The Use of Clear Aligners in Multi-Segmental Maxillary Surgery: A Case–Control Study in Cleft Lip and Palate and Skeletal Class III Patients Article Swipe
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· 2024
· Open Access
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· DOI: https://doi.org/10.3390/jcm13051329
Background: Maxillary hypoplasia and mandibular asymmetry may be corrected with orthognathic surgery after growth completion. For most stable results, some cases may require segmental Le Fort I osteotomies. Unfortunately, Invisalign’s software (6.0 version) still has some inherent limitations in predicting outcomes for complex surgeries. This study explores the potential of aligners, particularly in multiple-piece maxillary osteotomies in both cleft and non-cleft patients. Method: Thirteen patients who underwent pre-surgical treatment with Invisalign were retrospectively matched in terms of diagnosis, surgical procedure, and orthodontic complexity with thirteen patients treated using fixed appliances. Virtual curves following the lower arch were employed to guide the correct pre-surgical positions of the upper teeth with a simple superimposition technique. The amount of impressions required in both groups to achieve satisfactory pre-surgical alignment of the segmented arches was compared. Results: one or no refinement phases were needed in the Invisalign group to reach an acceptable pre-surgical occlusion, while the amount of pre-surgical impressions needed to reach adequate coordination with fixed appliance treatment was slightly higher (p > 0.05). Conclusions: it appears that clear aligner could serve as an effective treatment for individuals necessitating segmental Le Fort I osteotomies when aided by the suggested simple superimposition approach.
Related Topics
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3390/jcm13051329
- https://www.mdpi.com/2077-0383/13/5/1329/pdf?version=1708960213
- OA Status
- gold
- Cited By
- 1
- References
- 23
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4392162433
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4392162433Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.3390/jcm13051329Digital Object Identifier
- Title
-
The Use of Clear Aligners in Multi-Segmental Maxillary Surgery: A Case–Control Study in Cleft Lip and Palate and Skeletal Class III PatientsWork title
- Type
-
articleOpenAlex work type
- Language
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enPrimary language
- Publication year
-
2024Year of publication
- Publication date
-
2024-02-26Full publication date if available
- Authors
-
Maria Costanza Meazzini, Leonardo Paolo Demonte, Noah Cohen, Valeria Marinella Augusta Battista, Dimitri Rabbiosi, Luca AutelitanoList of authors in order
- Landing page
-
https://doi.org/10.3390/jcm13051329Publisher landing page
- PDF URL
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https://www.mdpi.com/2077-0383/13/5/1329/pdf?version=1708960213Direct link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
-
https://www.mdpi.com/2077-0383/13/5/1329/pdf?version=1708960213Direct OA link when available
- Concepts
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Medicine, Superimposition, Occlusion, Orthognathic surgery, Hypoplasia, Maxilla, Orthodontics, Facial symmetry, Dentistry, Maxillary hypoplasia, Cephalometry, Mandible (arthropod mouthpart), Surgery, Artificial intelligence, Genus, Distraction osteogenesis, Neuroscience, Computer science, Biology, Distraction, BotanyTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
1Total citation count in OpenAlex
- Citations by year (recent)
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2025: 1Per-year citation counts (last 5 years)
- References (count)
-
23Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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