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• W3201824861 abstract "Regarding the recent article by Jiang et al in the May issue of American Journal of Orthodontics and Dentofacial Orthopedics (Jiang T, Jiang YN, Chu FT, Lu PJ, Tang GH. A cone-beam computed tomographic study evaluating the efficacy of incisor movement with clear aligners: Assessment of incisor pure tipping, controlled tipping, translation, and torque Am J Orthod Dentofacial Orthop 2021;159:635-43), we would like to congratulate the authors on their interesting study and also raise a few questions. Although clear aligners seem to be an ideal system, they have certain biomechanical limits that have yet to be overcome,1Schupp W. Haubrich J. Neumann I. Class II correction with the Invisalign system.J Clin Orthod. 2010; 44: 28-35PubMed Google Scholar and currently, the biomechanics of clear aligners require further clarification to achieve more predictable treatment results.2Hansa I. Katyal V. Ferguson D.J. Vaid N. Outcomes of clear aligner treatment with and without Dental Monitoring: A retrospective cohort study.Am J Orthod Dentofacial Orthop. 2021; 159: 453-459Abstract Full Text Full Text PDF PubMed Scopus (3) Google Scholar Teeth move as a response to pressure, and the combination of biochemical, cellular, and substrate responses are usually the same, regardless of the charismatic leader, the manufacturer’s claim, the size and shape of the bracket, the chemical composition of the wire, or the philosophy of the operator.3Dougherty H.L. Read the label before taking.Am J Orthod Dentofacial Orthop. 1987; 91: 442-444Abstract Full Text PDF PubMed Scopus (3) Google Scholar We agree with the authors’ statement that, “Although the consumer demand and the professional use of clear aligners continue to grow, questions regarding the efficacy of this system still remain. Despite the advocated efficiency of the treatment, its clinical potency still remains debatable.” Other studies support these findings.4Haouili N. Kravitz N.D. Vaid N.R. Ferguson D.J. Makki L. Has Invisalign improved? A prospective follow-up study on the efficacy of tooth movement with Invisalign.Am J Orthod Dentofacial Orthop. 2020; 158: 420-425Abstract Full Text Full Text PDF PubMed Scopus (20) Google Scholar Our question regarding this study concerns the length of time that the patient wears each aligner. Standardized schedules can range from 7-day changes for aligner patients,5Rossini G. Parrini S. Castroflorio T. Deregibus A. Debernardi C.L. Efficacy of clear aligners in controlling orthodontic tooth movement: a systematic review.Angle Orthod. 2015; 85: 881-889Crossref PubMed Scopus (151) Google Scholar 2-week appointments for accelerated orthodontic patients,6Wilcko M.T. Wilcko W.M. Bissada N.F. An evidence-based analysis of periodontally accelerated orthodontic and osteogenic techniques: A synthesis of scientific perspectives.Semin Orthod. 2008; 14: 305-316Abstract Full Text Full Text PDF Scopus (121) Google Scholar and 4-8-week intervals for traditional orthodontic patients, so that all biological, biochemical, and biomechanical events occur in a way that is as harmless as possible to teeth and support structures.7Strang R.H.W. What is meant by physiological tooth movement.Angle Orthod. 1931; 1: 70-76Google Scholar If a continuous force is applied, compressed areas are frequently created on the pressured side of the root, even if the force applied is light.8Reitan K. Some factors determining the evaluation of forces in orthodontics.Am J Orthod. 1957; 43: 32-45Abstract Full Text PDF Scopus (216) Google Scholar The time required for elimination of the compressed area by indirect bone resorption varies from approximately 2 weeks to 4 weeks and occasionally longer. There are protocols for wearing aligners,9Al-Nadawi M. Kravitz N.D. Hansa I. Makki L. Ferguson D.J. Vaid N.R. Effect of clear aligner wear protocol on the efficacy of tooth movement.Angle Orthod. 2021; 91: 157-163Crossref PubMed Scopus (3) Google Scholar and we believe this is important information for readers to understand. Finally, we think the discussion of clear aligners, their biomechanics, and their wearing protocols is in its early stages, and many points remain to be debated to elucidate this increasingly popular option for orthodontic treatment." @default.
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• W3201824861 title "Efficacy of incisor movement with clear aligners: What about interval changes for aligners?" @default.
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