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A Systematic Review of Interventions-Does Invisalign Move Teeth as Effectively as Orthodontic Fixed Appliances?
Mohammad Khursheed Alam1,2,3, Mohammed Awawdeh4,5,6,7, Nora Alhazmi4,5,6
1Orthodontic Division, Preventive Dentistry Department, College of Dentistry, Jouf University, Sakaka 72345, Saudi Arabia.
Scientifica
|December 2, 2024
Summary
Invisalign and traditional braces show similar orthodontic tooth movement (OTM) efficacy. However, Invisalign treatment is significantly faster than fixed appliances, offering a more efficient orthodontic solution.
Area of Science:
- Orthodontics and Dental Technology
- Biomedical Engineering
- Clinical Dentistry
Background:
- Existing literature lacks direct comparisons of Invisalign and fixed appliance efficacy for orthodontic tooth movement (OTM).
- A need exists to empirically compare the amount and rate of OTM between these two prevalent orthodontic modalities.
- Informed treatment decisions require clear, evidence-based comparisons of Invisalign versus traditional fixed appliances.
Purpose of the Study:
- To evaluate and compare the efficacy of Invisalign and fixed orthodontic appliances in terms of OTM.
- To determine statistically significant differences in achieving OTM between Invisalign and fixed appliances.
- To assess differences in treatment duration between Invisalign and traditional fixed appliances.
Main Methods:
- Systematic review and meta-analysis of eligible studies identified through targeted database searches.
- Utilized MeSH keywords and Boolean operators for comprehensive literature retrieval.
- Included 10 studies in the pooled analysis based on predefined eligibility criteria.
Main Results:
- A statistically significant reduction in treatment time was observed with Invisalign compared to fixed appliances (OR = 0.61, p=0.004).
- No significant heterogeneity was detected among the included studies (I² = 0%).
- A non-significant trend favored Invisalign in terms of OTM efficacy (OR = 1.43, p=0.07), with negligible heterogeneity (I² = 0%).
Conclusions:
- Invisalign and fixed orthodontic appliances demonstrate comparable overall efficacy in achieving orthodontic tooth movement.
- Invisalign treatment is associated with a significantly shorter treatment duration compared to fixed appliances.
- Further research is warranted to investigate the long-term stability of orthodontic outcomes with both treatment modalities.
