Publication
A eficácia dos movimentos dentários realizados com alinhadores invisíveis: revisão narrativa
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Authors
Advisor(s)
Abstract(s)
Objetivos: A tecnologia dos alinhadores invisíveis evoluiu muito nos últimos anos e a sua disseminação é cada vez maior. Os benefícios oferecidos por esta terapia são múltiplos, enquanto que a sua eficácia ainda é incerta. Os objetivos deste estudo são demonstrar como o sistema evoluiu e avaliar a eficácia dos alinhadores nos vários movimentos ortodônticos.
Materiais e métodos: Foi efetuada uma pesquisa de artigos na literatura através da base de dados Medical Literature Analysis and Retrieval System Online (MedLine) no portal Pubmed, sem restrição de idioma, e com o limite temporal dos últimos 10 anos, entre meta-análises, revisões sistemáticas e estudos randomizados.
Resultados: Foram obtidos 155 resultados que, após leitura do título e do resumo, aplicando os critérios de inclusão e exclusão, selecionaram-se oito artigos.
Conclusões: Embora os resultados das investigações atuais não sejam suficientes para determinar a eficácia exata do tratamento com alinhadores removíveis, nos vários movimentos dentários, os resultados clínicos obtidos são satisfatórios, quando comparados com aparelhos ortodônticos fixos. Os movimentos de rotação e intrusão são os mais difíceis de serem previsíveis. A utilização de elementos auxiliares acessórios é essencial para se obter maior controlo e previsibilidade de determinados movimentos e consequentemente maior eficácia. Quanto ao tratamento do apinhamento leve a moderado, sua eficácia é totalmente confirmada.
Objectives: The technology of invisible aligners has evolved a lot in recent years and its dissemination is increasing. The benefits offered by this therapy are multiple, while its effectiveness is still uncertain. The aim of this study is to demonstrate how the system evolved and evaluate the effectiveness of aligners in various orthodontic movements. Materials and methods: A literature search of articles was conducted through the Medical Literature Analysis and Retrieval System Online (Medline) database in the Pubmed portal, without language restriction, and the time limit of the last 10 years, between meta-analyses, systematic reviews and randomized studies. Results: 155 results were obtained which, after reading the title and abstract, applying the inclusion and exclusion criteria, eight articles were selected. Conclusions: Although the results of current investigations are not sufficient to determine the exact effectiveness of treatment with removable aligners, in the various dental movements, the clinical results obtained are satisfactory when compared with fixed orthodontic appliances. Rotation and intrusion movements are the most difficult to predict. The use of auxiliary elements is essential to achieve greater control and predictability of certain movements and consequently greater effectiveness. As for the treatment of mild to moderate crowding, its effectiveness is fully confirmed.
Objectives: The technology of invisible aligners has evolved a lot in recent years and its dissemination is increasing. The benefits offered by this therapy are multiple, while its effectiveness is still uncertain. The aim of this study is to demonstrate how the system evolved and evaluate the effectiveness of aligners in various orthodontic movements. Materials and methods: A literature search of articles was conducted through the Medical Literature Analysis and Retrieval System Online (Medline) database in the Pubmed portal, without language restriction, and the time limit of the last 10 years, between meta-analyses, systematic reviews and randomized studies. Results: 155 results were obtained which, after reading the title and abstract, applying the inclusion and exclusion criteria, eight articles were selected. Conclusions: Although the results of current investigations are not sufficient to determine the exact effectiveness of treatment with removable aligners, in the various dental movements, the clinical results obtained are satisfactory when compared with fixed orthodontic appliances. Rotation and intrusion movements are the most difficult to predict. The use of auxiliary elements is essential to achieve greater control and predictability of certain movements and consequently greater effectiveness. As for the treatment of mild to moderate crowding, its effectiveness is fully confirmed.
Description
Keywords
Alinhadores transparentes Alinhadores ortodônticos Invisalign® Eficiência Eficácia Clear aligner Orthodontic aligners Efficiency Effectiveness