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Publication
Alinhadores : quais as limitações - uma revisão narrativa
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Abstract(s)
A Ortodontia como disciplina da Medicina Dentária, percorreu um longo caminho desde o seu início, evoluindo constantemente para satisfazer as necessidades crescentes dos pacientes que procuram um sorriso esteticamente agradável e uma função oclusal ideal.
Os tratamentos ortodônticos tradicionais, com os aparelhos fixos foram durante muito tempo o padrão de eleição para a correção de más oclusões dento-alveolares e problemas de alinhamento. No entanto, tentam-se desenvolver abordagens em que a estética fosse mais apelativa (tal como os aparelhos fixos cerâmicos), bem como o conforto e a higiene fossem mais fáceis de manter .
Os alinhadores transparentes Invisalign®, introduzidos no mercado pela empresa “Align Technology” em 1997 nos Estados Unidos revolucionaram o campo da ortodontia.
Este sistema tornou-se cada vez mais popular nas últimas duas décadas (15.7 milhões pacientes tratados), devido à sua discrição, eficácia e conforto. No entanto, encontramos limitações clínicas bem como limitações nos movimentos dentários e a cooperação de cada paciente, tal como descrito por Phan X, 2007.
O objetivo desta revisão narrativa, através de uma pesquisa bibliográfica aprofundada de novos estudos, é evidenciar as limitações do tratamento com alinhadores transparentes. Para isso, foram utilizados artigos publicados entre 1997 e 2024, e a pesquisa foi realizada nos motores de busca PubMed®, b-On®, MEDLINE®, Scopus®, Science Direct®, Cochrane Library®, e embase®. As palavras-chave utilizadas na
pesquisa estão descritas a seguir.
Orthodontics, as a discipline of Dentistry, has come a long way since its inception, constantly evolving to meet the growing needs of patients seeking an aesthetically pleasing smile and ideal occlusal function. Traditional orthodontic treatments, with fixed appliances, have long been the standard choice for correcting dento-alveolar malocclusions and alignment problems. However, attempts have been made to develop approaches where aesthetics are more appealing (such as ceramic fixed appliances), as well as making comfort and hygiene easier to maintain. The clear aligners Invisalign®, introduced to the market by the company "Align Technology" in 1997 in the United States, revolutionised the field of orthodontics. This system has become increasingly popular over the past two decades (15.7 million patients treated), due to its discretion, efficacy, and comfort. However, clinical limitations are found, as well as limitations in tooth movements and patient cooperation, as described by Phan X, 2007. The aim of this narrative review, through in-depth bibliographic research of recent studies, is to highlight these challenges, utilising articles from 1997 to 2024, with the research conducted on the search engines PubMed®, b-On®, MEDLINE®, Scopus®, Science Direct®, Cochrane Library®, Embase® and using the keywords referred below.
Orthodontics, as a discipline of Dentistry, has come a long way since its inception, constantly evolving to meet the growing needs of patients seeking an aesthetically pleasing smile and ideal occlusal function. Traditional orthodontic treatments, with fixed appliances, have long been the standard choice for correcting dento-alveolar malocclusions and alignment problems. However, attempts have been made to develop approaches where aesthetics are more appealing (such as ceramic fixed appliances), as well as making comfort and hygiene easier to maintain. The clear aligners Invisalign®, introduced to the market by the company "Align Technology" in 1997 in the United States, revolutionised the field of orthodontics. This system has become increasingly popular over the past two decades (15.7 million patients treated), due to its discretion, efficacy, and comfort. However, clinical limitations are found, as well as limitations in tooth movements and patient cooperation, as described by Phan X, 2007. The aim of this narrative review, through in-depth bibliographic research of recent studies, is to highlight these challenges, utilising articles from 1997 to 2024, with the research conducted on the search engines PubMed®, b-On®, MEDLINE®, Scopus®, Science Direct®, Cochrane Library®, Embase® and using the keywords referred below.
Description
Dissertação para obtenção do grau de Mestre no Instituto Universitário Egas Moniz
Keywords
Alinhador transparente Limitações Eficiência Tratamento ortodôntico