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Attachments for the Orthodontic Aligner Treatment—State of the Art—A Comprehensive Systematic Review

Background: In recent years the burden of aligner treatment has been growing. However, the sole use of aligners is characterized by limitations; thus attachments are bonded to the teeth to improve aligner retention and tooth movement. Nevertheless, it is often still a challenge to clinically achieve...

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Autores principales: Jedliński, Maciej, Mazur, Marta, Greco, Mario, Belfus, Joyce, Grocholewicz, Katarzyna, Janiszewska-Olszowska, Joanna
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10001497/
https://www.ncbi.nlm.nih.gov/pubmed/36901488
http://dx.doi.org/10.3390/ijerph20054481
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author Jedliński, Maciej
Mazur, Marta
Greco, Mario
Belfus, Joyce
Grocholewicz, Katarzyna
Janiszewska-Olszowska, Joanna
author_facet Jedliński, Maciej
Mazur, Marta
Greco, Mario
Belfus, Joyce
Grocholewicz, Katarzyna
Janiszewska-Olszowska, Joanna
author_sort Jedliński, Maciej
collection PubMed
description Background: In recent years the burden of aligner treatment has been growing. However, the sole use of aligners is characterized by limitations; thus attachments are bonded to the teeth to improve aligner retention and tooth movement. Nevertheless, it is often still a challenge to clinically achieve the planned movement. Thus, the aim of this study is to discuss the evidence of the shape, placement and bonding of composite attachments. Methods: A query was carried out in six databases on 10 December 2022 using the search string (“orthodontics” OR “malocclusion” OR “Tooth movement techniques AND (“aligner*” OR “thermoformed splints” OR “invisible splint*” AND (“attachment*” OR “accessor*” OR “auxill*” AND “position*”). Results: There were 209 potential articles identified. Finally, twenty-six articles were included. Four referred to attachment bonding, and twenty-two comprised the influence of composite attachment on movement efficacy. Quality assessment tools were used according to the study type. Conclusions: The use of attachments significantly improves the expression of orthodontic movement and aligner retention. It is possible to indicate sites on the teeth where attachments have a better effect on tooth movement and to assess which attachments facilitate movement. The research received no external funding. The PROSPERO database number is CRD42022383276.
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spelling pubmed-100014972023-03-11 Attachments for the Orthodontic Aligner Treatment—State of the Art—A Comprehensive Systematic Review Jedliński, Maciej Mazur, Marta Greco, Mario Belfus, Joyce Grocholewicz, Katarzyna Janiszewska-Olszowska, Joanna Int J Environ Res Public Health Systematic Review Background: In recent years the burden of aligner treatment has been growing. However, the sole use of aligners is characterized by limitations; thus attachments are bonded to the teeth to improve aligner retention and tooth movement. Nevertheless, it is often still a challenge to clinically achieve the planned movement. Thus, the aim of this study is to discuss the evidence of the shape, placement and bonding of composite attachments. Methods: A query was carried out in six databases on 10 December 2022 using the search string (“orthodontics” OR “malocclusion” OR “Tooth movement techniques AND (“aligner*” OR “thermoformed splints” OR “invisible splint*” AND (“attachment*” OR “accessor*” OR “auxill*” AND “position*”). Results: There were 209 potential articles identified. Finally, twenty-six articles were included. Four referred to attachment bonding, and twenty-two comprised the influence of composite attachment on movement efficacy. Quality assessment tools were used according to the study type. Conclusions: The use of attachments significantly improves the expression of orthodontic movement and aligner retention. It is possible to indicate sites on the teeth where attachments have a better effect on tooth movement and to assess which attachments facilitate movement. The research received no external funding. The PROSPERO database number is CRD42022383276. MDPI 2023-03-02 /pmc/articles/PMC10001497/ /pubmed/36901488 http://dx.doi.org/10.3390/ijerph20054481 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Systematic Review
Jedliński, Maciej
Mazur, Marta
Greco, Mario
Belfus, Joyce
Grocholewicz, Katarzyna
Janiszewska-Olszowska, Joanna
Attachments for the Orthodontic Aligner Treatment—State of the Art—A Comprehensive Systematic Review
title Attachments for the Orthodontic Aligner Treatment—State of the Art—A Comprehensive Systematic Review
title_full Attachments for the Orthodontic Aligner Treatment—State of the Art—A Comprehensive Systematic Review
title_fullStr Attachments for the Orthodontic Aligner Treatment—State of the Art—A Comprehensive Systematic Review
title_full_unstemmed Attachments for the Orthodontic Aligner Treatment—State of the Art—A Comprehensive Systematic Review
title_short Attachments for the Orthodontic Aligner Treatment—State of the Art—A Comprehensive Systematic Review
title_sort attachments for the orthodontic aligner treatment—state of the art—a comprehensive systematic review
topic Systematic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10001497/
https://www.ncbi.nlm.nih.gov/pubmed/36901488
http://dx.doi.org/10.3390/ijerph20054481
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