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Predictability of the deep overbite correction using clear aligners.

Nishat Shahabuddin1, Jessica Kang2, Hyeran Helen Jeon1

  • 1Department of Orthodontics, School of Dental Medicine, University of Pennsylvania, Philadelphia, Pa.

American Journal of Orthodontics and Dentofacial Orthopedics : Official Publication of the American Association of Orthodontists, Its Constituent Societies, and the American Board of Orthodontics
|January 21, 2023
PubMed
Summary

Clear aligner treatment achieved 33% overbite correction in deepbite patients. Accuracy varied, with maxillary central incisors showing the least predictable inclination changes, suggesting overcorrection may be needed.

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Area of Science:

  • Orthodontics
  • Dental Technology

Background:

  • Deepbite malocclusion presents challenges in orthodontic treatment.
  • Clear aligners offer a modern approach to correcting dental issues.

Purpose of the Study:

  • To evaluate the predictability of overbite correction using clear aligners.
  • To assess the accuracy of vertical tooth movement and inclination changes in deepbite patients.

Main Methods:

  • Retrospective analysis of 24 deepbite patients treated with clear aligners (Invisalign).
  • Comparison of initial, predicted, and achieved models using 3D surface-based registration.
  • Measurement of overbite correction, vertical movement, and inclination changes for individual teeth.

Main Results:

  • Average overbite correction was 33% (1.15 mm).
  • Statistically significant differences between planned and achieved movements for all teeth.
  • Maxillary central incisors exhibited the largest discrepancies in vertical movement and inclination (13.3% accuracy for inclination).

Conclusions:

  • Clear aligner treatment provides moderate overbite correction (33%) in deepbite cases.
  • Treatment planning should consider overcorrection and potential refinement stages for optimal outcomes.
  • Individual tooth movement accuracy varies, necessitating careful monitoring, especially for anterior teeth.