online data about manual invisalign orthodontic appliance is scant regarding the efficacy and side effects on periodontal health status and oral mucosa compared to other orthodontic fixed appliances if anyone can provide me with published articles about the subject would be fine
in a study by Miethke (1) periodontal health was not jeopardized, even though the Invisalign® system aligners cover all the teeth and the keratinized gingiva in part. This was be attributed to the fact that aligners are removable and thus allow unimpeded oral hygiene.
The modified Plaque Index was significantly lower in the Invisalign® group overall. On the other hand, the periodontal condition of the two samples was nearly identical.
1.1. Miethke R-R, Vogt S. A comparison of the periodontal health of patients during treatment with the Invisalign system and with fixed orthodontic appliances. J Orofac Orthop. 2005 May;66(3):219–29.
This is supporte by Lee, Paquette and Boyd (2, 3, 4)
2. Lee J-W, Lee S-J, Lee C-K, Kim B-O. Orthodontic treatment for maxillary anterior pathologic tooth migration by periodontitis using clear aligner. J Periodontal Implant Sci. 2011 Feb;41(1):44–50.
3. Paquette DE. Part IV Orthodontic Treatment Chapter 19 Clear Aligner Treatment. In: Graber LW, Vanarsdall RL, Vig KWL, editors. Orthodontics Current Principles and Techniques. 5 th. St. Louis: Mosby & Co.; 2012. p. 639–88.
4. Boyd RL. Periodontal and Restorative Considerations with Clear Aligner Treatment to Restorative Environment. Compendium. 2009;30(5):280–91.
Best wishes
Dr. U. Kritzler
Thank you very much Dr. U. Kritzler, well done, am appreciating your response to my question
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