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Published in: BMC Oral Health 1/2023

Open Access 01-12-2023 | Aligner | Research

Comparative analysis of periodontal pain and quality of life in patients with fixed multibracket appliances and aligners (Invisalign®): longitudinal clinical study

Authors: Alfonso Alvarado-Lorenzo, Laura Antonio-Zancajo, Hugo Baptista, Pedro Colino Gallardo, Alberto Albaladejo-Martinez, Daniele Garcovich, Silvia Alcon

Published in: BMC Oral Health | Issue 1/2023

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Abstract

Backgrounds

The aim of this longitudinal clinical study is to analyse and compare according to location, degree and type, the pain presented by patients during their first year of treatment, as well as the quality of oral life after the placement of two types of orthodontic appliances: conventional brackets and removable Invisalign ® aligners.

Methods

The sample consisted of 140 patients grouped into 2 study groups of 70 patients each. The first group (brackets group- BG), with fixed multibracket appliances, using the MBT technique and a 0.022” slot. The second group (invisaling group- IG), in treatment with removable aligners (IG), using the Invisalign ® system. They were providen with a questionnare where they had to record the degree (mild, moderate or intense), the type and location of the pain monthly during the first year of treatment. The second form was the Spanish version of the OHIP-14, oral quality of life questionnaire, which was provided the twelfth month after the start of treatment.

Results

In both groups, we found that the most frequent location of pain occurred during the first phase: mandibular for the IG group and maxillary in the BG group. Throughout the whole analysis, the intensity was mild-moderate with lower values in the conventional brackets’ group. The BG group reported acute pain while the IG group reported sensitive pain during the first month; later both reported sensitive pain.

Conclusions

There are differences in terms of periodontal pain in its degree, location, and type according to the different orthodontic techniques used.

Trial registration

The study was approved by the bioethics committee of the University of Salamanca (USAL_20/516).
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Metadata
Title
Comparative analysis of periodontal pain and quality of life in patients with fixed multibracket appliances and aligners (Invisalign®): longitudinal clinical study
Authors
Alfonso Alvarado-Lorenzo
Laura Antonio-Zancajo
Hugo Baptista
Pedro Colino Gallardo
Alberto Albaladejo-Martinez
Daniele Garcovich
Silvia Alcon
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/s12903-023-03565-z

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