Efficiency and predictability of maxillary expansion with Invisalign® system

Ana Sofia Rocha; Maria Gonçalves; Ana Catarina Oliveira; Teresa Pinho

doi:10.48797/sl.2024.119

Authors

Ana Sofia Rocha UNIPRO – Oral Pathology and Rehabilitation Research Unit, University Institute of Health Sciences (IUCS), CESPU, 4585-116 Gandra, Portugal https://orcid.org/0000-0002-5590-8847
Maria Gonçalves Associate Laboratory i4HB – Institute for Health and Bioeconomy, University Institute of Health Sciences – CESPU, 4585-116 Gandra, Portugal; UCIBIO – Applied Molecular Biosciences Unit, Translational Toxicology Research Laboratory, University Institute of Health Sciences (1H-TOXRUN, IUCS-CESPU), 4585-116 Gandra, Portugal
Ana Catarina Oliveira UNIPRO – Oral Pathology and Rehabilitation Research Unit, University Institute of Health Sciences (IUCS), CESPU, 4585-116 Gandra, Portugal https://orcid.org/0000-0003-1042-2373
Teresa Pinho UNIPRO – Oral Pathology and Rehabilitation Research Unit, University Institute of Health Sciences (IUCS), CESPU, 4585-116 Gandra, Portugal; IBMC – Molecular and Cellular Biology Institute, i3S - Health Innovation and Research Institute, University of Porto, Porto, Portugal https://orcid.org/0000-0003-0012-6626

DOI:

https://doi.org/10.48797/sl.2024.119

Keywords:

tooth movement, Invisalign, effectiveness, expansion, clear aligners

Abstract

The Invisalign^® system aims to ensure aesthetics and achieve positive clinical results; however, its efficacy is still debatable. Along with lower incisor intrusion and upper molar distalization, arch expansion is one of the most predictable movements that may be achieved using clear aligners. This makes the system a conceivable method for the correction of crowding and posterior dentoalveolar crossbites. The aim of this study is to analyze the effectiveness and predictability of tooth expansion in permanent dentition with Invisalign^® orthodontic aligners. A bibliographic search was carried out using the PubMed and EBSCOhost databases. Articles published between 2013 and 2023 and written in English were selected. Reporting of this review was based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. After a thorough review, 12 articles were included. In terms of efficiency, most studies showed an increase in all interdental measurements, with premolars showing the greatest expansion. On the other hand, predictability was weaker, as significant differences were found between the post-treatment models and the ClinCheck^® software virtual model for some interdental measurements. We concluded that the Invisalign^® system is effective in producing expansion movement, with reasonable predictability.

References

Kesling, H.D. Coordinating the predetermined pattern and tooth positioner with conventional treatment. Am J Orthod Oral Surg 1946, 32, 285-293, doi:10.1016/0096-6347(46)90053-1.

Ojima, K.; Kau, C.H. A perspective in accelerated orthodontics with aligner treatment. Semin Orthod 2017, 23, 76-82, doi:10.1053/j.sodo.2016.10.002.

Nedwed, V.; Miethke, R.R. Motivation, acceptance and problems of invisalign patients. J Orofac Orthop 2005, 66, 162-173, doi:10.1007/s00056-005-0429-0.

Miethke, R.R.; Brauner, K. A Comparison of the periodontal health of patients during treatment with the Invisalign system and with fixed lingual appliances. J Orofac Orthop 2007, 68, 223-231, doi:10.1007/s00056-007-0655-8.

Rossini, G.; Parrini, S.; Castroflorio, T.; Deregibus, A.; Debernardi, C.L. Efficacy of clear aligners in controlling orthodontic tooth movement: a systematic review. Angle Orthod 2015, 85, 881-889, doi:10.2319/061614-436.1.

Papadimitriou, A.; Mousoulea, S.; Gkantidis, N.; Kloukos, D. Clinical effectiveness of Invisalign(R) orthodontic treatment: a systematic review. Prog Orthod 2018, 19, 37, doi:10.1186/s40510-018-0235-z.

Kravitz, N.D.; Kusnoto, B.; BeGole, E.; Obrez, A.; Agran, B. How well does Invisalign work? A prospective clinical study evaluating the efficacy of tooth movement with Invisalign. Am J Orthod Dentofacial Orthop 2009, 135, 27-35, doi:10.1016/j.ajodo.2007.05.018.

Krishnan, V.; Daniel, S.T.; Lazar, D.; Asok, A. Characterization of posed smile by using visual analog scale, smile arc, buccal corridor measures, and modified smile index. Am J Orthod Dentofacial Orthop 2008, 133, 515-523, doi:10.1016/j.ajodo.2006.04.046.

Giancotti, A.; Mampieri, G. Unilateral canine crossbite correction in adults using the Invisalign method: a case report. Orthodontics (Chic.) 2012, 13, 122-127.

Galan-Lopez, L.; Barcia-Gonzalez, J.; Plasencia, E. A systematic review of the accuracy and efficiency of dental movements with Invisalign(R). Korean J Orthod 2019, 49, 140-149, doi:10.4041/kjod.2019.49.3.140.

Lombardo, L.; Arreghini, A.; Ramina, F.; Huanca Ghislanzoni, L.T.; Siciliani, G. Predictability of orthodontic movement with orthodontic aligners: a retrospective study. Prog Orthod 2017, 18, 35, doi:10.1186/s40510-017-0190-0.

Kravitz, N.D.; Kusnoto, B.; Agran, B.; Viana, G. Influence of attachments and interproximal reduction on the accuracy of canine rotation with Invisalign. A prospective clinical study. Angle Orthod 2008, 78, 682-687, doi:10.2319/0003-3219(2008)078[0682:IOAAIR]2.0.CO;2.

Martina, S.; Rongo, R.; Bucci, R.; Razionale, A.V.; Valletta, R.; D'Anto, V. In vitro cytotoxicity of different thermoplastic materials for clear aligners. Angle Orthod 2019, 89, 942-945, doi:10.2319/091718-674.1.

Tamburrino, F.; D'Anto, V.; Bucci, R.; Alessandri-Bonetti, G.; Barone, S.; Razionale, A.V. Mechanical Properties of Thermoplastic Polymers for Aligner Manufacturing: In Vitro Study. Dent J (Basel) 2020, 8, doi:10.3390/dj8020047.

Bucci, R.; Rongo, R.; Levate, C.; Michelotti, A.; Barone, S.; Razionale, A.V.; D'Anto, V. Thickness of orthodontic clear aligners after thermoforming and after 10 days of intraoral exposure: a prospective clinical study. Prog Orthod 2019, 20, 36, doi:10.1186/s40510-019-0289-6.

Castroflorio, T.; Sedran, A.; Parrini, S.; Garino, F.; Reverdito, M.; Capuozzo, R.; Mutinelli, S.; Grybauskas, S.; Vaitiekunas, M.; Deregibus, A. Predictability of orthodontic tooth movement with aligners: effect of treatment design. Prog Orthod 2023, 24, 2, doi:10.1186/s40510-022-00453-0.

Lione, R.; Paoloni, V.; Bartolommei, L.; Gazzani, F.; Meuli, S.; Pavoni, C.; Cozza, P. Maxillary arch development with Invisalign system. Angle Orthod 2021, 91, 433-440, doi:10.2319/080520-687.1.

Riede, U.; Wai, S.; Neururer, S.; Reistenhofer, B.; Riede, G.; Besser, K.; Crismani, A. Maxillary expansion or contraction and occlusal contact adjustment: effectiveness of current aligner treatment. Clin Oral Investig 2021, 25, 4671-4679, doi:10.1007/s00784-021-03780-4.

Houle, J.P.; Piedade, L.; Todescan, R., Jr.; Pinheiro, F.H. The predictability of transverse changes with Invisalign. Angle Orthod 2017, 87, 19-24, doi:10.2319/122115-875.1.

Zhou, N.; Guo, J. Efficiency of upper arch expansion with the Invisalign system. Angle Orthod 2020, 90, 23-30, doi:10.2319/022719-151.1.

D'Anto, V.; Bucci, R.; De Simone, V.; Huanca Ghislanzoni, L.; Michelotti, A.; Rongo, R. Evaluation of Tooth Movement Accuracy with Aligners: A Prospective Study. Materials (Basel) 2022, 15, doi:10.3390/ma15072646.

Vidal-Bernardez, M.L.; Vilches-Arenas, A.; Sonnemberg, B.; Solano-Reina, E.; Solano-Mendoza, B. Efficacy and predictability of maxillary and mandibular expansion with the Invisalign(R) system. J Clin Exp Dent 2021, 13, e669-e677, doi:10.4317/jced.58315.

D'Anto, V.; Valletta, R.; Di Mauro, L.; Riccitiello, F.; Kirlis, R.; Rongo, R. The Predictability of Transverse Changes in Patients Treated with Clear Aligners. Materials (Basel) 2023, 16, doi:10.3390/ma16051910.

Galluccio, G.; De Stefano, A.A.; Horodynski, M.; Impellizzeri, A.; Guarnieri, R.; Barbato, E.; Di Carlo, S.; De Angelis, F. Efficacy and Accuracy of Maxillary Arch Expansion with Clear Aligner Treatment. Int J Environ Res Public Health 2023, 20, doi:10.3390/ijerph20054634.

Charalampakis, O.; Iliadi, A.; Ueno, H.; Oliver, D.R.; Kim, K.B. Accuracy of clear aligners: A retrospective study of patients who needed refinement. Am J Orthod Dentofacial Orthop 2018, 154, 47-54, doi:10.1016/j.ajodo.2017.11.028.

Solano-Mendoza, B.; Sonnemberg, B.; Solano-Reina, E.; Iglesias-Linares, A. How effective is the Invisalign(R) system in expansion movement with Ex30' aligners? Clin Oral Investig 2017, 21, 1475-1484, doi:10.1007/s00784-016-1908-y.

Morales-Burruezo, I.; Gandia-Franco, J.L.; Cobo, J.; Vela-Hernandez, A.; Bellot-Arcis, C. Arch expansion with the Invisalign system: Efficacy and predictability. PLoS One 2020, 15, e0242979, doi:10.1371/journal.pone.0242979.

Ali, S.A.; Miethke, H.R. Invisalign, an innovative invisible orthodontic appliance to correct malocclusions: advantages and limitations. Dent Update 2012, 39, 254-256, 258-260, doi:10.12968/denu.2012.39.4.254.

Impellizzeri, A.; Horodynski, M.; Serritella, E.; Palaia, G.; De Stefano, A.; Polimeni, A.; Galluccio, G. Uncovering and Autonomous Eruption of Palatally Impacted Canines-A Case Report. Dent J (Basel) 2021, 9, doi:10.3390/dj9060066.

Kanpittaya, P.; Changsiripun, C.; Jaruprakorn, T.; Komolpis, R.; Chengprapakorn, S.; Laoamata, V.; Suwanwitid, P. Clear Aligner: Effectiveness, Limitations and Considerations. J Dent Assoc Thai 2021, 71, 231-236, doi:10.14456/jdat.2021.25.