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Volume 20
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10.3390/ijerph20054481
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Background:
Systematic Review

Attachments for the Orthodontic Aligner Treatment—State of the Art—A Comprehensive Systematic Review

by
Maciej Jedliński
1,2,*,
Marta Mazur
1,2,
Mario Greco
3,
Joyce Belfus
4,
Katarzyna Grocholewicz
1 and
Joanna Janiszewska-Olszowska
1
1
Department of Interdisciplinary Dentistry, Pomeranian Medical University in Szczecin, 70-111 Szczecin, Poland
2
Department of Dental and Maxillofacial Sciences, Sapienza University of Rome, 00161 Rome, Italy
3
Department of Paediatric Dentistry, University of L’Aquila, 67100 L’Aquila, Italy
4
Faculty of Dentistry, Universidad de los Andes, Santiago 7620001, Chile
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2023, 20(5), 4481; https://doi.org/10.3390/ijerph20054481
Submission received: 12 January 2023 / Revised: 25 February 2023 / Accepted: 1 March 2023 / Published: 2 March 2023
(This article belongs to the Special Issue The Evolution of Dentistry in a Changing World between Technological Progress and Environmental Challenges)
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Abstract

Background: In recent years the burden of aligner treatment has been growing. However, the sole use of aligners is characterized by limitations; thus attachments are bonded to the teeth to improve aligner retention and tooth movement. Nevertheless, it is often still a challenge to clinically achieve the planned movement. Thus, the aim of this study is to discuss the evidence of the shape, placement and bonding of composite attachments. Methods: A query was carried out in six databases on 10 December 2022 using the search string (“orthodontics” OR “malocclusion” OR “Tooth movement techniques AND (“aligner*” OR “thermoformed splints” OR “invisible splint*” AND (“attachment*” OR “accessor*” OR “auxill*” AND “position*”). Results: There were 209 potential articles identified. Finally, twenty-six articles were included. Four referred to attachment bonding, and twenty-two comprised the influence of composite attachment on movement efficacy. Quality assessment tools were used according to the study type. Conclusions: The use of attachments significantly improves the expression of orthodontic movement and aligner retention. It is possible to indicate sites on the teeth where attachments have a better effect on tooth movement and to assess which attachments facilitate movement. The research received no external funding. The PROSPERO database number is CRD42022383276.
Keywords: aligners; attachments; positioning; clinical effectiveness; position; tooth movement; orthodontics; CAD aligners; attachments; positioning; clinical effectiveness; position; tooth movement; orthodontics; CAD

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MDPI and ACS Style

Jedliński, M.; Mazur, M.; Greco, M.; Belfus, J.; Grocholewicz, K.; Janiszewska-Olszowska, J. Attachments for the Orthodontic Aligner Treatment—State of the Art—A Comprehensive Systematic Review. Int. J. Environ. Res. Public Health 2023, 20, 4481. https://doi.org/10.3390/ijerph20054481

AMA Style

Jedliński M, Mazur M, Greco M, Belfus J, Grocholewicz K, Janiszewska-Olszowska J. Attachments for the Orthodontic Aligner Treatment—State of the Art—A Comprehensive Systematic Review. International Journal of Environmental Research and Public Health. 2023; 20(5):4481. https://doi.org/10.3390/ijerph20054481

Chicago/Turabian Style

Jedliński, Maciej, Marta Mazur, Mario Greco, Joyce Belfus, Katarzyna Grocholewicz, and Joanna Janiszewska-Olszowska. 2023. "Attachments for the Orthodontic Aligner Treatment—State of the Art—A Comprehensive Systematic Review" International Journal of Environmental Research and Public Health 20, no. 5: 4481. https://doi.org/10.3390/ijerph20054481

APA Style

Jedliński, M., Mazur, M., Greco, M., Belfus, J., Grocholewicz, K., & Janiszewska-Olszowska, J. (2023). Attachments for the Orthodontic Aligner Treatment—State of the Art—A Comprehensive Systematic Review. International Journal of Environmental Research and Public Health, 20(5), 4481. https://doi.org/10.3390/ijerph20054481

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