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KMID : 0361920230530040264
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Korean Journal of Orthodontics
2023 Volume.53 No. 4 p.264 ~ p.275
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Maxillary alveolar bone evaluation following dentoalveolar expansion with clear aligners in adults: A cone-beam computed tomography study
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Marcio Antonio de Figueiredo
Fabio Lourenco Romano
Murilo Fernando Neuppmann Feres
Maria Bernadete Sasso Stuani
Jose Tarcisio Lima Ferreir
Ana Carla Raphaelli Naha
Mirian Aiko Nakane Matsumoto
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Abstract
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Objective: To investigate the effects of maxillary orthodontic expansion on the alveolar bone tissue in adult patients treated with aligners by using conebeam computed tomography.
Methods: Thirty patients (22 females and 8 males; mean age: 36.3 years) were treated with Invisalign® aligners. Conebeam computed tomography and digital models were obtained before (T0) and after (T1) upper arch expansion. The bone thicknesses in the cervical, middle, and apical areas of the incisors, canines, premolar, and first molars were buccally and palatally measured, totaling 96 areas and 2,880 measurements. The buccolingual inclinations and transverse measurements of the teeth were obtained from digital models to correlate them with the bone changes. The statistical tests used were Student’s t -test, analysis of variance, and Pearson’s correlation tests (p < 0.05).
Results: From the 96 areas evaluated, 84 revealed an increase or stability in the alveolar bone thickness and twelve displayed significant bone loss. Bone changes did not correlate with the tooth inclination and transverse measurements.
Conclusions: Within the limitation of the present study, mild levels of upper arch expansion obtained with Invisalign® aligners in adult patients did not result in any clinically significant loss of alveolar bone thickness.
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KEYWORD
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Alveolar bone loss, Clear aligners, Cone-beam computed tomography, Periodontics
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