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ArticleClinical oral investigations2026

Are arch width measurements from Invisalign arch width tables reliable?

Cristina de-la-Rosa-Gay, Sofia Valmaseda-de-la-Rosa, Andrea Hernández-Mangas, Octavi Camps-Font, Eduard Valmaseda-Castellón, Rui Figueiredo

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Article in Clinical oral investigations, 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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1 · What the graph read from it

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2 · The registry

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Cristina de-la-Rosa-GayDepartment of Dentistry, School of Medicine and Health Sciences, Campus Bellvitge, Universitat de Barcelona, Carrer Feixa Llarga s/n. L'Hospitalet de Llobregat, Barcelona, 08907, Spain.ORCID http://orcid.org/0009-0004-1518-8648
Sofia Valmaseda-de-la-RosaDepartment of Dentistry, School of Medicine and Health Sciences, Campus Bellvitge, Universitat de Barcelona, Carrer Feixa Llarga s/n. L'Hospitalet de Llobregat, Barcelona, 08907, Spain.ORCID http://orcid.org/0009-0002-9608-081X
Andrea Hernández-MangasPrivate dental practice, Espai Dental La Garriga, Carrer de Samalús 3, La Garriga, Barcelona, 08530, Spain.ORCID http://orcid.org/0009-0001-5656-4193
Octavi Camps-FontDepartment of Dentistry, School of Medicine and Health Sciences, Campus Bellvitge, Universitat de Barcelona, Carrer Feixa Llarga s/n. L'Hospitalet de Llobregat, Barcelona, 08907, Spain.ORCID http://orcid.org/0000-0001-9991-2226
Eduard Valmaseda-CastellónDepartment of Dentistry, School of Medicine and Health Sciences, Campus Bellvitge, Universitat de Barcelona, Carrer Feixa Llarga s/n. L'Hospitalet de Llobregat, Barcelona, 08907, Spain. eduardvalmaseda@ub.edu.ORCID http://orcid.org/0000-0001-9669-3187
Rui FigueiredoDepartment of Dentistry, School of Medicine and Health Sciences, Campus Bellvitge, Universitat de Barcelona, Carrer Feixa Llarga s/n. L'Hospitalet de Llobregat, Barcelona, 08907, Spain.ORCID http://orcid.org/0000-0002-2122-6530

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDespite being widely used for treatment planning, the accuracy of Invisalign arch width tables has not been independently assessed. The objective of this study was to assess whether the predicted and observed arch width changes calculated from Invisalign tables are consistent with measurements obtained from STL models.

methodsThirty-five adults treated with Invisalign aligners were retrospectively selected. Arch width at the maxillary and mandibular canines, premolars, and first molars was measured on digital models (pretreatment, prediction and first-refinement) using Geomagic Control X. Predicted and observed expansions (difference between predicted or post-treatment and pretreatment arch widths), and their discrepancy, were compared with the corresponding values calculated from the ClinCheck arch width tables. Three references were selected: (1) the projection of the long axis of the tooth on the occlusal surface, (2) the buccal/mesiobuccal cusps, and (3) the most lingual point of the gingival margin. Normality was assessed with the Shapiro-Wilk test. Agreement was evaluated using Bland-Altman analysis with mixed-effects models to account for clustering of repeated measurements.

results840 arch widths were analyzed (35 patients, 4 tooth pairs, 2 jaws, and 3 time points). Non-normality of inter-method differences was observed in predicted expansion (gingival and occlusal references) and in discrepancy (cusp reference) (p < 0.05). Non-parametric Bland-Altman analysis showed high agreement between Geomagic and ClinCheck measurements for predicted expansion, observed expansion, and discrepancy, with bias values ranging from - 0.49 to 0.2 mm.

conclusionsClinCheck arch width tables showed strong agreement with independent metrological assessment, particularly with occlusal reference points [bias: 0.00 mm; limits of agreement: -0.80 to 1.01 mm]. CLINICAL RELEVANCE: ClinCheck arch width tables have been validated with an independent metrological assessment (Geomagic Control X). Predicted expansion, observed expansion, and discrepancy derived from arch width tables agreed with independent measurements using virtual casts.

Indexed as

Dental ArchOrthodontic Appliances, RemovableAdultHumansModels, DentalReproducibility of ResultsRetrospective StudiesAgreementClear aligner therapyDigital modelsExpansionInvisalignValidation

Identifiers

PMID42126458
PMCPMC13171758

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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.