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Author Spotlight: 3D Movement Assessment of Maxillary Posterior Teeth in Clear Aligner Treatment
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Dental bleaching during orthodontic treatment with aligners
The International Journal of Esthetic Dentistry
|January 30, 2020
Summary
Tooth whitening using clear aligners without reservoirs proved effective, matching traditional trays with reservoirs. This offers a convenient and cost-effective option for patients undergoing orthodontic treatment.
Area of Science:
- Dental Aesthetics
- Biomaterials Science
- Orthodontics
Background:
- Tooth whitening is a popular cosmetic dental procedure.
- Clear aligners are increasingly used for orthodontic treatment.
- The effectiveness of using aligners as bleaching trays without reservoirs is not well-established.
Purpose of the Study:
- To determine the tooth whitening effectiveness of clear aligners (Invisalign, Vivera retainers) used as bleaching trays without reservoirs.
- To compare this effectiveness with traditional bleaching trays that have reservoirs.
- To utilize finite element analysis (FEA) and clinical spectrophotometry to assess gel distribution and whitening efficacy.
Main Methods:
- Finite Element Analysis (FEA) was employed to determine optimal bleaching gel distribution within aligner trays.
- Clinical spectrophotometry was used to measure chromatic variation (whitening) on teeth.
- A comparative study was conducted between teeth bleached with reservoir trays (control) and teeth bleached with aligners without reservoirs (study).
Main Results:
- FEA indicated that 2 mm³ of gel applied to the center of the vestibular tooth surface in the tray provides optimal distribution.
- Clinical study revealed no significant difference in whitening effectiveness between aligner trays without reservoirs and traditional trays with reservoirs.
- Both methods resulted in effective tooth whitening, with high patient satisfaction.
Conclusions:
- Clear aligners can be effectively used as bleaching trays without reservoirs for tooth whitening.
- This approach offers advantages such as convenience and reduced cost for patients undergoing orthodontic treatment.
- Further clinical research is recommended to fully assess the long-term effectiveness of this combined treatment approach.
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