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Braces versus Invisalign®: gingival parameters and patients' satisfaction during treatment: a cross-sectional study
A Azaripour1,2, J Weusmann3, B Mahmoodi4
1Department of Operative Dentistry, University Medical Center of the Johannes Gutenberg University Mainz, Augustusplatz 2, Mainz, 55131, Germany. adrianoasso@hotmail.com.
BMC Oral Health
|June 25, 2015
Summary
Patients undergoing orthodontic treatment with clear aligners, such as Invisalign®, experience better periodontal health and higher satisfaction compared to those using fixed orthodontic appliances (FOA). This highlights the benefits of aligners for oral hygiene during treatment.
Area of Science:
- Orthodontics
- Periodontology
- Dental Hygiene
Background:
- Fixed orthodontic appliances (FOA) can compromise periodontal health due to hygiene challenges.
- The use of clear aligners has surged, yet research on their impact on oral hygiene and gingival health is limited.
Purpose of the Study:
- To compare oral hygiene and patient satisfaction between patients treated with FOA and those using Invisalign® clear aligners.
Main Methods:
- A cross-sectional study included 100 patients (50 FOA, 50 Invisalign®) with over 6 months of treatment.
- Clinical periodontal parameters and patient-reported outcomes via questionnaire were assessed.
- Statistical analysis involved Mann-Whitney U-Test, Fisher's Exact Test, and Bonferroni correction.
Main Results:
- Invisalign® patients demonstrated significantly better gingival health (lower GI and SBI scores).
- While plaque levels (API) were lower in Invisalign® patients, the difference was not statistically significant.
- Patient satisfaction was notably higher among those treated with Invisalign® compared to FOA.
Conclusions:
- Invisalign® treatment is associated with superior periodontal health outcomes.
- Patients treated with clear aligners report greater satisfaction during orthodontic therapy compared to those with FOA.
