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Related Experiment Video

Updated: Aug 20, 2025

Author Spotlight: 3D Movement Assessment of Maxillary Posterior Teeth in Clear Aligner Treatment

Author Spotlight: 3D Movement Assessment of Maxillary Posterior Teeth in Clear Aligner Treatment

Published on: February 23, 2024

Customized adjuncts with clear aligner therapy: "The Golden Circle Model" explained!

Nikhilesh R Vaid¹, Waddah Sabouni², Benedict Wilmes³

¹Adjunct Professor, Department of Orthodontics, Saveetha Dental College & Hospital, Saveetha Institute of Medical and Technical Sciences, Chennai, India.

Journal of the World Federation of Orthodontists

|November 18, 2022

Summary

This summary is machine-generated.

Clear aligner therapy (CAT) often has unpredictable outcomes. Combining CAT with customized adjunct appliances can significantly improve treatment predictability and expand the range of treatable malocclusions.

Keywords:

Biomechanics Clear aligner therapy Creative adjuncts Golden circle model Invisalign Limitations

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Last Updated: Aug 20, 2025

Author Spotlight: 3D Movement Assessment of Maxillary Posterior Teeth in Clear Aligner Treatment

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Published on: January 17, 2025

Area of Science:

Orthodontics
Dental Technology

Background:

Clear aligners are increasingly popular but have limitations in treating complex malocclusions.
Current outcomes with clear aligner therapy (CAT) show a significant discrepancy between predicted and actual results, often requiring mid-course corrections.

Purpose of the Study:

To explore the rationale, workflow, and benefits of using adjunct appliances with CAT.
To present innovative appliance designs that enhance the efficacy of clear aligner treatment.

Main Methods:

Review of current literature on clear aligner therapy limitations.
Presentation of various adjunct appliances and their application in orthodontic treatment.
Discussion of the 'Golden Circle Model' to explain the integration of adjuncts with CAT.

Main Results:

Adjunct appliances can be used concomitantly with aligners or as a separate treatment phase.
Specific adjuncts like bootstrap, mini-pin supported appliances, and CAD/CAM designs are detailed.
These adjuncts improve the predictability of tooth movement in clear aligner therapy.

Conclusions:

Integrating customized adjunct appliances is a practical solution to improve CAT predictability.
Clinicians can expand their scope of practice by judiciously incorporating these adjuncts into aligner treatment plans.
Adjuncts offer a way to manage a wider range of malocclusions effectively with clear aligners.