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

Author

Listed:
  • Maciej Jedliński

    (Department of Interdisciplinary Dentistry, Pomeranian Medical University in Szczecin, 70-111 Szczecin, Poland
    Department of Dental and Maxillofacial Sciences, Sapienza University of Rome, 00161 Rome, Italy)

  • Marta Mazur

    (Department of Interdisciplinary Dentistry, Pomeranian Medical University in Szczecin, 70-111 Szczecin, Poland
    Department of Dental and Maxillofacial Sciences, Sapienza University of Rome, 00161 Rome, Italy)

  • Mario Greco

    (Department of Paediatric Dentistry, University of L’Aquila, 67100 L’Aquila, Italy)

  • Joyce Belfus

    (Faculty of Dentistry, Universidad de los Andes, Santiago 7620001, Chile)

  • Katarzyna Grocholewicz

    (Department of Interdisciplinary Dentistry, Pomeranian Medical University in Szczecin, 70-111 Szczecin, Poland)

  • Joanna Janiszewska-Olszowska

    (Department of Interdisciplinary Dentistry, Pomeranian Medical University in Szczecin, 70-111 Szczecin, Poland)

Abstract

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.

Suggested Citation

  • Maciej Jedliński & Marta Mazur & Mario Greco & Joyce Belfus & Katarzyna Grocholewicz & Joanna Janiszewska-Olszowska, 2023. "Attachments for the Orthodontic Aligner Treatment—State of the Art—A Comprehensive Systematic Review," IJERPH, MDPI, vol. 20(5), pages 1-29, March.
  • Handle: RePEc:gam:jijerp:v:20:y:2023:i:5:p:4481-:d:1086178
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    References listed on IDEAS

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    1. Elaine M Beller & Paul P Glasziou & Douglas G Altman & Sally Hopewell & Hilda Bastian & Iain Chalmers & Peter C Gøtzsche & Toby Lasserson & David Tovey & for the PRISMA for Abstracts Group, 2013. "PRISMA for Abstracts: Reporting Systematic Reviews in Journal and Conference Abstracts," PLOS Medicine, Public Library of Science, vol. 10(4), pages 1-8, April.
    2. Alessandra Putrino & Ersilia Barbato & Gabriella Galluccio, 2021. "Clear Aligners: Between Evolution and Efficiency—A Scoping Review," IJERPH, MDPI, vol. 18(6), pages 1-19, March.
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