Is the quality of occlusal contacts comparable after aligner and fixed orthodontic therapy? A non-randomized cohort comparison using computerized occlusal analysis during 6 months of retention.

Autor: Cohen-Lévy J; Orthodontic Clinic, Faculty of Dental Medicine and Oral Health Sciences, McGill University, MTL, Quebec, Canada., Boulos C; Orthodontic Clinic, Faculty of Dental Medicine and Oral Health Sciences, McGill University, MTL, Quebec, Canada., Rompré P; Orthodontic Clinic, Faculty of Dental Medicine and Oral Health Sciences, McGill University, MTL, Quebec, Canada., Montpetit A; Orthodontic Clinic, Faculty of Dental Medicine and Oral Health Sciences, McGill University, MTL, Quebec, Canada., Kerstein RB; Former Asst. Professor, Department of Restorative Dentistry, Tufts University School of Dental Medicine, Boston, MA USA.
Jazyk: angličtina
Zdroj: Cranio : the journal of craniomandibular practice [Cranio] 2024 Nov; Vol. 42 (6), pp. 788-800. Date of Electronic Publication: 2022 Apr 01.
DOI: 10.1080/08869634.2022.2056688
Abstrakt: Objective: Less than ideal contacts have been reported following aligner therapy, but it is considered a transitory problem, spontaneously resolving with the phenomenon of settling. Methods : Thirty-nine orthodontic patients (14 treated with aligners; 25 with fixed appliances) were evaluated with a digital occlusal analysis system (T-scan™10), assessing Maximum Intercuspation contact simultaneity, symmetry, and relative force distribution at treatment completion and after 3 and 6 months.
Results: No significant differences in occlusal contact quality were found between groups at treatment completion or follow-up. The center of force moved posteriorly and remained stable after 3 months but was located more anteriorly in females ( p = 0.01). One-third of patients (both groups combined) had marked contact force asymmetry even after 6 months' retention. Conclusion : Occlusal contacts were comparable at completion of treatment with aligners or brackets and after 3-6 months of retention. Settling did not improve marked asymmetry in all patients.
Databáze: MEDLINE