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Patients' needs, expectations & concerns regarding clear aligner treatment.
Michael Nemec1, Linda Schwarz2, Leonie Schaller1
1Division of Orthodontics, University Clinic of Dentistry, Medical University of Vienna, Sensengasse 2a, Vienna, 1090, Austria.
Clinical Oral Investigations
|May 28, 2026
Summary
Patients seeking clear aligner therapy (CAT) have high expectations for treatment effectiveness and aesthetics, showing little willingness to compromise on outcomes. Understanding these needs is crucial for improving patient satisfaction with CAT.
Area of Science:
- Orthodontics
- Dental Aesthetics
- Patient-Reported Outcomes
Background:
- Clear aligner therapy (CAT) is a popular orthodontic treatment option.
- Patients have distinct expectations regarding their orthodontic treatment journey.
Purpose of the Study:
- To investigate the specific needs, expectations, and concerns of patients considering CAT.
- To enhance understanding of patient perspectives in orthodontic treatment planning.
Main Methods:
- Prospective cohort study involving 82 patients about to commence CAT.
- Utilized a 32-item questionnaire on CAT expectations (10-point visual analogue scale) and the OHIP-14.
- Collected demographic and clinical data for comprehensive analysis.
Main Results:
- Patients expect CAT to be as effective as braces, with high value placed on long-term results and aesthetics.
- Participants were unwilling to compromise treatment outcomes for reduced time or cost.
- Key concerns included treatment pain and dietary restrictions, with a desire for outcome simulations.
Conclusions:
- Patients considering CAT exhibit significant expectations for treatment outcomes, aesthetics, and efficiency.
- A lack of willingness to compromise is evident, highlighting the importance of managing patient expectations.
- Informed patient communication based on these findings can improve satisfaction with clear aligner therapy.
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