Alinhadores ortodônticos removíveis versus aparelhos ortodônticos fixos: uma revisão da literatura.
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Jan 7, 2022
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Abstract
With the growing search for aesthetic alternatives by the population, the use of invisible aligners is frequent and is gaining notoriety compared to conventional fixed orthodontic appliances. However, knowledge about the parallels between orthodontic techniques is of great value, highlighting the advantages and disadvantages of both, in order to clarify essential issues for the orthodontist in the use of the most appropriate treatment for each case. Thus, this study proposed to review the scientific literature on removable orthodontic aligners versus fixed orthodontic appliances. Articles from 2005 to 2021 were selected, using the PubMed, Scopus, Web of Science, Cochrane Library, Clinical Trials and OpenGrey databases. The articles addressed issues such as pain, periodontal health, hygiene, microbiota, root resorption, quality of life and treatment effectiveness. Aligners showed greater acceptability by patients and clear advantages in relation to pain, hygiene, quality of life, root resorption and periodontal health, being inferior to fixed orthodontic appliances in terms of effectiveness and speech capacity.
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How to Cite
Trindade Vilela, L. (2022). Alinhadores ortodônticos removíveis versus aparelhos ortodônticos fixos: uma revisão da literatura. Naval Dental Jounal, 48(2). Retrieved from http://portaldeperiodicos.marinha.mil.br/index.php/odontoclinica/article/view/2307
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Literature Reviews
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
References
1. Cardoso PC, Espinosa DG, Mecenas P, Flores-Mir C, Normando D. Pain level between clear aligners and fixed appliances: a systematic review. Prog Orthod. 2020 Jan 20;21(1):3. doi: 10.1186/s40510-019-0303-z. PMID: 31956934; PMCID: PMC6970090.
2. Pithon et al. Assessment of the effectiveness of invisible aligners compared with conventional appliance in aesthetic and functional orthodontic treatment: A systematic review. J Invest Clin Dent. 2019;00:e12455. https://doi.org/10.1111/jicd.12455.
3. Shalish M, Cooper-Kazaz R, Ivgi I, Canetti L, Tsur B, Bachar E, Chaushu S. Adult patients' adjustability to orthodontic appliances. Part I: a comparison between Labial, Lingual, and Invisalign™. Eur J Orthod. 2012 Dec;34(6):724-30. doi: 10.1093/ejo/cjr086. Epub 2011 Jul 12. PMID: 21750242.
4. Shaira.K.Kassam and Fleur.R.Stoops. Are clear aligners as effective as conventional fixed appliances? Evidence-Based Dentistry (2020) 21, 30-31.
5. AlSeraidi M, Hansa I , Dhaval F et al. The effect of vestibular, lingual, and aligner appliances on the quality of life of adult patients during the initial stages of orthodontic treatmentAlSeraidi et al. Progress in Orthodontics (2021) 22:3.https://doi.org/10.1186/s40510-020-00346-0
6. Saitah Alajmi Arwa Shaban b Rashed Al-Azemi. Comparison of Short-Term Oral Impacts Experienced by Patients Treated with Invisalign or Conventional Fixed Orthodontic Appliances. Med Princ Pract 2020;29:382–388. DOI: 10.1159/000505459
7. Feiou Lin Linjie Yao Chandradev Bhikoo1 Jing Guo3 Impact of fixed orthodontic appliance or clear-aligner on daily performance, in adult patients with moderate need for treatment Patient Preference and Adherence 2016:10
8. Bergius M, Kiliaridis S, Berggren U. Pain in Orthodontics uma revisão e discussão da literatura. J Orofac Orthop. 2000; 62 (2): 125–137. doi: 10.1007 / BF01300354.
9. Pereira, D., Machado, V., Botelho, J., Proença, L., Mendes, J. J., & Delgado, A. S. (2020). Comparison of Pain Perception between Clear Aligners and Fixed Appliances: A Systematic Review and Meta-Analysis. Applied Sciences, 10(12), 4276. doi:10.3390/app10124276
10. Almasoud NN. Pain perception among patients treated with passive self-ligating fixed appliances and Invisalign® aligners during the first week of orthodontic treatment. Korean J Orthod. 2018 Sep;48(5):326-332. doi: 10.4041/kjod.2018.48.5.326. Epub 2018 Aug 8. PMID: 30206531; PMCID: PMC6123079
11. White, D. W., Julien, K. C., Jacob, H., Campbell, P. M., & Buschang, P. H. (2017). Discomfort associated with Invisalign and traditional brackets: A randomized, prospective trial. The Angle Orthodontist, 87(6), 801–808. doi:10.2319/091416-687.1
12. Antonio-Zancajo L, Montero J, Albaladejo A, Oteo-Calatayud MD, Alvarado-Lorenzo A. Pain and Oral-Health-Related Quality of Life in Orthodontic Patients During Initial Therapy with Conventional, Low-Friction, and Lingual Brackets and Aligners (Invisalign): A Prospective Clinical Study. J Clin Med. 2020 Jul 3;9(7):2088. doi: 10.3390/jcm9072088. PMID: 32635196; PMCID: PMC7408790.
13. Fujiyama K, Honjo T, Suzuki M, Matsuoka S, Deguchi T. Analysis of pain level in cases treated with Invisalign aligner: comparison with fixed edgewise appliance therapy. Prog Orthod. 2014 Nov 22;15(1):64. doi: 10.1186/s40510-014-0064-7. PMID: 25416143; PMCID: PMC4240829.
14. Zachrisson, B. U., & Zachrisson, S. (1971). Caries incidence and orthodontic treatment with fixed appliances. European Journal of Oral Sciences, 79(2), 183–192. doi:10.1111/j.1600-0722.1971.tb02008.x
15. Boyd, R. L., Murray, P., & Robertson, P. B. (1989). Effect of rotary electric toothbrush versus manual toothbrush on periodontal status during orthodontic treatment. American Journal of Orthodontics and Dentofacial Orthopedics, 96(4), 342–347. doi:10.1016/0889-5406(89)90354-5
16. Miethke, R.-R., & Vogt, S. (2005). A Comparison of the Periodontal Health of Patients during Treatment with the Invisalign® System and with Fixed Orthodontic Appliances. Journal of Orofacial Orthopedics / Fortschritte Der Kieferorthopädie, 66(3), 219–229. doi:10.1007/s00056-005-0436-1
17. Lu H, Tang H, Zhou T, Kang N. Assessment of the periodontal health status in patients undergoing orthodontic treatment with fixed appliances and Invisalign system: A meta-analysis. Medicine (Baltimore). 2018;97(13):e0248. doi:10.1097/MD.0000000000010248
18. Jiang Q, Li J, Mei L, Du J, Levrini L, Abbate GM, Li H. Periodontal health during orthodontic treatment with clear aligners and fixed appliances: A meta-analysis. J Am Dent Assoc. 2018 Aug;149(8):712-720.e12. doi: 10.1016/j.adaj.2018.04.010. Epub 2018 Jun 18. PMID: 29921415.
19. Chhibber A, Agarwal S, Yadav S, Kuo CL, Upadhyay M. Which orthodontic appliance is best for oral hygiene? A randomized clinical trial. Am J Orthod Dentofacial Orthop. 2018 Feb;153(2):175-183. doi: 10.1016/j.ajodo.2017.10.009. PMID: 29407494.
20. Madariaga ACP, Bucci R, Rongo R, Simeon V, D'Antò V, Valletta R. Impact of Fixed Orthodontic Appliance and Clear Aligners on the Periodontal Health: A Prospective Clinical Study. Dent J (Basel). 2020;8(1):4. Published 2020 Jan 2. doi:10.3390/dj8010004 Lu
21. Ziad Albhaisi, Susan N. Al-Khateeb, and Elham S. Abu Alhaija. Enamel demineralization during clear aligner orthodontic treatment compared with fixed appliance therapy, evaluated with quantitative light-induced fluorescence: A randomized clinical trial. American Journal of Orthodontics and Dentofacial Orthopedics May 2020 _ Vol 157 _ Issue 5.
22. Castroflorio T, Gamerro EF, Caviglia GP. Biochemical markers of bone metabolism during early orthodontic tooth movement with aligners. Angle Orthod. 2017;87:74–81
23. Mummolo S, Nota A, Albani F, Marchetti E, Gatto R, Marzo G, Quinzi V, Tecco S. Salivary levels of Streptococcus mutans and Lactobacilli and other salivary indices in patients wearing clear aligners versus fixed orthodontic appliances: An observational study. PLoS One. 2020 Apr 24;15(4):e0228798. doi: 10.1371/journal.pone.0228798. PMID: 32330172; PMCID: PMC7182227.
24. Gujar AN, Baeshen HA, Alhazmi A, Bhandi S, Raj AT, Patil S, Birkhed D. Cytokine levels in gingival crevicular fluid during orthodontic treatment with aligners compared to conventional labial fixed appliances: a 3-week clinical study. Acta Odontol Scand. 2019 Aug;77(6):474-481. doi: 10.1080/00016357.2019.1607548. Epub 2019 Apr 26. PMID: 31027423.
25. Campos Zeffa A, Dias BG, Silva DCMS, Rotta LO, Jussiani EI, Andrello AC, de Paula Ramos S. Influence of Conventional or Invisalign Orthodontic Treatment on Mineral and Trace Element Salivary Levels: Longitudinal Study with Total Reflection X-ray Fluorescence. Biol Trace Elem Res. 2021 Jul;199(7):2565-2572. doi: 10.1007/s12011-020-02396-1. Epub 2020 Sep 18. PMID: 32946034.
26. Wang Q, Ma JB, Wang B, Zhang X, Yin YL, Bai H. Alterations of the oral microbiome in patients treated with the Invisalign system or with fixed appliances. Am J Orthod Dentofacial Orthop. 2019 Nov;156(5):633-640. doi: 10.1016/j.ajodo.2018.11.017. Erratum in: Am J Orthod Dentofacial Orthop. 2020 Jan;157(1):4. PMID: 31677672.
27. Weltman, B., Vig, K.W., Fields, H.W., Shanker, S. and Kaizar, E.E. (2010)
Root resorption associated with orthodontic tooth movement: a ystematic review. American Journal of Orthodontics and Dentofacial orthopedics,137, 462–476; discussion 12A.
28. Yuan Li, Shiyong Deng, Li Mei et al. Prevalence and severity of apical root resorption during orthodontic treatment with clear aligners and fixed appliances: a cone beam computed tomography study. Progress in Orthodontics 2020;21:1. https://doi.org/10.1186/s40510-019-0301-1
29. Yi J. et al. External apical root resorption in non-extraction cases after clear aligner therapy of fixed orthodontic treatment, Journal of Dental Sciences, 2018; 1-5. https://doi.org/10.1016/j.jds.2017.09.007
30. Mohammed H. Al-Zainal, Sarah Anvery, Thikriat Al-Jewair. Clear aligner therapy may not prevent but may decrease the incidence of external root resorption compared to full fixed appliances. The journal of Evidence-based dental practice 2020:101438
31. Gandhi V, Mehta S, Gauthier M et al. Comparison of external apical root resorption with clear aligner and pre-adjusted edgewise appliances in non-extraction cases: a systematic review and meta-anallysis. European Journal of Othodontics, 2020, 1-10. doi:10.1093/ejo/cjaa013
32. Terpsithea Christou,a Roberto Abarca,b Vasileios Christou,c and Chung How Kaua . Smile outcome comparison of Invisalign and traditional fixed-appliance treatment: A case-control study American Journal of Orthodontics and Dentofacial Orthopedics March 2020 _ Vol 157 _ Issue 3.
33. Jiafeng Gu, Jack Shengyu Tang, Brennan Skulski, Henry W. Fields, Jr, F. Michael Beck, Allen R. Firestone. Evaluation of Invisalign treatment effectiveness and efficiency compared with conventional fixed appliances using the Peer Assessment Rating index. American Journal of Orthodontics and Dentofacial OrthopedicsFebruary 2017 _ Vol 151 _ Issue 2.
34. Joe Hennessy; The´re`se Garvey; Ebrahim A. Al-Awadhi A randomized clinical trial comparing mandibular incisor proclination produced by fixed labial appliances and clear aligners. Angle Orthodontist, Vol 86, No 5, 2016. DOI: 10.2319/101415-686.1
35. Yunyan Ke, Yanfei Zhu and Min Zhu. A comparison of treatment effectiveness between clear aligner and fixed appliance therapies. BMC Oral Health (2019) 19:24. https://doi.org/10.1186/s12903-018-0695-z.
36. Djeu G, Shelton C, Maganzini A. Outcome assessment of Invisalign and traditional orthodontic treatment compared with the American Board of Orthodontics objective grading system. Am J Orthod Dentofacial Orthop. 2005;128(3):292‐298; discussion 8.
2. Pithon et al. Assessment of the effectiveness of invisible aligners compared with conventional appliance in aesthetic and functional orthodontic treatment: A systematic review. J Invest Clin Dent. 2019;00:e12455. https://doi.org/10.1111/jicd.12455.
3. Shalish M, Cooper-Kazaz R, Ivgi I, Canetti L, Tsur B, Bachar E, Chaushu S. Adult patients' adjustability to orthodontic appliances. Part I: a comparison between Labial, Lingual, and Invisalign™. Eur J Orthod. 2012 Dec;34(6):724-30. doi: 10.1093/ejo/cjr086. Epub 2011 Jul 12. PMID: 21750242.
4. Shaira.K.Kassam and Fleur.R.Stoops. Are clear aligners as effective as conventional fixed appliances? Evidence-Based Dentistry (2020) 21, 30-31.
5. AlSeraidi M, Hansa I , Dhaval F et al. The effect of vestibular, lingual, and aligner appliances on the quality of life of adult patients during the initial stages of orthodontic treatmentAlSeraidi et al. Progress in Orthodontics (2021) 22:3.https://doi.org/10.1186/s40510-020-00346-0
6. Saitah Alajmi Arwa Shaban b Rashed Al-Azemi. Comparison of Short-Term Oral Impacts Experienced by Patients Treated with Invisalign or Conventional Fixed Orthodontic Appliances. Med Princ Pract 2020;29:382–388. DOI: 10.1159/000505459
7. Feiou Lin Linjie Yao Chandradev Bhikoo1 Jing Guo3 Impact of fixed orthodontic appliance or clear-aligner on daily performance, in adult patients with moderate need for treatment Patient Preference and Adherence 2016:10
8. Bergius M, Kiliaridis S, Berggren U. Pain in Orthodontics uma revisão e discussão da literatura. J Orofac Orthop. 2000; 62 (2): 125–137. doi: 10.1007 / BF01300354.
9. Pereira, D., Machado, V., Botelho, J., Proença, L., Mendes, J. J., & Delgado, A. S. (2020). Comparison of Pain Perception between Clear Aligners and Fixed Appliances: A Systematic Review and Meta-Analysis. Applied Sciences, 10(12), 4276. doi:10.3390/app10124276
10. Almasoud NN. Pain perception among patients treated with passive self-ligating fixed appliances and Invisalign® aligners during the first week of orthodontic treatment. Korean J Orthod. 2018 Sep;48(5):326-332. doi: 10.4041/kjod.2018.48.5.326. Epub 2018 Aug 8. PMID: 30206531; PMCID: PMC6123079
11. White, D. W., Julien, K. C., Jacob, H., Campbell, P. M., & Buschang, P. H. (2017). Discomfort associated with Invisalign and traditional brackets: A randomized, prospective trial. The Angle Orthodontist, 87(6), 801–808. doi:10.2319/091416-687.1
12. Antonio-Zancajo L, Montero J, Albaladejo A, Oteo-Calatayud MD, Alvarado-Lorenzo A. Pain and Oral-Health-Related Quality of Life in Orthodontic Patients During Initial Therapy with Conventional, Low-Friction, and Lingual Brackets and Aligners (Invisalign): A Prospective Clinical Study. J Clin Med. 2020 Jul 3;9(7):2088. doi: 10.3390/jcm9072088. PMID: 32635196; PMCID: PMC7408790.
13. Fujiyama K, Honjo T, Suzuki M, Matsuoka S, Deguchi T. Analysis of pain level in cases treated with Invisalign aligner: comparison with fixed edgewise appliance therapy. Prog Orthod. 2014 Nov 22;15(1):64. doi: 10.1186/s40510-014-0064-7. PMID: 25416143; PMCID: PMC4240829.
14. Zachrisson, B. U., & Zachrisson, S. (1971). Caries incidence and orthodontic treatment with fixed appliances. European Journal of Oral Sciences, 79(2), 183–192. doi:10.1111/j.1600-0722.1971.tb02008.x
15. Boyd, R. L., Murray, P., & Robertson, P. B. (1989). Effect of rotary electric toothbrush versus manual toothbrush on periodontal status during orthodontic treatment. American Journal of Orthodontics and Dentofacial Orthopedics, 96(4), 342–347. doi:10.1016/0889-5406(89)90354-5
16. Miethke, R.-R., & Vogt, S. (2005). A Comparison of the Periodontal Health of Patients during Treatment with the Invisalign® System and with Fixed Orthodontic Appliances. Journal of Orofacial Orthopedics / Fortschritte Der Kieferorthopädie, 66(3), 219–229. doi:10.1007/s00056-005-0436-1
17. Lu H, Tang H, Zhou T, Kang N. Assessment of the periodontal health status in patients undergoing orthodontic treatment with fixed appliances and Invisalign system: A meta-analysis. Medicine (Baltimore). 2018;97(13):e0248. doi:10.1097/MD.0000000000010248
18. Jiang Q, Li J, Mei L, Du J, Levrini L, Abbate GM, Li H. Periodontal health during orthodontic treatment with clear aligners and fixed appliances: A meta-analysis. J Am Dent Assoc. 2018 Aug;149(8):712-720.e12. doi: 10.1016/j.adaj.2018.04.010. Epub 2018 Jun 18. PMID: 29921415.
19. Chhibber A, Agarwal S, Yadav S, Kuo CL, Upadhyay M. Which orthodontic appliance is best for oral hygiene? A randomized clinical trial. Am J Orthod Dentofacial Orthop. 2018 Feb;153(2):175-183. doi: 10.1016/j.ajodo.2017.10.009. PMID: 29407494.
20. Madariaga ACP, Bucci R, Rongo R, Simeon V, D'Antò V, Valletta R. Impact of Fixed Orthodontic Appliance and Clear Aligners on the Periodontal Health: A Prospective Clinical Study. Dent J (Basel). 2020;8(1):4. Published 2020 Jan 2. doi:10.3390/dj8010004 Lu
21. Ziad Albhaisi, Susan N. Al-Khateeb, and Elham S. Abu Alhaija. Enamel demineralization during clear aligner orthodontic treatment compared with fixed appliance therapy, evaluated with quantitative light-induced fluorescence: A randomized clinical trial. American Journal of Orthodontics and Dentofacial Orthopedics May 2020 _ Vol 157 _ Issue 5.
22. Castroflorio T, Gamerro EF, Caviglia GP. Biochemical markers of bone metabolism during early orthodontic tooth movement with aligners. Angle Orthod. 2017;87:74–81
23. Mummolo S, Nota A, Albani F, Marchetti E, Gatto R, Marzo G, Quinzi V, Tecco S. Salivary levels of Streptococcus mutans and Lactobacilli and other salivary indices in patients wearing clear aligners versus fixed orthodontic appliances: An observational study. PLoS One. 2020 Apr 24;15(4):e0228798. doi: 10.1371/journal.pone.0228798. PMID: 32330172; PMCID: PMC7182227.
24. Gujar AN, Baeshen HA, Alhazmi A, Bhandi S, Raj AT, Patil S, Birkhed D. Cytokine levels in gingival crevicular fluid during orthodontic treatment with aligners compared to conventional labial fixed appliances: a 3-week clinical study. Acta Odontol Scand. 2019 Aug;77(6):474-481. doi: 10.1080/00016357.2019.1607548. Epub 2019 Apr 26. PMID: 31027423.
25. Campos Zeffa A, Dias BG, Silva DCMS, Rotta LO, Jussiani EI, Andrello AC, de Paula Ramos S. Influence of Conventional or Invisalign Orthodontic Treatment on Mineral and Trace Element Salivary Levels: Longitudinal Study with Total Reflection X-ray Fluorescence. Biol Trace Elem Res. 2021 Jul;199(7):2565-2572. doi: 10.1007/s12011-020-02396-1. Epub 2020 Sep 18. PMID: 32946034.
26. Wang Q, Ma JB, Wang B, Zhang X, Yin YL, Bai H. Alterations of the oral microbiome in patients treated with the Invisalign system or with fixed appliances. Am J Orthod Dentofacial Orthop. 2019 Nov;156(5):633-640. doi: 10.1016/j.ajodo.2018.11.017. Erratum in: Am J Orthod Dentofacial Orthop. 2020 Jan;157(1):4. PMID: 31677672.
27. Weltman, B., Vig, K.W., Fields, H.W., Shanker, S. and Kaizar, E.E. (2010)
Root resorption associated with orthodontic tooth movement: a ystematic review. American Journal of Orthodontics and Dentofacial orthopedics,137, 462–476; discussion 12A.
28. Yuan Li, Shiyong Deng, Li Mei et al. Prevalence and severity of apical root resorption during orthodontic treatment with clear aligners and fixed appliances: a cone beam computed tomography study. Progress in Orthodontics 2020;21:1. https://doi.org/10.1186/s40510-019-0301-1
29. Yi J. et al. External apical root resorption in non-extraction cases after clear aligner therapy of fixed orthodontic treatment, Journal of Dental Sciences, 2018; 1-5. https://doi.org/10.1016/j.jds.2017.09.007
30. Mohammed H. Al-Zainal, Sarah Anvery, Thikriat Al-Jewair. Clear aligner therapy may not prevent but may decrease the incidence of external root resorption compared to full fixed appliances. The journal of Evidence-based dental practice 2020:101438
31. Gandhi V, Mehta S, Gauthier M et al. Comparison of external apical root resorption with clear aligner and pre-adjusted edgewise appliances in non-extraction cases: a systematic review and meta-anallysis. European Journal of Othodontics, 2020, 1-10. doi:10.1093/ejo/cjaa013
32. Terpsithea Christou,a Roberto Abarca,b Vasileios Christou,c and Chung How Kaua . Smile outcome comparison of Invisalign and traditional fixed-appliance treatment: A case-control study American Journal of Orthodontics and Dentofacial Orthopedics March 2020 _ Vol 157 _ Issue 3.
33. Jiafeng Gu, Jack Shengyu Tang, Brennan Skulski, Henry W. Fields, Jr, F. Michael Beck, Allen R. Firestone. Evaluation of Invisalign treatment effectiveness and efficiency compared with conventional fixed appliances using the Peer Assessment Rating index. American Journal of Orthodontics and Dentofacial OrthopedicsFebruary 2017 _ Vol 151 _ Issue 2.
34. Joe Hennessy; The´re`se Garvey; Ebrahim A. Al-Awadhi A randomized clinical trial comparing mandibular incisor proclination produced by fixed labial appliances and clear aligners. Angle Orthodontist, Vol 86, No 5, 2016. DOI: 10.2319/101415-686.1
35. Yunyan Ke, Yanfei Zhu and Min Zhu. A comparison of treatment effectiveness between clear aligner and fixed appliance therapies. BMC Oral Health (2019) 19:24. https://doi.org/10.1186/s12903-018-0695-z.
36. Djeu G, Shelton C, Maganzini A. Outcome assessment of Invisalign and traditional orthodontic treatment compared with the American Board of Orthodontics objective grading system. Am J Orthod Dentofacial Orthop. 2005;128(3):292‐298; discussion 8.