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The predictability of orthodontic tooth movements through clear aligner among first-premolar extraction patients: a multivariate analysis
Background The purpose was to determine the predictability of tooth movements through clear aligner among premolar extraction patients and to explore the effects of various factors on tooth movements. Methods A total of 31 extraction patients (10 males and 20 females; age 14–44) receiving clear alig...
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| Published in: | Progress in orthodontics 2022-12, Vol.23 (1), p.52-52, Article 52 |
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| creator | Ren, Linghuan Liu, Lu Wu, Zhouqiang Shan, Di Pu, Lingling Gao, Yanzi Tang, Ziwei Li, Xiaolong Jian, Fan Wang, Yan Long, Hu Lai, Wenli |
| description | Background
The purpose was to determine the predictability of tooth movements through clear aligner among premolar extraction patients and to explore the effects of various factors on tooth movements.
Methods
A total of 31 extraction patients (10 males and 20 females; age 14–44) receiving clear aligner treatment (Invisalign) were enrolled in this study. The actual post-treatment models and pre-treatment models were superimposed using the palatal area as a reference and registered with virtual post-treatment models. A paired t test was used to compare the differences between actual and designed tooth movements of maxillary first molars, canines, and central incisors. A multivariate linear mixed model was performed to examine the influence of variables on actual tooth movements.
Results
Compared to the designed tooth movements, the following undesirable tooth movements occurred: mesial movement (2.2 mm), mesial tipping (5.4°), and intrusion (0.45 mm) of first molars; distal tipping (11.0°), lingual tipping (4.4°), and distal rotation of canines (4.9°); lingual tipping (10.6°) and extrusion (1.5 mm) of incisors. Age, crowding, mini-implant, overbite, and attachments have differential effects on actual tooth movements. Moreover, vertical rectangular attachments on canines are beneficial in achieving more predictable canine and incisor tooth movements over optimized attachments. Lingual tipping and extrusion of incisors were significantly influenced by the interaction effects between incisor power ridge and different canine attachments (
p
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| doi_str_mv | 10.1186/s40510-022-00447-y |
| format | article |
| fullrecord | <record><control><sourceid>proquest_doaj_</sourceid><recordid>TN_cdi_doaj_primary_oai_doaj_org_article_6f501d302f8243d289396a0b980ccae8</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><doaj_id>oai_doaj_org_article_6f501d302f8243d289396a0b980ccae8</doaj_id><sourcerecordid>2759958024</sourcerecordid><originalsourceid>FETCH-LOGICAL-c579t-f3f92f6a89042a3f8eb9256eb60af8325597e16bcb14e784d8ffb77728fa2fa03</originalsourceid><addsrcrecordid>eNp9ks1u1TAQhSMEoqXwAiyQJTZsAv5JYpsFEqr4qVSJTVlbE8dOfOXEF9u54j4Cb43blNKyYDWW58w3PtapqpcEvyVEdO9Sg1uCa0xpjXHT8Pr4qDqlRHY1wQ19fO98Uj1LaYcx4bLBT6sT1rWCcMxOq19Xk0H7aAanM_TOu3xEwaIQ8xSGsGSnUQ4hT2gOBzObJSeUpxjWcULaG4gIvBsXU-oclhFZF1OuC28OvjTNzxxBZxcWtIfsrsffI0Dz6rM7QHSQDYIF_DG59Lx6YsEn8-K2nlXfP3-6Ov9aX377cnH-8bLWLZe5tsxKajsQsvgCZoXpJW0703cYrGC0bSU3pOt1TxrDRTMIa3vOORUWqAXMzqqLjTsE2Kl9dDPEowrg1M1FiKOCWHx7ozrbYjIwTK2gDRuokEx2gHspsNZgRGF92Fj7tZ_NoIvBCP4B9GFncZMaw0EVAu44L4A3t4AYfqwmZTW7pI33sJiwJkV5K2UrcFl_Vr3-R7oLayyft6kIw1i0RUU3lY4hpWjs3WMIVtepUVtqVEmNukmNOpahV_dt3I38iUkRsE2QSmsZTfy7-z_Y34Q50go</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2759130085</pqid></control><display><type>article</type><title>The predictability of orthodontic tooth movements through clear aligner among first-premolar extraction patients: a multivariate analysis</title><source>Springer Nature - SpringerLink Journals - Fully Open Access </source><source>PubMed Central</source><creator>Ren, Linghuan ; Liu, Lu ; Wu, Zhouqiang ; Shan, Di ; Pu, Lingling ; Gao, Yanzi ; Tang, Ziwei ; Li, Xiaolong ; Jian, Fan ; Wang, Yan ; Long, Hu ; Lai, Wenli</creator><creatorcontrib>Ren, Linghuan ; Liu, Lu ; Wu, Zhouqiang ; Shan, Di ; Pu, Lingling ; Gao, Yanzi ; Tang, Ziwei ; Li, Xiaolong ; Jian, Fan ; Wang, Yan ; Long, Hu ; Lai, Wenli</creatorcontrib><description>Background
The purpose was to determine the predictability of tooth movements through clear aligner among premolar extraction patients and to explore the effects of various factors on tooth movements.
Methods
A total of 31 extraction patients (10 males and 20 females; age 14–44) receiving clear aligner treatment (Invisalign) were enrolled in this study. The actual post-treatment models and pre-treatment models were superimposed using the palatal area as a reference and registered with virtual post-treatment models. A paired t test was used to compare the differences between actual and designed tooth movements of maxillary first molars, canines, and central incisors. A multivariate linear mixed model was performed to examine the influence of variables on actual tooth movements.
Results
Compared to the designed tooth movements, the following undesirable tooth movements occurred: mesial movement (2.2 mm), mesial tipping (5.4°), and intrusion (0.45 mm) of first molars; distal tipping (11.0°), lingual tipping (4.4°), and distal rotation of canines (4.9°); lingual tipping (10.6°) and extrusion (1.5 mm) of incisors. Age, crowding, mini-implant, overbite, and attachments have differential effects on actual tooth movements. Moreover, vertical rectangular attachments on canines are beneficial in achieving more predictable canine and incisor tooth movements over optimized attachments. Lingual tipping and extrusion of incisors were significantly influenced by the interaction effects between incisor power ridge and different canine attachments (
p
< 0.05).
Conclusions
Incisors, canines, and first molars are subject to unwanted tooth movements with clear aligners among premolar extraction patients. Age, crowding, mini-implant, overbite, and attachments influence actual tooth movements. Moreover, vertical rectangular attachments on canines are beneficial in achieving more predictable incisor tooth movements over optimized canine attachments.</description><identifier>ISSN: 2196-1042</identifier><identifier>ISSN: 1723-7785</identifier><identifier>EISSN: 2196-1042</identifier><identifier>DOI: 10.1186/s40510-022-00447-y</identifier><identifier>PMID: 36581703</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Age ; Bicuspid - surgery ; Biomechanics ; Canine teeth ; Dentistry ; Design ; Female ; Humans ; Incisors ; Male ; Malocclusion - therapy ; Malocclusion, Angle Class II ; Medicine ; Molars ; Multivariate Analysis ; Oral diseases ; Orthodontic Appliances, Removable ; Orthodontics ; Overbite ; Software ; Teeth ; Tooth Movement Techniques ; Transplants & implants</subject><ispartof>Progress in orthodontics, 2022-12, Vol.23 (1), p.52-52, Article 52</ispartof><rights>The Author(s) 2022</rights><rights>2022. The Author(s).</rights><rights>The Author(s) 2022. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c579t-f3f92f6a89042a3f8eb9256eb60af8325597e16bcb14e784d8ffb77728fa2fa03</citedby><cites>FETCH-LOGICAL-c579t-f3f92f6a89042a3f8eb9256eb60af8325597e16bcb14e784d8ffb77728fa2fa03</cites><orcidid>0000-0002-6020-6559</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9800677/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9800677/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36581703$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ren, Linghuan</creatorcontrib><creatorcontrib>Liu, Lu</creatorcontrib><creatorcontrib>Wu, Zhouqiang</creatorcontrib><creatorcontrib>Shan, Di</creatorcontrib><creatorcontrib>Pu, Lingling</creatorcontrib><creatorcontrib>Gao, Yanzi</creatorcontrib><creatorcontrib>Tang, Ziwei</creatorcontrib><creatorcontrib>Li, Xiaolong</creatorcontrib><creatorcontrib>Jian, Fan</creatorcontrib><creatorcontrib>Wang, Yan</creatorcontrib><creatorcontrib>Long, Hu</creatorcontrib><creatorcontrib>Lai, Wenli</creatorcontrib><title>The predictability of orthodontic tooth movements through clear aligner among first-premolar extraction patients: a multivariate analysis</title><title>Progress in orthodontics</title><addtitle>Prog Orthod</addtitle><addtitle>Prog Orthod</addtitle><description>Background
The purpose was to determine the predictability of tooth movements through clear aligner among premolar extraction patients and to explore the effects of various factors on tooth movements.
Methods
A total of 31 extraction patients (10 males and 20 females; age 14–44) receiving clear aligner treatment (Invisalign) were enrolled in this study. The actual post-treatment models and pre-treatment models were superimposed using the palatal area as a reference and registered with virtual post-treatment models. A paired t test was used to compare the differences between actual and designed tooth movements of maxillary first molars, canines, and central incisors. A multivariate linear mixed model was performed to examine the influence of variables on actual tooth movements.
Results
Compared to the designed tooth movements, the following undesirable tooth movements occurred: mesial movement (2.2 mm), mesial tipping (5.4°), and intrusion (0.45 mm) of first molars; distal tipping (11.0°), lingual tipping (4.4°), and distal rotation of canines (4.9°); lingual tipping (10.6°) and extrusion (1.5 mm) of incisors. Age, crowding, mini-implant, overbite, and attachments have differential effects on actual tooth movements. Moreover, vertical rectangular attachments on canines are beneficial in achieving more predictable canine and incisor tooth movements over optimized attachments. Lingual tipping and extrusion of incisors were significantly influenced by the interaction effects between incisor power ridge and different canine attachments (
p
< 0.05).
Conclusions
Incisors, canines, and first molars are subject to unwanted tooth movements with clear aligners among premolar extraction patients. Age, crowding, mini-implant, overbite, and attachments influence actual tooth movements. Moreover, vertical rectangular attachments on canines are beneficial in achieving more predictable incisor tooth movements over optimized canine attachments.</description><subject>Age</subject><subject>Bicuspid - surgery</subject><subject>Biomechanics</subject><subject>Canine teeth</subject><subject>Dentistry</subject><subject>Design</subject><subject>Female</subject><subject>Humans</subject><subject>Incisors</subject><subject>Male</subject><subject>Malocclusion - therapy</subject><subject>Malocclusion, Angle Class II</subject><subject>Medicine</subject><subject>Molars</subject><subject>Multivariate Analysis</subject><subject>Oral diseases</subject><subject>Orthodontic Appliances, Removable</subject><subject>Orthodontics</subject><subject>Overbite</subject><subject>Software</subject><subject>Teeth</subject><subject>Tooth Movement Techniques</subject><subject>Transplants & implants</subject><issn>2196-1042</issn><issn>1723-7785</issn><issn>2196-1042</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>DOA</sourceid><recordid>eNp9ks1u1TAQhSMEoqXwAiyQJTZsAv5JYpsFEqr4qVSJTVlbE8dOfOXEF9u54j4Cb43blNKyYDWW58w3PtapqpcEvyVEdO9Sg1uCa0xpjXHT8Pr4qDqlRHY1wQ19fO98Uj1LaYcx4bLBT6sT1rWCcMxOq19Xk0H7aAanM_TOu3xEwaIQ8xSGsGSnUQ4hT2gOBzObJSeUpxjWcULaG4gIvBsXU-oclhFZF1OuC28OvjTNzxxBZxcWtIfsrsffI0Dz6rM7QHSQDYIF_DG59Lx6YsEn8-K2nlXfP3-6Ov9aX377cnH-8bLWLZe5tsxKajsQsvgCZoXpJW0703cYrGC0bSU3pOt1TxrDRTMIa3vOORUWqAXMzqqLjTsE2Kl9dDPEowrg1M1FiKOCWHx7ozrbYjIwTK2gDRuokEx2gHspsNZgRGF92Fj7tZ_NoIvBCP4B9GFncZMaw0EVAu44L4A3t4AYfqwmZTW7pI33sJiwJkV5K2UrcFl_Vr3-R7oLayyft6kIw1i0RUU3lY4hpWjs3WMIVtepUVtqVEmNukmNOpahV_dt3I38iUkRsE2QSmsZTfy7-z_Y34Q50go</recordid><startdate>20221230</startdate><enddate>20221230</enddate><creator>Ren, Linghuan</creator><creator>Liu, Lu</creator><creator>Wu, Zhouqiang</creator><creator>Shan, Di</creator><creator>Pu, Lingling</creator><creator>Gao, Yanzi</creator><creator>Tang, Ziwei</creator><creator>Li, Xiaolong</creator><creator>Jian, Fan</creator><creator>Wang, Yan</creator><creator>Long, Hu</creator><creator>Lai, Wenli</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><general>SpringerOpen</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>M7P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-6020-6559</orcidid></search><sort><creationdate>20221230</creationdate><title>The predictability of orthodontic tooth movements through clear aligner among first-premolar extraction patients: a multivariate analysis</title><author>Ren, Linghuan ; Liu, Lu ; Wu, Zhouqiang ; Shan, Di ; Pu, Lingling ; Gao, Yanzi ; Tang, Ziwei ; Li, Xiaolong ; Jian, Fan ; Wang, Yan ; Long, Hu ; Lai, Wenli</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c579t-f3f92f6a89042a3f8eb9256eb60af8325597e16bcb14e784d8ffb77728fa2fa03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Age</topic><topic>Bicuspid - surgery</topic><topic>Biomechanics</topic><topic>Canine teeth</topic><topic>Dentistry</topic><topic>Design</topic><topic>Female</topic><topic>Humans</topic><topic>Incisors</topic><topic>Male</topic><topic>Malocclusion - therapy</topic><topic>Malocclusion, Angle Class II</topic><topic>Medicine</topic><topic>Molars</topic><topic>Multivariate Analysis</topic><topic>Oral diseases</topic><topic>Orthodontic Appliances, Removable</topic><topic>Orthodontics</topic><topic>Overbite</topic><topic>Software</topic><topic>Teeth</topic><topic>Tooth Movement Techniques</topic><topic>Transplants & implants</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ren, Linghuan</creatorcontrib><creatorcontrib>Liu, Lu</creatorcontrib><creatorcontrib>Wu, Zhouqiang</creatorcontrib><creatorcontrib>Shan, Di</creatorcontrib><creatorcontrib>Pu, Lingling</creatorcontrib><creatorcontrib>Gao, Yanzi</creatorcontrib><creatorcontrib>Tang, Ziwei</creatorcontrib><creatorcontrib>Li, Xiaolong</creatorcontrib><creatorcontrib>Jian, Fan</creatorcontrib><creatorcontrib>Wang, Yan</creatorcontrib><creatorcontrib>Long, Hu</creatorcontrib><creatorcontrib>Lai, Wenli</creatorcontrib><collection>SpringerOpen</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>ProQuest Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Science Journals</collection><collection>Biological Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Progress in orthodontics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ren, Linghuan</au><au>Liu, Lu</au><au>Wu, Zhouqiang</au><au>Shan, Di</au><au>Pu, Lingling</au><au>Gao, Yanzi</au><au>Tang, Ziwei</au><au>Li, Xiaolong</au><au>Jian, Fan</au><au>Wang, Yan</au><au>Long, Hu</au><au>Lai, Wenli</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The predictability of orthodontic tooth movements through clear aligner among first-premolar extraction patients: a multivariate analysis</atitle><jtitle>Progress in orthodontics</jtitle><stitle>Prog Orthod</stitle><addtitle>Prog Orthod</addtitle><date>2022-12-30</date><risdate>2022</risdate><volume>23</volume><issue>1</issue><spage>52</spage><epage>52</epage><pages>52-52</pages><artnum>52</artnum><issn>2196-1042</issn><issn>1723-7785</issn><eissn>2196-1042</eissn><abstract>Background
The purpose was to determine the predictability of tooth movements through clear aligner among premolar extraction patients and to explore the effects of various factors on tooth movements.
Methods
A total of 31 extraction patients (10 males and 20 females; age 14–44) receiving clear aligner treatment (Invisalign) were enrolled in this study. The actual post-treatment models and pre-treatment models were superimposed using the palatal area as a reference and registered with virtual post-treatment models. A paired t test was used to compare the differences between actual and designed tooth movements of maxillary first molars, canines, and central incisors. A multivariate linear mixed model was performed to examine the influence of variables on actual tooth movements.
Results
Compared to the designed tooth movements, the following undesirable tooth movements occurred: mesial movement (2.2 mm), mesial tipping (5.4°), and intrusion (0.45 mm) of first molars; distal tipping (11.0°), lingual tipping (4.4°), and distal rotation of canines (4.9°); lingual tipping (10.6°) and extrusion (1.5 mm) of incisors. Age, crowding, mini-implant, overbite, and attachments have differential effects on actual tooth movements. Moreover, vertical rectangular attachments on canines are beneficial in achieving more predictable canine and incisor tooth movements over optimized attachments. Lingual tipping and extrusion of incisors were significantly influenced by the interaction effects between incisor power ridge and different canine attachments (
p
< 0.05).
Conclusions
Incisors, canines, and first molars are subject to unwanted tooth movements with clear aligners among premolar extraction patients. Age, crowding, mini-implant, overbite, and attachments influence actual tooth movements. Moreover, vertical rectangular attachments on canines are beneficial in achieving more predictable incisor tooth movements over optimized canine attachments.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>36581703</pmid><doi>10.1186/s40510-022-00447-y</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0002-6020-6559</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Progress in orthodontics, 2022-12, Vol.23 (1), p.52-52, Article 52 |
| issn | 2196-1042 1723-7785 2196-1042 |
| language | eng |
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| source | Springer Nature - SpringerLink Journals - Fully Open Access ; PubMed Central |
| subjects | Age Bicuspid - surgery Biomechanics Canine teeth Dentistry Design Female Humans Incisors Male Malocclusion - therapy Malocclusion, Angle Class II Medicine Molars Multivariate Analysis Oral diseases Orthodontic Appliances, Removable Orthodontics Overbite Software Teeth Tooth Movement Techniques Transplants & implants |
| title | The predictability of orthodontic tooth movements through clear aligner among first-premolar extraction patients: a multivariate analysis |
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