TY - JOUR
T1 - Attachments for the Orthodontic Aligner Treatment—State of the Art
T2 - A Comprehensive Systematic Review
AU - Jedliński, Maciej
AU - Mazur, Marta
AU - Greco, Mario
AU - Belfus, Joyce
AU - Grocholewicz, Katarzyna
AU - Janiszewska-Olszowska, Joanna
N1 - © 2023 by the authors.
PY - 2023/3/2
Y1 - 2023/3/2
N2 - 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.
AB - 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.
UR - https://www.scopus.com/record/display.uri?eid=2-s2.0-85149909163&origin=resultslist&sort=plf-f&src=s&sid=810c4907bc13000e20efec957a368f0e&sot=b&sdt=b&s=TITLE-ABS-KEY%28Attachments+for+the+Orthodontic+Aligner+Treatment%E2%80%94State+of+the+Art%E2%80%94A+Comprehensive+Systematic+Review%29&sl=64&sessionSearchId=810c4907bc13000e20efec957a368f0e&relpos=0
U2 - 10.3390/ijerph20054481
DO - 10.3390/ijerph20054481
M3 - Article
SN - 1661-7827
VL - 20
SP - 1
EP - 29
JO - International Journal of Environmental Research and Public Health
JF - International Journal of Environmental Research and Public Health
IS - 5
M1 - 4481
ER -