Mourat Chasim ¹

¹ Dentist, Herndon, VA, USA

-Invited Article-

Received: 1 May 2024

Revised: 5 May 2024

Accepted: 5 May 2024

Published: 5 May 2024

Corresponding author:

Mourat Chasim.

Dentist, Herndon, VA, USA. dt.chasim@gmail.com

ABSTRACT

Orthodontic treatments have evolved significantly over the past decades, offering a range of options to address malocclusion and dental misalignment. The two most prominent methods are traditional braces and clear aligners. This article aims to compare these modalities, discussing their mechanisms, effectiveness, advantages, disadvantages, and considerations for patient selection. By exploring the latest research and clinical insights, a comprehensive overview to guide healthcare professionals and patients in making informed decisions about orthodontic care is aimed to present here

Keywords:

Teeth aligners, clear aligners, braces, orthodontics

Cite as:

Chasim M. Clear Aligners vs. Braces. Acta Med Eur. 2024;6(3):63-64. doi: 10.5281/zenodo.11114785

INTRODUCTION

INTRODUCTION

Orthodontic treatment is essential for correcting dental misalignment and malocclusion, contributing to oral health, aesthetics, and overall well-being. Traditional metal braces have been the standard for decades, but clear aligners have emerged as a popular alternative. This article examines the differences between these two approaches, outlining their benefits and limitations (1-4).

MECHANISMS OF ACTION

Braces

Traditional braces consist of metal brackets affixed to teeth, connected by wires and secured with elastic bands. By tightening the wires periodically, orthodontists apply controlled force to shift teeth into desired positions. Variations of braces include ceramic, lingual, and self-ligating systems (1-5).

Clear Aligners

Clear aligners are custom-made, removable trays that fit snugly over the teeth. Treatment involves a series of aligners, each slightly different, gradually guiding teeth to their final position. Aligners are typically replaced every 1-2 weeks, depending on the treatment plan (1-3).

EFFECTIVENESS

Both braces and aligners are effective for correcting various orthodontic issues, but they may differ in their capabilities (4-8):

Braces

Effective for a broad range of cases, including severe misalignment, complex malocclusions, and significant tooth rotations. Braces often offer more precise control over tooth movement.

Clear Aligners

Generally suitable for mild to moderate misalignment and simpler cases. Advances in aligner technology have expanded their applicability, but they may be less effective for complex orthodontic corrections (3-6).

ADVANTAGES

 Braces

  – Effective for complex cases

  – Consistent treatment due to permanent attachment

  – Greater force application for significant tooth movement

 Clear Aligners

  – Aesthetic appeal due to their nearly invisible design

  – Removability allows for easier oral hygiene and eating

  – Reduced risk of oral injuries from wires or brackets

DISADVANTAGES

 Braces

  – Noticeable appearance

  – Can be uncomfortable and cause oral irritation

  – Restricted diet to avoid damaging brackets and wires

  – Increased difficulty in maintaining oral hygiene

 Clear Aligners

  – Requires high compliance for successful outcomes

  – Limited effectiveness in complex cases

  – Potential for misplacement or damage if not handled properly

  – Additional cost for replacement aligners if lost or damaged

CONSIDERATIONS FOR PATIENT SELECTION

When choosing between braces and aligners, several factors should be considered (3-8):

Severity of Misalignment: Braces may be preferable for severe or complex cases.

Aesthetic Preferences: Aligners offer a more discreet option.

Patient Compliance: Aligners require consistent wear for optimal results, whereas braces are always in place.

Lifestyle and Diet: Aligners are removable, allowing for greater dietary flexibility and easier oral hygiene.

Cost: Braces are often more affordable, while aligners can incur additional costs for replacement or extended treatment.

CONCLUSION

Both braces and clear aligners have distinct advantages and limitations, making them suitable for different orthodontic scenarios. The choice between the two should be guided by clinical evaluation, patient preferences, and compliance considerations. Ongoing advancements in orthodontic technology continue to bridge the gap between these modalities, providing patients with more options for achieving a healthy and aesthetically pleasing smile. By understanding the unique benefits and challenges of each approach, healthcare professionals and patients can work together to select the most appropriate treatment plan.

REFERENCES

1. Weir T. Clear aligners in orthodontic treatment. Aust Dent J. 2017;62 Suppl 1:58-62. doi:10.1111/adj.12480
2. Rossini G, Parrini S, Castroflorio T, Deregibus A, Debernardi CL. Efficacy of clear aligners in controlling orthodontic tooth movement: a systematic review. Angle Orthod. 2015;85(5):881-889. doi:10.2319/061614-436.1
3. Castroflorio T, Sedran A, Parrini S, et al. Predictability of orthodontic tooth movement with aligners: effect of treatment design [published correction appears in Prog Orthod. 2023 Oct 24;24(1):47]. Prog Orthod. 2023;24(1):2. doi:10.1186/s40510-022-00453-0
4. Al-Tayar B, Al-Somairi MAA, ALshoaibi LH, et al. Impact of molar teeth distalization by clear aligners on temporomandibular joint: a three-dimensional study. Prog Orthod. 2023;24(1):25. doi:10.1186/s40510-023-00474-3
5. Fang X, Qi R, Liu C. Root resorption in orthodontic treatment with clear aligners: A systematic review and meta-analysis. Orthod Craniofac Res. 2019;22(4):259-269. doi:10.1111/ocr.12337
6. Ke Y, Zhu Y, Zhu M. A comparison of treatment effectiveness between clear aligner and fixed appliance therapies. BMC Oral Health. 2019;19(1):24. doi:10.1186/s12903-018-0695-z
7. AlMogbel A. Clear Aligner Therapy: Up to date review article. J Orthod Sci. 2023;12:37. doi:10.4103/jos.jos_30_23
8. Kau CH, Soh J, Christou T, Mangal A. Orthodontic Aligners: Current Perspectives for the Modern Orthodontic Office. Medicina (Kaunas). 2023;59(10):1773. doi:10.3390/medicina59101773