida-Pedrin, Paula Vanessa Pedron Oltramari, Márcio Rodrigues de Almeida, Ana Cláudia de Castro Ferreira Conti

Abstract read
In one paragraph

Article in Dental press journal of orthodontics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Victor de Miranda LadewigUniversity of North Paraná, Dental School, Department of Orthodontics (Londrina/PR, Brazil).ORCID http://orcid.org/0000-0001-6041-1299
Kamila de Oliveira Novais MachadoUniversity of São Paulo, Dental School, Department of Orthodontics (Bauru/SP, Brasil).ORCID http://orcid.org/0000-0001-5819-6550
Thaís Maria Freire FernandesAnhanguera-Uniderp University, Dental School, Department of Orthodontics (Campo Grande/MS, Brazil).ORCID http://orcid.org/0000-0002-4368-8568
Renata Rodrigues de Almeida-PedrinAnhanguera-Uniderp University, Dental School, Department of Orthodontics (Campo Grande/MS, Brazil).ORCID http://orcid.org/0000-0002-4283-1051
Paula Vanessa Pedron OltramariAnhanguera-Uniderp University, Dental School, Department of Orthodontics (Campo Grande/MS, Brazil).ORCID http://orcid.org/0000-0002-2285-5179
Márcio Rodrigues de AlmeidaAnhanguera-Uniderp University, Dental School, Department of Orthodontics (Campo Grande/MS, Brazil).ORCID http://orcid.org/0000-0002-2684-0943
Ana Cláudia de Castro Ferreira ContiUniversity of São Paulo, Dental School, Department of Orthodontics (Bauru/SP, Brasil).ORCID http://orcid.org/0000-0001-9658-1652

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess how often orthodontists request additional aligners and correlate this need with professional's experience.

methodsA questionnaire was sent by instant messaging app (WhatsApp) to 188 orthodontists who answered it voluntarily. Respondents were grouped by experience, including time of orthodontic training (OT), training with aligners (TA) and number of cases treated with aligners (TC). They were also surveyed about the cases in which they recommend aligners. Chi-square tests were used to analyze associations between experience categories and the need for 1 or 2+ refinements, with a significance level set at 5%.

resultsAt least one refinement was requested in 70.31% of cases. More experienced specialists and those with longer use of aligners requested refinements more often. A second refinement was required in 21.95% of cases, primarily requested by professionals with less experience as specialists and fewer cases treated with aligners. Mild and moderate crowding were the most indicated malocclusions, while extractions and presurgical treatments were the least.

conclusionRefinements were needed in most cases treated with aligners. Its need is not related to the lack of experience or knowledge of the technique, being mostly requested by more experienced professionals.

Indexed as

Clinical CompetenceOrthodontic Appliances, RemovableOrthodonticsOrthodontistsPractice Patterns, Dentists'FemaleHumansMaleMalocclusionSurveys and Questionnaires

Identifiers

PMID40435056
PMCPMC12101830

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.