CLEAR ALIGNER IN CLASS II MALOCLUSION  (Systematic Literature Review)

Ananda Hanny Savitri; Rosada Sintya Dwi; Sekar Putri

Authors

Ananda Hanny Savitri Universitas Sriwijaya Author
Rosada Sintya Dwi Universitas Sriwijaya Author
Sekar Putri Dr. Mohammad Hoesin Government Hospital Author

Keywords:

clear aligners, angle class II malocclusion, cephalometry

Abstract

: Background: Malocclusion is an occlusion disorder of teeth and jaws that can interfere the function of the mouth. Class II angle malocclusion can be treated using removable orthodontic appliances, such as a clear aligner. The use of clear aligners causes less pain and discomfort compared to fixed orthodontic appliances. Clear aligner treatment aims to achieve dentofacial esthetics, functional and stable treatment results. Objective: The purpose of this study was to observe whether clear aligner treatment is effective to use in Angle class II malocclusion. Methods: This systematic literature review journals were selected through Google Scholar, PubMed, and Science Direct (2014-2023) databases which are published in English. Articles that met the inclusion and exclusion criteria were assessed using the CASP bias assessment, then summarized and analyzed to obtain the demographic data and changes that occurred based on cephalometric analysis. Results: This systematic literature review used ten journals consisting of case-control and case-report studies with low-bias research results in one journal and high-bias research in nine journals. All journals in this systematic literature review stated that there were dentoalveolar changes after the use of a clear aligner. Conclusion: There are corrected malocclusion changes in Angle class II malocclusion patients after the use of clear aligner treatment using auxiliary.

References

Nelson, JS. Wheeler’s Dental Anatomy, Physiology, and Occlusion. 10th Ed. Philadelphia: Sanders Elsevier; 2014. p. 74.

Cobourne, M. T., DiBiase, A. T. Handbook of orthodontics. 2nd Ed. Elsevier Science; 2015. p. 2-4, 209.

Lombardo, G, Vena F, Negri P, Pagano S, Barilotti C, Paglia L, et al. Worldwide Prevalence of Malocclusion in The Different Stages of Dentition: A Systematic Review and Meta-analysis. Eur J Paediatr Dent. 2020;21(2):115–122.

Anthony SN, Zimba K, Subramanian B. Impact of Malocclusions on the Oral Health-Related Quality of Life of Early Adolescents in Ndola, Zambia. Int J Dent. 2018.

Damaryanti E, Indrawati E, Firdausi A. Gambaran tingkat keparahan maloklusi pada pasien orthodonti antara tahun 2012-2015 dan 2015-2018 di RS Universitas Brawijaya menggunakan indeks ICON. E-Prodenta J Dent. 2019;3(2):240–8.

Ho C-T, Chao C-W, Kao C-T. Clinical Use of Contemporary Clear Aligner Therapy. Taiwan J Orthod. 2018;30(3):163–70.

Dhanasekaran D, Mani D, Thirunavukkarasu D, Tamizhmani D, Prasanth D, Rakshethaa D. Case report-An esthetic approach to treat class II subdivision malocclusion using clear aligners. Eur J Mol Clin Med. 2021;08(03).

Eshky RT. Orthodontic Correction of Class II Skeletal Malocclusion Complicated by Deep Bite Using Clear Aligners: A case report. J Taibah Univ Med Sci [Internet]. 2022;(xxxx):1-7. Available from: https://doi.org/10.1016/j.jtumed.2022.04.002

Patterson BD, Foley PF, Ueno H, Mason SA, Schneider PP, Kim KB. Class II malocclusion correction with Invisalign: Is it possible?. Am J Orthod Dentofac Orthop. 2021;159(1):41–8.

Premkumar S. Textbook of Orthodontics. New Delhi:Reed Elsevier;2015. p. 150-161, 175-190, 274-83.

Tamer I, Öztas E, Marsan G. Orthodontic treatment with clear aligners and the scientific reality behind their marketing: A literature review. Turkish J Orthod. 2019;32(4):241–6.

Kundal S. Aligners: The Science of Clear Orthodontics. Int J Dent Med Spec. 2020;7(1)

Nazir DSZ, Mushtaq DM. Incisor Mandibular plane Angle (IMPA), Frankfort Mandibular Plane Angle (FMA) and Lower Incisor to A-pog distance, and their relation in Different Skeletal Classes. Int J Appl Res. 2020;6(12):309–14.

Bhalaji SI. Orthodontics: The Art and Science. 5th Ed. New Delhi: Arya (MEDI) Publishing House; 2015. p.197-208.

Alam MK, Kassab M, Alroudhan IE, Alabid IAI, Alruwaili MF, NafeaAlsharari K, et al. Cephalometrics For Orthognathic Surgery (Cogs) Analysis For Saudi Arabian Adults. Eur J Mol Clin Med. 2020;7(6):2048–67.

Lombardo L, Colonna A, Carlucci A, Oliverio T, Siciliani G. Class II subdivision correction with clear aligners using intermaxilary elastics. Prog Orthod. 2018;19(1).

Lombardo EC, Lione R, Franchi L, Gaffuri F, Maspero C, Cozza P, et al. Dentoskeletal effects of clear aligner vs twin block—a short-term study of functional appliances. J Orofac Orthop. 2023.

Lombardo L, Cremonini F, Oliverio T, Cervinara F, Siciliani G. Class II correction with Carriere Motion 3D Appliance and clear aligner therapy. J Clin Orthod. 2022 Mar;56(3) 187-193. PMID: 35706151.

Arreghini A, Carletti I, Ceccarelli MC, Lombardo L, Siciliani G. Class II treatment with the Runner in adolescent patients: Combining Twin Block efficiency with aligner aesthetics. J World Fed Orthod [Internet]. 2014;3(2):e71–9. Available from: http://dx.doi.org/10.1016/j.ejwf.2014.02.002

Palone M, Cervinara F, Casella S, Siciliani G, Lombardo L. Resolution of a complex malocclusion using a hybrid aligner approach. J Clin Orthod. 2021;55(6):343–53.

Palone M, Cremonini F, Guiducci D, Lombardo L. Combined use of F22 aligners and intermaxillary elastics in mild skeletal Class II: Two case reports. Journal of Orthodontics. 2023;50(1):77-85. doi:10.1177/14653125221122054

Gudhimella S, Gandhi V, et al. Management of Anterior Open Bite and Skeletal Class II Hyperdivergent Patient with Clear Aligner Therapy. Turkish J Orthod. 2022;139–49.

Palone M, Brucculeri L, Cremonini F, Albertini P, Lombardo L. Treatment of severe Class II skeletal malocclusion in a hyperdivergent adult patient via hybrid clear aligner approach: A case report. Journal of Orthodontics. 2023;50(2):205-214. doi:10.1177/14653125221138588

Cassetta M, Guarnieri R, Altieri F. The combined use of clear aligners and computer-guided piezocision: a case report with a 2-year follow-up. Int J Comput Dent [Internet]. 2020;23(1):57–71. Available from: http://www.ncbi.nlm.nih.gov/pubmed/32207462

Palone M, Baciliero M, Cervinara F, Maino GB, Paoletto E, Cremonini F, et al. Class II treatment of transverse maxillary deficiency with a single bone-borne appliance and hybrid clear aligner approach in an adult patient: A case report. J World Fed Orthod [Internet]. 2022;11(2):80–94. Available from: https://doi.org/10.1016/j.ejwf.2021.12.004

Bokhari F, Asad S. Sagittal pattern and severity of skeletal discrepancy in Class II Div 1 malocclusion. Poj. 2010;2(2):66–71.

Kim-Berman H, McNamara JA, Lints JP, McMullen C, Franchi L. Treatment effects of the CarriereR Motion 2DTM appliance for the correction of Class II malocclusion in adolescents. Angle Orthod. 2019;89(6):839–46.

Caruso S, Nota A, Severino M, Meuli S. Mandibular advancement with clear aligners in the treatment of skeletal Class II . A retrospective controlled study. 2021;(March).

Tai, S. Clear Aligner Technique. USA: Quintessence Publishing; 2018. p. 131-78.

Nanda R, Castrofrolio T, Garino F, Ojima K. Principles and Biomechanics of Aligner Treatment. 1st Ed. Philadelphia: Sanders Elsevier; 2022. p. 66-82.

Ravera S, Castroflorio T, Galati F, Cugliari G, Garino F, Deregibus A, et al. Short term dentoskeletal effects of mandibular advancement clear aligners in Class II growing patients. A prospective controlled study according to STROBE Guidelines. Eur J Paediatr Dent. 2021;22(2):119–24.

Sun Z, Pan Y, Lin T , Lu H, Ai H, Mai Z. Comparison of cephalometric measurements of the Twin Block and A6 appliances in the treatment of Class II malocclusion: a retrospective comparative cohort study. Ann Transl Med Vol 10, No 16 (August 31, 2022) Ann Transl Med [Internet]. 2022; Available from: https://atm.amegroups.org/article/view/99891

Gurgel ML, de Oliveira Ruellas AC, Bianchi J, McNamara JA Jr, Tai S, Franchi L, Deleat-Besson R, Le C, Logan C, Turkestani NA, Massaro C, Del Castillo AA, Arruda KEM, Benavides E, Yatabe M, Cevidanes L. Clear aligner mandibular advancement in growing patients with Class II malocclusion. AJO DO Clin Companion. 2023 Apr;3(2):93-109. doi: 10.1016/j.xaor.2023.01.003. Epub 2023 Jan 25. PMID: 37636594; PMCID: PMC10454533.

Fountoulaki G, Thurzo A. Change in the Constricted Airway in Patients after Clear Aligner Treatment: A Retrospective Study. Diagnostics (Basel). 2022 Sep 11;12(9):2201. doi: 10.3390/diagnostics12092201. PMID: 36140602; PMCID: PMC9498122.