Evidence map›Paper›PMID 42434488›Full record

ReviewJournal of orthodontic science2026

Do treatment outcomes of clear aligners remain stable over time? A systematic review.

Dareen Khaled Aljehani, Fawaz Pullishery

Abstract readReview
In one paragraph

Review in Journal of orthodontic science, 2026. 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

2 authors.

Dareen Khaled AljehaniDivision of Orthodontics, General Dentistry Program, Batterjee Medical College, Jeddah, Saudi Arabia.
Fawaz PullisheryDivision of Preventive Dentistry, General Dentistry Program, Batterjee Medical College, Jeddah, Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis review systematically evaluated the evidence on clear aligner therapy, focusing on its dentoskeletal, periodontal, and patient-related advantages over traditional appliances. MATERIALS AND

methodsA comprehensive literature search was conducted in PubMed, Scopus, and Web of Science for relevant studies published between January 2015 and March 2025. The two authors independently assessed the titles and abstracts of conceivably eligible papers. Disputes between the two examiners were settled by discussion, and a third party was consulted for a conclusive decision. The review question was formulated using the population, intervention, comparison, and outcome (PICO) framework. The risk of bias instrument RoB-2 was used to assess the risk of bias in randomized controlled trials (RCTs). The Risk of Bias in Non-randomized Studies of Interventions (ROBINS-I) method was used in assessing non-randomized studies.

resultsThe search identified 196 studies, of which 55 underwent full-text review, and 15 met the inclusion criteria. Thirteen were non-randomized studies and two randomized. Six examined long-term aligner outcomes without comparison, three compared aligners with twin block appliances, one with an untreated group, and six with fixed appliances. According to the ROBINS-I tool, three studies showed low, three moderate, and seven high risk of bias (RoB), while both RCTs had low risk according to RoB-2.

conclusionClear aligners enhance dental aesthetics and periodontal health relative to conventional fixed appliances, offering potential benefits in treatment length and patient comfort.

Indexed as

Clear alignersdentoalveolar effectsfixed applianceInvisalignorthodontic appliance

Identifiers

PMID42434488
PMCPMC13354141

What OpenQuestion holds

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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.