Int J Stomatol ›› 2022, Vol. 49 ›› Issue (4): 373-379.doi: 10.7518/gjkq.2022082

• Expert Forum •     Next Articles

Difficulty assessment of invisible orthodontic treatment based on treatment plan and tooth movement pattern

Zhao Zhihe.()   

  1. State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Orthodontics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2022-04-10 Revised:2022-05-03 Online:2022-07-01 Published:2022-06-28
  • Contact: Zhihe. Zhao E-mail:zhzhao@scu.edu.cn

Abstract:

The establishment of principles for assessing the difficulty in bracketless invisible orthodontic treatment for malocclusion based on the treatment plan and tooth movement patterns has practical significance and social value for improving the level of invisible orthodontic treatment in China and for promoting the rational distribution of medical resources. Malocclusion is one of three major oral diseases. China has a large demand for orthodontic medical resources, which used to be dominated by traditional fixed orthodontic technology. However, with the economic and social development of China and the advancement of invisible orthodontic technology, the demand for invisible orthodontic treatment is increasing. A reasonable assessment of the difficulty of implementing invisible orthodontic treatment plans to assist in clinical treatment plan decisions and to implement orthodontic tiered medical services has become a clinical problem that must be urgently solved. The author summarizes the research progress and individual clinical experience about the difficulty in assessment of invisible treatment. On the basis of the material mechanics of clear aligners and the principle of clinician-led treatment planning, the present paper discusses the key factors of assessment difficulty from the sagittal, vertical, and horizontal directions in extracted cases and non-extracted cases, as well as other factors that affect the difficulty of invisible orthodontic treatment. The author hopes that this paper can guide the clinical diagnosis and treatment of invisible orthodontics in China, promote the establishment of scientific and standardized tiered treatment, attract more clinicians and researchers to participate in the innovation of invisible orthodontic technology, and promote both academic and clinical levels of invisible orthodontics in China.

Key words: invisible orthodontics, malocclusion, therapy, difficulty assessment

CLC Number: 

  • R 783.5

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1 傅民魁, 张丁, 王邦康, 等. 中国25 392名儿童与青少年错𬌗畸形患病率的调查[J]. 中华口腔医学杂志, 2002, 37(5): 371-373.
Fu MK, Zhang D, Wang BK, et al. The prevalence of malocclusion in China: an investigation of 25 392 children[J]. Chin J Stomatol, 2002, 37(5): 371-373.
2 Kesling HD. The philosophy of the tooth positio-ning appliance[J]. Am J Orthod Oral Surg, 1945, 31(6): 297-304.
3 Graf I, Puppe C, Schwarze J, et al. Evaluation of effectiveness and stability of aligner treatments using the peer assessment rating index[J]. J Orofac Orthop, 2021, 82(1): 23-31.
4 Ke Y, Zhu Y, Zhu M. A comparison of treatment effectiveness between clear aligner and fixed applian-ce therapies[J]. BMC Oral Health, 2019, 19(1): 24.
5 Gu JF, Tang JS, Skulski B, et al. Evaluation of Invi-salign treatment effectiveness and efficiency compared with conventional fixed appliances using the peer assessment rating index[J]. Am J Orthod Dentofacial Orthop, 2017, 151(2): 259-266.
6 Borda AF, Garfinkle JS, Covell DA, et al. Outcome assessment of orthodontic clear aligner vs fixed appliance treatment in a teenage population with mild malocclusions[J]. Angle Orthod, 2020, 90(4): 485-490.
7 Linjawi AI, Abushal AM. Adaptational changes in clear aligner fit with time[J]. Angle Orthod, 2022, 92(2): 220-225.
8 Rossini G, Parrini S, Castroflorio T, et al. Efficacy of clear aligners in controlling orthodontic tooth mo-vement: a systematic review[J]. Angle Orthod, 2015, 85(5): 881-889.
9 Richmond S, Shaw WC, Roberts CT, et al. The PAR index (peer assessment rating): methods to determine outcome of orthodontic treatment in terms of improvement and standards[J]. Eur J Orthod, 1992, 14(3): 180-187.
10 Daniels C, Richmond S. The development of the index of complexity, outcome and need (ICON)[J]. J Orthod, 2000, 27(2): 149-162.
11 Long H, Wu ZQ, Yan XY, et al. An objective system for appraising clear aligner treatment difficulty: clear aligner treatment complexity assessment tool (CAT-CAT)[J]. BMC Oral Health, 2020, 20(1): 312.
12 Eslami S, Faber J, Fateh A, et al. Treatment decision in adult patients with class Ⅲ malocclusion: surgery versus orthodontics[J]. Prog Orthod, 2018, 19(1): 28.
13 Chambers DW, Thakkar D. Consistency of orthodontists’ clinical decisions: a systematic review, meta-analysis, and theory development[J]. Am J Orthod Dentofacial Orthop, 2022, 161(4): 497-509.e4.
14 Ravera S, Castroflorio T, Garino F, et al. Maxillary molar distalization with aligners in adult patients: a multicenter retrospective study[J]. Prog Orthod, 2016, 17: 12.
15 Krieger E, Seiferth J, Marinello I, et al. Invisalign® treatment in the anterior region: were the predicted tooth movements achieved[J]. J Orofac Orthop, 2012, 73(5): 365-376.
16 Galan-Lopez L, Barcia-Gonzalez J, Plasencia E. A systematic review of the accuracy and efficiency of dental movements with Invisalign® [J]. Korean J Orthod, 2019, 49(3): 140-149.
17 Pavoni C, Lione R, Laganà G, et al. Self-ligating versus invisalign: analysis of dento-alveolar effects[J]. Ann Stomatol (Roma), 2011, 2(1/2): 23-27.
18 Zhou N, Guo J. Efficiency of upper arch expansion with the Invisalign system[J]. Angle Orthod, 2020, 90(1): 23-30.
19 Chisari JR, McGorray SP, Nair M, et al. Variables affecting orthodontic tooth movement with clear aligners[J]. Am J Orthod Dentofacial Orthop, 2014, 145(4 ): S82-S91.
20 Kravitz ND, Kusnoto B, Agran B, et al. Influence of attachments and interproximal reduction on the accuracy of canine rotation with Invisalign. A prospective clinical study[J]. Angle Orthod, 2008, 78(4): 682-687.
21 Simon M, Keilig L, Schwarze J, et al. Treatment outcome and efficacy of an aligner technique: regarding incisor torque, premolar derotation and molar distalization[J]. BMC Oral Health, 2014, 14: 68.
22 Cortona A, Rossini G, Parrini S, et al. Clear aligner orthodontic therapy of rotated mandibular round-shaped teeth: a finite element study[J]. Angle Orthod, 2020, 90(2): 247-254.
23 Grünheid T, Loh C, Larson BE. How accurate is Invisalign in nonextraction cases? Are predicted tooth positions achieved[J]. Angle Orthod, 2017, 87(6): 809-815.
24 Al-Nadawi M, Kravitz ND, Hansa I, et al. Effect of clear aligner wear protocol on the efficacy of tooth movement[J]. Angle Orthod, 2021, 91(2): 157-163.
25 王丽颖, 金作林. 锥形束CT及其在口腔正畸学中的应用[J]. 国际口腔医学杂志, 2013, 40(2): 181-184.
Wang LY, Jin ZL. The application of cone beam computer tomography in orthodontics[J]. Int J Stomatol, 2013, 40(2): 181-184.
26 Liu W, Shao JH, Li SF, et al. Volumetric cone-beam computed tomography evaluation and risk factor analysis of external apical root resorption with clear aligner therapy[J]. Angle Orthod, 2021, 91(5): 597-603.
27 宋欣羽, 钱玉芬. 正畸治疗对颞下颌关节影响的锥形束CT研究进展[J]. 中国实用口腔科杂志, 2021, 14(4): 482-487.
Song XY, Qian YF. Research progress of CBCT in the effect of orthodontic treatment on temporomandibular joint[J]. Chin J Pract Stomatol, 2021, 14(4): 482-487.
28 Jiang T, Wang JK, Jiang YY, et al. How well do integrated 3D models predict alveolar defects after treatment with clear aligners[J]. Angle Orthod, 2021, 91(3): 313-319.
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