Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
BMC Oral Health
Published in: BMC Oral Health 1/2023

Open Access 01-12-2023 | Aligner | Research

Clinical outcomes of arch expansion with Invisalign: a systematic review

Authors: Songyang Ma, Yunji Wang

Published in: BMC Oral Health | Issue 1/2023

Login to get access

Abstract

Objective

This study aims to assess the scientific evidence regarding the clinical outcomes of Invisalign therapy in controlling orthodontic tooth movement.

Materials and methods

An electronic search was conducted on PubMed, Cochrane Library, Web of Science, Embase, and Scopus from November 2015 to November 2022 to identify relevant articles. Methodological shortcomings were highlighted, and an evaluation of the quality of the included studies was completed using the Risk of Bias in Non-randomized Studies of Interventions (ROBINS-I) tool.

Results

Fifteen non-randomized controlled trials were included in the analysis. Most non-randomized controlled trials (n=11; 73%) were rated with a moderate risk of bias according to the ROBINS-I tool. There were statistically significant differences between the pretreatment and posttreatment arches. The average expansion was significantly different from that predicted for each type of tooth in both the maxilla and mandible. Furthermore, the efficiency decreased from the anterior area to the posterior area in the upper arch.

Conclusion

Despite the fact that arch expansion with Invisalign® is not entirely predictable, clear aligner treatment is a viable option for addressing dentition crowding. The efficacy of expansion is greatest in the premolar area. More research focusing on treatment outcomes with different materials of aligners should be conducted in the future. Overcorrection should be considered when planning arch expansion with Invisalign. In the maxilla, the expansion rate decreases from the anterior to the posterior, and presetting sufficient buccal root torque of posterior teeth may result in improved efficiency of expansion.
Appendix
Available only for authorised users
Literature
1.
Galan-Lopez L, Barcia-Gonzalez J, Plasencia E. A systematic review of the accuracy and efficiency of dental movements with Invisalign(R) [J]. Korean J Orthod. 2019;49(3):140–9.CrossRefPubMedPubMedCentral
2.
Nemec M, Bartholomaeus HM, H Bertl M, Behm C, Ali Shokoohi-Tabrizi H, Jonke E, Andrukhov O, Rausch-Fan X. Behaviour of Human Oral Epithelial Cells Grown on Invisalign® SmartTrack® Material. Materials (Basel). 2020;13(23):5311.
3.
4.
Buschang PH, Shaw SG, Ross M, et al. Comparative time efficiency of aligner therapy and conventional edgewise braces. Angle Orthod. 2014;84(3):391–6.CrossRefPubMed
5.
Putrino A, Barbato E, Galluccio G. Clear Aligners: Between Evolution and Efficiency-A Scoping Review. Int J Environ Res Public Health. 2021;18(6):2870.
6.
Vidal-Bernárdez M L, Vilches-Arenas Á, SONNEMBERG B, et al. Efficacy and predictability of maxillary and mandibular expansion with the Invisalign® system. J Clin Exp Dent. 2021;13(7):669–77.CrossRef
7.
Marya A, Venugopal A, Vaid N, et al. Essential Attributes of Clear Aligner Therapy in terms of Appliance Configuration, Hygiene, and Pain Levels during the Pandemic: A Brief Review [J]. Pain Res Manag. 2020;2020:6677929.CrossRefPubMedPubMedCentral
8.
Levrini L, Carganico A, Abbate L. Maxillary expansion with clear aligners in the mixed dentition: A preliminary study with Invisalign® First system [J]. Eur J Paediatr Dent. 2021;22(2):125–8.PubMed
9.
Cretella Lombardo E, Paoloni V, Fanelli S, Pavoni C, Gazzani F, Cozza P. Evaluation of the Upper Arch Morphological Changes after Two Different Protocols of Expansion in Early Mixed Dentition: Rapid Maxillary Expansion and Invisalign® First System. Life (Basel). 2022;12(9):1323.
10.
Yassir YA, Nabbat SA, McIntyre GT, et al. Clinical effectiveness of clear aligner treatment compared to fixed appliance treatment: an overview of systematic reviews. Clin Oral Investig. 2022;26(3):2353–70.CrossRefPubMed
11.
Robertson L, Kaur H, Fagundes NCF, et al. Effectiveness of clear aligner therapy for orthodontic treatment: A systematic review [J]. Orthod Craniofac Res. 2020;23(2):133–42.CrossRefPubMed
12.
13.
Kassam SK, Stoops FR. Are clear aligners as effective as conventional fixed appliances? Evid Based Dent. 2020;21(1):30–1.CrossRefPubMed
14.
15.
Barreda G J, Dzierewianko e a, Mazza V, et al. Expansion treatment using Invisalign®: Periodontal health status and maxillary buccal bone changes. A clinical and tomographic evaluation. Acta Odontol Latinoam, 2020, 33(2): 69-81.
16.
Francisco I, Ribeiro MP, Marques F, Travassos R, Nunes C, Pereira F, Caramelo F, Paula AB, Vale F. Application of Three-Dimensional Digital Technology in Orthodontics: The State of the Art. Biomimetics (Basel). 2022;7(1):23.
17.
Laganà G, Malara A, Lione R, et al. Enamel interproximal reduction during treatment with clear aligners: digital planning versus OrthoCAD analysis. BMC Oral Health. 2021;21(1):199.CrossRefPubMedPubMedCentral
18.
Hariharan A, Arqub SA, Gandhi V, et al. Evaluation of interproximal reduction in individual teeth, and full arch assessment in clear aligner therapy: digital planning versus 3D model analysis after reduction. Prog Orthod. 2022;23(1):9.CrossRefPubMedPubMedCentral
19.
Taner TU, Ciger S, El H, et al. Evaluation of dental arch width and form changes after orthodontic treatment and retention with a new computerized method. Am J Orthod Dentofacial Orthop. 2004;126(4):464–75.CrossRefPubMed
20.
Haouili N, Kravitz ND, Vaid NR, et al. Has Invisalign improved? A prospective follow-up study on the efficacy of tooth movement with Invisalign [J]. Am J Orthod Dentofacial Orthop. 2020;158(3):420–5.CrossRefPubMed
21.
Lagravère MO, Flores-Mir C. The treatment effects of Invisalign orthodontic aligners: a systematic review. J Am Dent Assoc. 2005;136(12):1724–9.
22.
Nucera R, Dolci C, Bellocchio AM, Costa S, Barbera S, Rustico L, Farronato M, Militi A, Portelli M. Effects of Composite Attachments on Orthodontic Clear Aligners Therapy: A Systematic Review. Materials (Basel). 2022;15(2):533.
23.
Papadimitriou A, Mousoulea S, Gkantidis N, et al. Clinical effectiveness of Invisalign® orthodontic treatment: a systematic review [J]. Progress in Orthodontics, 2018, 19(1).
24.
Rossini G, Parrini S, Castroflorio T, Deregibus A, Debernardi CL. Efficacy of clear aligners in controlling orthodontic tooth movement: a systematic review. Angle Orthod. 2015;85(5):881–9.CrossRefPubMed
25.
Duncan LO, Piedade L, Lekic M, et al. Changes in mandibular incisor position and arch form resulting from Invisalign correction of the crowded dentition treated nonextraction. The Angle orthodontist. 2016;86(4):577–83.CrossRefPubMed
26.
Grunheid T, Loh C, Larson BE. How accurate is Invisalign in nonextraction cases? Are predicted tooth positions achieved? Angle Orthod. 2017;87(6):809–15.CrossRefPubMedPubMedCentral
27.
Houle JP, Piedade L, Todescan R, et al. The predictability of transverse changes with Invisalign [J]. Angle Orthod. 2017;87(1):19–24.CrossRefPubMed
28.
Solano-Mendoza B, Sonnemberg B, Solano-Reina E, et al. How effective is the Invisalign® system in expansion movement with Ex30’ aligners? Clin Oral Investig. 2017;21(5):1475–84.CrossRefPubMed
29.
Zhao X W H, Yang YM, Tang GH. Maxillary expansion efficiency with clear aligner and its possible influencing factors. Chinese J Stomatology. 2017;52(9):534–48.
30.
Deregibus A, Tallone L, Rossini G, et al. Morphometric analysis of dental arch form changes in class II patients treated with clear aligners. J Orofac Orthop. 2020;81(4):229–38.CrossRefPubMed
31.
Morales-Burruezo I, Gandía-Franco JL, Cobo J, Vela-Hernández A, Bellot-Arcís C. Arch expansion with the Invisalign system: Efficacy and predictability. PLoS One. 2020;15(12):e0242979.
32.
Zhou N, Guo J. Efficiency of upper arch expansion with the Invisalign system. Angle Orthod. 2020;90(1):23–30.CrossRefPubMed
33.
34.
Riede U, Wai S, Neururer S, et al. Maxillary expansion or contraction and occlusal contact adjustment: effectiveness of current aligner treatment. Clin Oral Investig. 2021;25(7):4671–9.CrossRefPubMedPubMedCentral
35.
Goh S, Dreyer C, Weir T. The predictability of the mandibular curve of Wilson, buccolingual crown inclination, and transverse expansion expression with Invisalign treatment [J]. Am J Orthod Dentofacial Orthop. 2023;163(1):109–16.
36.
Lione R, Paoloni V, De Razza FC, Pavoni C, Cozza P. Analysis of Maxillary First Molar Derotation with Invisalign Clear Aligners in Permanent Dentition. Life (Basel). 2022;12(10):1495.
37.
Tien R, Patel V, Chen T, Lavrin I, Naoum S, Lee RJH, Goonewardene MS. The predictability of expansion with Invisalign: A retrospective cohort study. Am J Orthod Dentofacial Orthop. 2023;163(1):47–53.
38.
Bondemark L, Holm A-K, Hansen K, et al. Long-term stability of orthodontic treatment and patient satisfaction A systematic review. Angle Orthod. 2007;77(1):181–91.CrossRefPubMed
39.
Rossini G, Parrini S, Castroflorio T, et al. Periodontal health during clear aligners treatment: a systematic review. Eur J Orthod. 2015;37(5):539–43.CrossRefPubMed
Metadata
Title
Clinical outcomes of arch expansion with Invisalign: a systematic review
Authors
Songyang Ma
Yunji Wang
Publication date
01-12-2023
Publisher
BioMed Central
Keyword
Aligner
Published in
BMC Oral Health / Issue 1/2023
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/s12903-023-03302-6

Other articles of this Issue 1/2023

BMC Oral Health 1/2023 Go to the issue

Research

Enhanced in vitro antibacterial effect against Enterococcus faecalis by using both low-dose cetylpyridinium chloride and silver ions

Research

Clinical survival of No-prep indirect composite laminate veneers: a 7-year prospective case series study

Case Report

Dental management of a pediatric patient with progressive familial intrahepatic cholestasis having dental anomalies: a case report and brief review of the literature

Research

Association between psychological stress, anxiety and oral health status among college students during the Omicron wave: a cross-sectional study

Research

A large-cohort study of 2971 cases of epulis: focusing on risk factors associated with recurrence

Research

Disparity in access for people with disabilities to outpatient dental care services: a retrospective cohort study