Skip to main content
Top
Published in: Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie 6/2016

01-11-2016 | Original Article

Patient survey on Invisalign® treatment comparen the SmartTrack® material to the previous aligner material

Authors: Anne-Kathrin Bräscher, Dietmar Zuran, Robert E. Feldmann Jr., Justus Benrath

Published in: Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie | Issue 6/2016

Login to get access

Abstract

Objectives

In 2013, a novel material SmartTrack® was introduced to replace the previous material used for Invisalign® aligners. We conducted this study to test how this transition was accepted by patients during ongoing Invisalign® treatment.

Methods

We surveyed a total of 72 patients (68 % women, 32 % men, mean age: 29.3 ± 9.2 years) who had worn the new material for a mean of 6 months. They completed a questionnaire with 25 items that compared both materials in terms of pain, pressure upon insertion, comfort, mucosal irritation, phonetics, discoloration, and taste.

Results

On a numerical rating scale (NRS) ranging from 0 to 10, the new aligner material was rated by the respondents to cause significantly (p < 0.001) less maximum pain than the old material (2.8 vs. 3.8). Significant reductions were obtained for duration of pain (p < 0.001) and duration of pressure (2.5 vs. 1.9 days; p = 0.001) upon insertion of the aligners. Over 90 % of the respondents indicated less or equal pain during eating, felt that the new material offered a tighter fit, and provided more favorable ratings for impairment, durability, and discoloration. Improved comfort was reported by 50 % of the respondents.

Conclusions

The new material was favorably rated by the patients and showed significant reductions in pain intensity, pain duration, and pressure upon insertion. Important clinical parameters like overall comfort and impairment also were improved. The clinical effectiveness of the new material remains to be investigated.
Literature
1.
go back to reference Bergius M, Broberg AG, Hakeberg M, Berggren U (2008) Prediction of prolonged pain experiences during orthodontic treatment. Am J Orthod Dentofac Orthop 133(3):339. e331–339. e338 Bergius M, Broberg AG, Hakeberg M, Berggren U (2008) Prediction of prolonged pain experiences during orthodontic treatment. Am J Orthod Dentofac Orthop 133(3):339. e331–339. e338
2.
go back to reference Bollen A-M, Huang G, King G, Hujoel P, Ma T (2003) Activation time and material stiffness of sequential removable orthodontic appliances. Part 1: ability to complete treatment. Am J Orthod Dentofac Orthop 124(5):496–501CrossRef Bollen A-M, Huang G, King G, Hujoel P, Ma T (2003) Activation time and material stiffness of sequential removable orthodontic appliances. Part 1: ability to complete treatment. Am J Orthod Dentofac Orthop 124(5):496–501CrossRef
3.
go back to reference Bradley TG, Teske L, Eliades G, Zinelis S, Eliades T (2015) Do the mechanical and chemical properties of Invisalign™ appliances change after use? A retrieval analysis. Eur J Orthod 38(1):27–31CrossRef Bradley TG, Teske L, Eliades G, Zinelis S, Eliades T (2015) Do the mechanical and chemical properties of Invisalign™ appliances change after use? A retrieval analysis. Eur J Orthod 38(1):27–31CrossRef
4.
go back to reference Clements KM, Bollen A-M, Huang G, King G, Hujoel P, Ma T (2003) Activation time and material stiffness of sequential removable orthodontic appliances. Part 2: dental improvements. Am J Orthod Dentofac Orthop 124(5):502–508CrossRef Clements KM, Bollen A-M, Huang G, King G, Hujoel P, Ma T (2003) Activation time and material stiffness of sequential removable orthodontic appliances. Part 2: dental improvements. Am J Orthod Dentofac Orthop 124(5):502–508CrossRef
5.
go back to reference Erdinc A, Dinçer B (2004) Perception of pain during orthodontic treatment with fixed appliances. Eur J Orthod 26(1):79–85CrossRefPubMed Erdinc A, Dinçer B (2004) Perception of pain during orthodontic treatment with fixed appliances. Eur J Orthod 26(1):79–85CrossRefPubMed
6.
go back to reference Farronato G, Giannini L, Galbiati G, Cannalire P, Martinelli G, Tubertini I, Maspero C (2012) Oral tissues and orthodontic treatment: common side effects. Minerva Stomatol 62(11–12):431–446 Farronato G, Giannini L, Galbiati G, Cannalire P, Martinelli G, Tubertini I, Maspero C (2012) Oral tissues and orthodontic treatment: common side effects. Minerva Stomatol 62(11–12):431–446
7.
go back to reference Firestone AR, Scheurer PA, Bürgin WB (1999) Patients’ anticipation of pain and pain-related side effects, and their perception of pain as a result of orthodontic treatment with fixed appliances. Eur J Orthod 21(4):387–396CrossRefPubMed Firestone AR, Scheurer PA, Bürgin WB (1999) Patients’ anticipation of pain and pain-related side effects, and their perception of pain as a result of orthodontic treatment with fixed appliances. Eur J Orthod 21(4):387–396CrossRefPubMed
8.
go back to reference Fujiyama K, Honjo T, Suzuki M, Matsuoka S, Deguchi T (2014) Analysis of pain level in cases treated with Invisalign aligner: comparison with fixed edgewise appliance therapy. Prog Orthod 15(1):64CrossRefPubMedPubMedCentral Fujiyama K, Honjo T, Suzuki M, Matsuoka S, Deguchi T (2014) Analysis of pain level in cases treated with Invisalign aligner: comparison with fixed edgewise appliance therapy. Prog Orthod 15(1):64CrossRefPubMedPubMedCentral
9.
go back to reference Johal A, Fleming P, Al Jawad F (2014) A prospective longitudinal controlled assessment of pain experience and oral health-related quality of life in adolescents undergoing fixed appliance treatment. Orthod Craniofac Res 17(3):178–186CrossRefPubMed Johal A, Fleming P, Al Jawad F (2014) A prospective longitudinal controlled assessment of pain experience and oral health-related quality of life in adolescents undergoing fixed appliance treatment. Orthod Craniofac Res 17(3):178–186CrossRefPubMed
10.
go back to reference Kravitz ND, Kusnoto B, BeGole E, Obrez A, Agran B (2009) How well does Invisalign work? A prospective clinical study evaluating the efficacy of tooth movement with Invisalign. Am J Orthod Dentofac Orthop 135(1):27–35CrossRef Kravitz ND, Kusnoto B, BeGole E, Obrez A, Agran B (2009) How well does Invisalign work? A prospective clinical study evaluating the efficacy of tooth movement with Invisalign. Am J Orthod Dentofac Orthop 135(1):27–35CrossRef
11.
go back to reference Krieger E, Seiferth J, Marinello I, Jung BA, Wriedt S, Jacobs C, Wehrbein H (2012) Invisalign® treatment in the anterior region. J Orofac Orthop Fortschritte der Kieferorthopädie 73(5):365–376CrossRefPubMed Krieger E, Seiferth J, Marinello I, Jung BA, Wriedt S, Jacobs C, Wehrbein H (2012) Invisalign® treatment in the anterior region. J Orofac Orthop Fortschritte der Kieferorthopädie 73(5):365–376CrossRefPubMed
12.
go back to reference Krukemeyer AM, Arruda AO, Inglehart MR (2009) Pain and orthodontic treatment: patient experiences and provider assessments. Angle Orthod 79(6):1175–1181CrossRefPubMed Krukemeyer AM, Arruda AO, Inglehart MR (2009) Pain and orthodontic treatment: patient experiences and provider assessments. Angle Orthod 79(6):1175–1181CrossRefPubMed
13.
go back to reference Kuncio D, Maganzini A, Shelton C, Freeman K (2007) Invisalign and traditional orthodontic treatment postretention outcomes compared using the American Board of Orthodontics objective grading system. Angle Orthod 77(5):864–869CrossRefPubMed Kuncio D, Maganzini A, Shelton C, Freeman K (2007) Invisalign and traditional orthodontic treatment postretention outcomes compared using the American Board of Orthodontics objective grading system. Angle Orthod 77(5):864–869CrossRefPubMed
14.
go back to reference Liu Z, McGrath C, Hägg U (2011) Changes in oral health-related quality of life during fixed orthodontic appliance therapy: an 18-month prospective longitudinal study. Am J Orthod Dentofac Orthop 139(2):214–219CrossRef Liu Z, McGrath C, Hägg U (2011) Changes in oral health-related quality of life during fixed orthodontic appliance therapy: an 18-month prospective longitudinal study. Am J Orthod Dentofac Orthop 139(2):214–219CrossRef
15.
go back to reference Long H, Zhou Y, Pyakurel U, Liao L, Jian F, Xue J, Ye N, Yang X, Wang Y, Lai W (2013) Comparison of adverse effects between lingual and labial orthodontic treatment: a systematic review. Angle Orthod 83(6):1066–1073CrossRefPubMed Long H, Zhou Y, Pyakurel U, Liao L, Jian F, Xue J, Ye N, Yang X, Wang Y, Lai W (2013) Comparison of adverse effects between lingual and labial orthodontic treatment: a systematic review. Angle Orthod 83(6):1066–1073CrossRefPubMed
16.
go back to reference Mandall N, Matthew S, Fox D, Wright J, Conboy F, O’Brien K (2008) Prediction of compliance and completion of orthodontic treatment: are quality of life measures important? Eur J Orthod 30(1):40–45CrossRefPubMed Mandall N, Matthew S, Fox D, Wright J, Conboy F, O’Brien K (2008) Prediction of compliance and completion of orthodontic treatment: are quality of life measures important? Eur J Orthod 30(1):40–45CrossRefPubMed
17.
go back to reference Meier B, Wiemer KB, Miethke R-R (2003) Invisalign®—patient profiling. J Orofac Orthop Fortschritte der Kieferorthopädie 64(5):352–358CrossRefPubMed Meier B, Wiemer KB, Miethke R-R (2003) Invisalign®—patient profiling. J Orofac Orthop Fortschritte der Kieferorthopädie 64(5):352–358CrossRefPubMed
18.
go back to reference Miethke R-R, Brauner K (2007) A comparison of the periodontal health of patients during treatment with the Invisalign® system and with fixed lingual appliances. J Orofac Orthop Fortschritte der Kieferorthopädie 68(3):223–231CrossRefPubMed Miethke R-R, Brauner K (2007) A comparison of the periodontal health of patients during treatment with the Invisalign® system and with fixed lingual appliances. J Orofac Orthop Fortschritte der Kieferorthopädie 68(3):223–231CrossRefPubMed
19.
go back to reference Miethke R-R, Vogt S (2005) A comparison of the periodontal health of patients during treatment with the Invisalign® system and with fixed orthodontic appliances. J Orofac Orthop Fortschritte der Kieferorthopädie 66(3):219–229CrossRefPubMed Miethke R-R, Vogt S (2005) A comparison of the periodontal health of patients during treatment with the Invisalign® system and with fixed orthodontic appliances. J Orofac Orthop Fortschritte der Kieferorthopädie 66(3):219–229CrossRefPubMed
20.
go back to reference Miller KB, McGorray SP, Womack R, Quintero JC, Perelmuter M, Gibson J, Dolan TA, Wheeler TT (2007) A comparison of treatment impacts between Invisalign aligner and fixed appliance therapy during the first week of treatment. Am J Orthod Dentofac Orthop 131(3):302. e301–302. e309 Miller KB, McGorray SP, Womack R, Quintero JC, Perelmuter M, Gibson J, Dolan TA, Wheeler TT (2007) A comparison of treatment impacts between Invisalign aligner and fixed appliance therapy during the first week of treatment. Am J Orthod Dentofac Orthop 131(3):302. e301–302. e309
21.
go back to reference Nedwed V, Miethke R-R (2005) Motivation, acceptance and problems of Invisalign® patients. J Orofac Orthop Fortschritte der Kieferorthopädie 66(2):162–173CrossRefPubMed Nedwed V, Miethke R-R (2005) Motivation, acceptance and problems of Invisalign® patients. J Orofac Orthop Fortschritte der Kieferorthopädie 66(2):162–173CrossRefPubMed
22.
go back to reference Otasevic M, Naini FB, Gill DS, Lee RT (2006) Prospective randomized clinical trial comparing the effects of a masticatory bite wafer and avoidance of hard food on pain associated with initial orthodontic tooth movement. Am J Orthod Dentofac Orthop 130(1):6. e9–6. e15 Otasevic M, Naini FB, Gill DS, Lee RT (2006) Prospective randomized clinical trial comparing the effects of a masticatory bite wafer and avoidance of hard food on pain associated with initial orthodontic tooth movement. Am J Orthod Dentofac Orthop 130(1):6. e9–6. e15
23.
go back to reference Phan X, Ling PH (2007) Clinical limitations of Invisalign. J Can Dent Assoc 73(3):263PubMed Phan X, Ling PH (2007) Clinical limitations of Invisalign. J Can Dent Assoc 73(3):263PubMed
24.
go back to reference Premaraj T, Simet S, Beatty M, Premaraj S (2014) Oral epithelial cell reaction after exposure to Invisalign plastic material. Am J Orthod Dentofac Orthop 145(1):64–71CrossRef Premaraj T, Simet S, Beatty M, Premaraj S (2014) Oral epithelial cell reaction after exposure to Invisalign plastic material. Am J Orthod Dentofac Orthop 145(1):64–71CrossRef
25.
go back to reference Rossini G, Parrini S, Castroflorio T, Deregibus A, Debernardi CL (2015) Efficacy of clear aligners in controlling orthodontic tooth movement: a systematic review. Angle Orthod 85(5):881–889CrossRefPubMed Rossini G, Parrini S, Castroflorio T, Deregibus A, Debernardi CL (2015) Efficacy of clear aligners in controlling orthodontic tooth movement: a systematic review. Angle Orthod 85(5):881–889CrossRefPubMed
26.
go back to reference Scheurer PA, Firestone AR, Bürgin WB (1996) Perception of pain as a result of orthodontic treatment with fixed appliances. Eur J Orthod 18(4):349–357CrossRefPubMed Scheurer PA, Firestone AR, Bürgin WB (1996) Perception of pain as a result of orthodontic treatment with fixed appliances. Eur J Orthod 18(4):349–357CrossRefPubMed
27.
go back to reference Shalish M, Cooper-Kazaz R, Ivgi I, Canetti L, Tsur B, Bachar E, Chaushu S (2012) Adult patients’ adjustability to orthodontic appliances. Part I: a comparison between Labial, Lingual, and Invisalign™. Eur J Orthod 34(6):724–730CrossRefPubMed Shalish M, Cooper-Kazaz R, Ivgi I, Canetti L, Tsur B, Bachar E, Chaushu S (2012) Adult patients’ adjustability to orthodontic appliances. Part I: a comparison between Labial, Lingual, and Invisalign™. Eur J Orthod 34(6):724–730CrossRefPubMed
28.
go back to reference Zhou Y, Wang Y, Wang X, Volière G, Hu R (2014) The impact of orthodontic treatment on the quality of life a systematic review. BMC Oral Health 14(1):66CrossRefPubMedPubMedCentral Zhou Y, Wang Y, Wang X, Volière G, Hu R (2014) The impact of orthodontic treatment on the quality of life a systematic review. BMC Oral Health 14(1):66CrossRefPubMedPubMedCentral
Metadata
Title
Patient survey on Invisalign® treatment comparen the SmartTrack® material to the previous aligner material
Authors
Anne-Kathrin Bräscher
Dietmar Zuran
Robert E. Feldmann Jr.
Justus Benrath
Publication date
01-11-2016
Publisher
Springer Medizin
Published in
Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie / Issue 6/2016
Print ISSN: 1434-5293
Electronic ISSN: 1615-6714
DOI
https://doi.org/10.1007/s00056-016-0051-3

Other articles of this Issue 6/2016

Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie 6/2016 Go to the issue

Mitteilungen DGKFO

Mitteilungen der DGKFO