J Dent Res Dent Clin Dent Prospects. 2024;18(2): 102-109.
doi: 10.34172/joddd.40793
  Abstract View: 71
  PDF Download: 53

Clinical Dentistry

Original Article

Accessories in clear aligner therapy: Laypeople’s expectations for comfort and satisfaction

Jussimar Scheffer Castilhos 1 ORCID logo, Gil Guilherme Gasparello 1, Sergio Luiz Mota-Júnior 2, Giovani Ceron Hartmann 1, Luiz Fernando Iyda Miyagusuku 3, Matheus Melo Pithon 4, Orlando Motohiro Tanaka 1* ORCID logo

1 Department of Orthodontics, Medicine and Life Sciences School, Pontifícia Universidade Católica do Paraná, Curitiba, Brazil
2 Orthodontist, Private Practice, Juiz de Fora Federal University, Juiz de Fora, Minas Gerais, Brazil
3 Undergraduate Student in Dentistry, Medicine and Life Sciences School, Pontifícia Universidade Católica do Paraná, Curitiba, Brazil
4 Department of Orthodontics, Southwest Bahia State University – UESB, Jequié, Bahia, Brazil
*Corresponding Author: Orlando Motohiro Tanaka, Email: tanakaom@gmail.com


Background. This study explored the layperson’s perception of comfort, satisfaction, and willingness to use various accessories in clear aligner therapy.

Methods. A total of 267 people analyzed standardized intraoral photographs of a female model in orthodontic treatment using: 1) only clear aligner (CA), the control group; 2) clear aligner+attachments (AT); 3) clear aligners+Cl II elastics (EL); 4) clear aligner+hybrid treatment with esthetic braces (HEB); 5) Clear aligner+hybrid treatment with metallic braces (HMB); 6) clear aligner+mini-implants (MI); 7) clear aligner+mini-implants and elastics for intrusion (MIE). In addition, a social media questionnaire was distributed to assess the willingness to undergo orthodontic treatment with various accessories.

Results. There was a significant difference between CA and all the other groups (P<0.001), with CA being considered more comfortable and providing greater satisfaction compared to other accessories. Moreover, AT showed a significant difference in reducing treatment time compared to other groups.

Conclusion. The CA was the most comfortable, exhibiting a higher satisfaction rate and a greater willingness to use it. The AT therapy was perceived as more comfortable and was associated with higher satisfaction and a greater likelihood of use, especially if it resulted in reduced treatment time. On the other hand, the participants reported that the HMB, MI, and MIE accessories were less comfortable.

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Submitted: 31 Oct 2023
Accepted: 20 Jan 2024
ePublished: 24 Jun 2024
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