Alam Mohammad Khursheed, Kanwal Bushra, Shqaidef Abedalrahman, Alswairki Haytham Jamil, Alfawzan Ahmed Ali, Alabdullatif Abdulilah Ibrahim, Aalmunif Abdulaziz Naser, Aljrewey Sattam Hamad, Alothman Thamer Abdullah, Shrivastava Deepti, Srivastava Kumar Chandan
Orthodontic Division, Preventive Dentistry Department, College of Dentistry, Jouf University, Sakaka 72345, Saudi Arabia.
Department of Dental Research Cell, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Chennai 602105, India.
J Funct Biomater. 2023 Apr 10;14(4):209. doi: 10.3390/jfb14040209.
The majority of patients strongly favor the use of aligners in the present time, especially with the advancement in esthetic dentistry. Today's market is flooded with aligner companies, many of which share the same therapeutic ethos. We therefore carried out a systematic review and network meta-analysis to evaluate research that had looked at various aligner materials and attachments and their effect on orthodontic tooth movement in relevant studies. A total of 634 papers were discovered after a thorough search of online journals using keywords such as "Aligners", "Orthodontics", "Orthodontic attachments", "Orthodontic tooth movement", and "Polyethylene" across databases such as PubMed, Web of Science, and Cochrane. The authors individually and in parallel carried out the database investigation, removal of duplicate studies, data extraction, and bias risk. The statistical analysis demonstrated that the type of aligner material had a significant impact on orthodontic tooth movement. The low level of heterogeneity and significant overall effect further support this finding. However, there was little effect of attachment size or shape on tooth mobility. The examined materials were primarily concerned with influencing the physical/physicochemical characteristics of the appliances and not tooth movement directly. Invisalign (Inv) had a higher mean value than the other types of materials that were analyzed, which suggested a potentially greater impact on orthodontic tooth movement. However, its variance value indicated that there was also greater uncertainty associated with the estimate compared to some of the other plastics. These findings could have important implications for orthodontic treatment planning and aligner material selection. Registration: This review protocol was registered on the International Prospective Register of Systematic Reviews (PROSPERO; registration number: CRD42022381466).
目前，大多数患者强烈倾向于使用矫治器，尤其是随着美容牙科的发展。如今的市场上充斥着矫治器公司，其中许多公司秉持相同的治疗理念。因此，我们进行了一项系统评价和网状Meta分析，以评估相关研究中有关各种矫治器材料和附件及其对正畸牙齿移动影响的研究。通过在PubMed、科学网和Cochrane等数据库中使用“矫治器”、“正畸学”、“正畸附件”、“正畸牙齿移动”和“聚乙烯”等关键词对在线期刊进行全面搜索，共发现634篇论文。作者分别并行进行数据库调查、去除重复研究、数据提取和偏倚风险评估。统计分析表明，矫治器材料类型对正畸牙齿移动有显著影响。低水平的异质性和显著的总体效应进一步支持了这一发现。然而，附件尺寸或形状对牙齿移动性的影响很小。所研究的材料主要影响矫治器的物理/物理化学特性，而不是直接影响牙齿移动。隐适美（Inv）的平均值高于所分析的其他类型材料，这表明其对正畸牙齿移动的潜在影响可能更大。然而，其方差值表明，与其他一些塑料相比，该估计值也存在更大的不确定性。这些发现可能对正畸治疗计划和矫治器材料选择具有重要意义。注册情况：本综述方案已在国际系统评价前瞻性注册库（PROSPERO；注册号：CRD42022381466）注册。
