Deep overbite reduction in adolescent patients treated with Invisalign: A retrospective analysis
Data regarding the efficacy of deep overbite correction with clear aligner therapy in adolescent patients are lacking. This study aimed to investigate the efficacy of deep overbite reduction in adolescent patients treated with Invisalign (Align Technology, San Jose, Calif) aligners. This retrospecti...
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Veröffentlicht in: | American journal of orthodontics and dentofacial orthopedics 2024-12, Vol.166 (6), p.515-523 |
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container_title | American journal of orthodontics and dentofacial orthopedics |
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creator | Blundell, Haylea L. Weir, Tony Meade, Maurice J. |
description | Data regarding the efficacy of deep overbite correction with clear aligner therapy in adolescent patients are lacking. This study aimed to investigate the efficacy of deep overbite reduction in adolescent patients treated with Invisalign (Align Technology, San Jose, Calif) aligners.
This retrospective study investigated a sample of 102 patients aged 10-17 years from a large database. All patients had completed wear of a prescribed series of Invisalign aligners with planned overbite reduction on a nonextraction basis. The predicted, pretreatment, and posttreatment overbite measurement values were obtained from Align Technology’s ClinCheck digital facility. Linear modeling, with Bland-Altman plots, was used to compare the effect of age, the use of bite ramps, and the adoption of the eighth-generational (G8) protocol on the difference between predicted and achieved overbite measurements.
A total of 102 patients with a mean ± standard deviation age of 13.94 ± 1.53 years satisfied the selection criteria. A mean ± standard deviation of 41.38 ± 30.43% of the predicted overbite reduction was achieved. There were no differences in the predictability of overbite reduction between patients who were aged |
doi_str_mv | 10.1016/j.ajodo.2024.07.008 |
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This retrospective study investigated a sample of 102 patients aged 10-17 years from a large database. All patients had completed wear of a prescribed series of Invisalign aligners with planned overbite reduction on a nonextraction basis. The predicted, pretreatment, and posttreatment overbite measurement values were obtained from Align Technology’s ClinCheck digital facility. Linear modeling, with Bland-Altman plots, was used to compare the effect of age, the use of bite ramps, and the adoption of the eighth-generational (G8) protocol on the difference between predicted and achieved overbite measurements.
A total of 102 patients with a mean ± standard deviation age of 13.94 ± 1.53 years satisfied the selection criteria. A mean ± standard deviation of 41.38 ± 30.43% of the predicted overbite reduction was achieved. There were no differences in the predictability of overbite reduction between patients who were aged <14 years or those aged 14-17 years (P = 0.73), between patients prescribed and not prescribed bite ramps (P = 0.25), or between patients prescribed the G8 protocol and not prescribed the G8 protocol (P = 0.65).
The average achieved overbite was less than half of what was planned by the orthodontists via the ClinCheck facility. The age grouping, the provision of bite ramps, and the G8 protocol appear to have little influence on the efficacy of overbite reduction in adolescent patients.
•The efficacy of overbite reduction with Invisalign (Align Technology, San Jose, Calif) in adolescents was assessed.•Less than half of the predicted overbite reduction was achieved.•Age, bite ramps, and the eighth-generational protocol appeared not to influence the findings.</description><identifier>ISSN: 0889-5406</identifier><identifier>ISSN: 1097-6752</identifier><identifier>EISSN: 1097-6752</identifier><identifier>DOI: 10.1016/j.ajodo.2024.07.008</identifier><identifier>PMID: 39140923</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adolescent ; Child ; Female ; Humans ; Male ; Orthodontic Appliance Design ; Orthodontic Appliances, Removable ; Overbite - therapy ; Retrospective Studies ; Tooth Movement Techniques - instrumentation ; Tooth Movement Techniques - methods ; Treatment Outcome</subject><ispartof>American journal of orthodontics and dentofacial orthopedics, 2024-12, Vol.166 (6), p.515-523</ispartof><rights>2024 American Association of Orthodontists</rights><rights>Copyright © 2024 American Association of Orthodontists. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c1543-17f8ac22b8fda3b5f36a58c3144c0e5a40eb9b5f4b7a0cef0aef95c190c7bebf3</cites><orcidid>0000-0001-5688-1079 ; 0000-0002-3049-2021 ; 0000-0002-0055-8536</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.ajodo.2024.07.008$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,777,781,3537,27905,27906,45976</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39140923$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Blundell, Haylea L.</creatorcontrib><creatorcontrib>Weir, Tony</creatorcontrib><creatorcontrib>Meade, Maurice J.</creatorcontrib><title>Deep overbite reduction in adolescent patients treated with Invisalign: A retrospective analysis</title><title>American journal of orthodontics and dentofacial orthopedics</title><addtitle>Am J Orthod Dentofacial Orthop</addtitle><description>Data regarding the efficacy of deep overbite correction with clear aligner therapy in adolescent patients are lacking. This study aimed to investigate the efficacy of deep overbite reduction in adolescent patients treated with Invisalign (Align Technology, San Jose, Calif) aligners.
This retrospective study investigated a sample of 102 patients aged 10-17 years from a large database. All patients had completed wear of a prescribed series of Invisalign aligners with planned overbite reduction on a nonextraction basis. The predicted, pretreatment, and posttreatment overbite measurement values were obtained from Align Technology’s ClinCheck digital facility. Linear modeling, with Bland-Altman plots, was used to compare the effect of age, the use of bite ramps, and the adoption of the eighth-generational (G8) protocol on the difference between predicted and achieved overbite measurements.
A total of 102 patients with a mean ± standard deviation age of 13.94 ± 1.53 years satisfied the selection criteria. A mean ± standard deviation of 41.38 ± 30.43% of the predicted overbite reduction was achieved. There were no differences in the predictability of overbite reduction between patients who were aged <14 years or those aged 14-17 years (P = 0.73), between patients prescribed and not prescribed bite ramps (P = 0.25), or between patients prescribed the G8 protocol and not prescribed the G8 protocol (P = 0.65).
The average achieved overbite was less than half of what was planned by the orthodontists via the ClinCheck facility. The age grouping, the provision of bite ramps, and the G8 protocol appear to have little influence on the efficacy of overbite reduction in adolescent patients.
•The efficacy of overbite reduction with Invisalign (Align Technology, San Jose, Calif) in adolescents was assessed.•Less than half of the predicted overbite reduction was achieved.•Age, bite ramps, and the eighth-generational protocol appeared not to influence the findings.</description><subject>Adolescent</subject><subject>Child</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Orthodontic Appliance Design</subject><subject>Orthodontic Appliances, Removable</subject><subject>Overbite - therapy</subject><subject>Retrospective Studies</subject><subject>Tooth Movement Techniques - instrumentation</subject><subject>Tooth Movement Techniques - methods</subject><subject>Treatment Outcome</subject><issn>0889-5406</issn><issn>1097-6752</issn><issn>1097-6752</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMFu1DAQhi0EokvLEyAhH7kkjGNnHVfqoSrQVqrEhZ6tiTNpvcrGqe1d1LfhWXgyXLblyOmXRv__z8zH2AcBtQCx_rypcROGUDfQqBp0DdC9YisBRldr3Tav2Qq6zlStgvURe5fSBgCMauAtO5JGKDCNXDH8QrTwsKfY-0w80rBz2YeZ-5njECZKjubMF8y-aOI5EmYa-E-f7_n1vPcJJ383n_Lz378i5RjSQqVgTxxnnB6TTyfszYhTovfPesxuv339cXFV3Xy_vL44v6mcaJWshB47dE3Td-OAsm9Huca2c1Io5YBaVEC9KWPVawRHIyCNpnXCgNM99aM8Zp8OvUsMDztK2W59OX6acKawS1aWhzsN2uhilQerK_emSKNdot9ifLQC7BNbu7F_2dontha0LWxL6uPzgl2_peFf5gVmMZwdDFTe3HuKNrlCzdHgY4Fih-D_u-AP-FiPCg</recordid><startdate>202412</startdate><enddate>202412</enddate><creator>Blundell, Haylea L.</creator><creator>Weir, Tony</creator><creator>Meade, Maurice J.</creator><general>Elsevier Inc</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-5688-1079</orcidid><orcidid>https://orcid.org/0000-0002-3049-2021</orcidid><orcidid>https://orcid.org/0000-0002-0055-8536</orcidid></search><sort><creationdate>202412</creationdate><title>Deep overbite reduction in adolescent patients treated with Invisalign: A retrospective analysis</title><author>Blundell, Haylea L. ; Weir, Tony ; Meade, Maurice J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c1543-17f8ac22b8fda3b5f36a58c3144c0e5a40eb9b5f4b7a0cef0aef95c190c7bebf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adolescent</topic><topic>Child</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Orthodontic Appliance Design</topic><topic>Orthodontic Appliances, Removable</topic><topic>Overbite - therapy</topic><topic>Retrospective Studies</topic><topic>Tooth Movement Techniques - instrumentation</topic><topic>Tooth Movement Techniques - methods</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Blundell, Haylea L.</creatorcontrib><creatorcontrib>Weir, Tony</creatorcontrib><creatorcontrib>Meade, Maurice J.</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of orthodontics and dentofacial orthopedics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Blundell, Haylea L.</au><au>Weir, Tony</au><au>Meade, Maurice J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Deep overbite reduction in adolescent patients treated with Invisalign: A retrospective analysis</atitle><jtitle>American journal of orthodontics and dentofacial orthopedics</jtitle><addtitle>Am J Orthod Dentofacial Orthop</addtitle><date>2024-12</date><risdate>2024</risdate><volume>166</volume><issue>6</issue><spage>515</spage><epage>523</epage><pages>515-523</pages><issn>0889-5406</issn><issn>1097-6752</issn><eissn>1097-6752</eissn><abstract>Data regarding the efficacy of deep overbite correction with clear aligner therapy in adolescent patients are lacking. This study aimed to investigate the efficacy of deep overbite reduction in adolescent patients treated with Invisalign (Align Technology, San Jose, Calif) aligners.
This retrospective study investigated a sample of 102 patients aged 10-17 years from a large database. All patients had completed wear of a prescribed series of Invisalign aligners with planned overbite reduction on a nonextraction basis. The predicted, pretreatment, and posttreatment overbite measurement values were obtained from Align Technology’s ClinCheck digital facility. Linear modeling, with Bland-Altman plots, was used to compare the effect of age, the use of bite ramps, and the adoption of the eighth-generational (G8) protocol on the difference between predicted and achieved overbite measurements.
A total of 102 patients with a mean ± standard deviation age of 13.94 ± 1.53 years satisfied the selection criteria. A mean ± standard deviation of 41.38 ± 30.43% of the predicted overbite reduction was achieved. There were no differences in the predictability of overbite reduction between patients who were aged <14 years or those aged 14-17 years (P = 0.73), between patients prescribed and not prescribed bite ramps (P = 0.25), or between patients prescribed the G8 protocol and not prescribed the G8 protocol (P = 0.65).
The average achieved overbite was less than half of what was planned by the orthodontists via the ClinCheck facility. The age grouping, the provision of bite ramps, and the G8 protocol appear to have little influence on the efficacy of overbite reduction in adolescent patients.
•The efficacy of overbite reduction with Invisalign (Align Technology, San Jose, Calif) in adolescents was assessed.•Less than half of the predicted overbite reduction was achieved.•Age, bite ramps, and the eighth-generational protocol appeared not to influence the findings.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>39140923</pmid><doi>10.1016/j.ajodo.2024.07.008</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0001-5688-1079</orcidid><orcidid>https://orcid.org/0000-0002-3049-2021</orcidid><orcidid>https://orcid.org/0000-0002-0055-8536</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Adolescent Child Female Humans Male Orthodontic Appliance Design Orthodontic Appliances, Removable Overbite - therapy Retrospective Studies Tooth Movement Techniques - instrumentation Tooth Movement Techniques - methods Treatment Outcome |
title | Deep overbite reduction in adolescent patients treated with Invisalign: A retrospective analysis |
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