ArticleDental press journal of orthodontics2026
Impact of orthodontic appliances on patients' daily lives: a comparison between clear aligners and fixed appliances.
Article in Dental press journal of orthodontics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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6 authors.
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Abstract
objectiveThis study aimed to compare the impact of treatment with clear aligners versus conventional fixed appliances on the daily lives of orthodontic patients during the first six months and the last six months of treatment.
methodsThe study involved 112 adult patients who were divided into four groups. All participants completed the "Dental Impacts on Daily Living" (DIDL) questionnaire, which included 36 questions and covered five domains including appearance, pain, comfort, general performance and eating/chewing. Descriptive statistics and the Mann-Whitney test were used to analyze the total the scores for each domain, while Fisher's exact test was used to compare the groups regarding the frequency of "dissatisfied", "relatively satisfied", and "satisfied" responses.
resultsThe results showed no significant differences (p>0.05) in the total scores or in the scores for each domain, except for the "General performance/Interpersonal relationship" domain during the initial and final phases of treatment with fixed appliances, indicating that patients adapted to the appliance over time. The initial phase of treatment with fixed appliances presented the highest percentage of dissatisfaction.
conclusionBoth treatments showed a decrease in the level of dissatisfaction reported by patients between the initial and final stages, indicating that adaptation is a crucial factor in the impact of orthodontic appliances on patients' daily lives. Therefore, orthodontists must be especially attentive to the needs of patients in the period immediately after the device is installed.
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