Analysis of three-dimensional tooth movement with fixed appliance and aligner treatment

Most people dream of having a perfect smile. However, some individuals avoid therapy with fixed orthodontic appliances for one reason: the brackets are visible and would interfere with some professions. Fortunately, there is a discreet way to straighten teeth – with invisible clear aligners. Thanks to numerous media and social media adverts promoting various orthodontic techniques and products for correcting malocclusions, patients can select several new modalities. One of the most potent uses of digital technology is Clear Aligner Therapy (CAT), in which stimulation is used to electronically program tooth movement. The main aim of the study was to show implementation of digital technology three-dimensional for assessment of tooth movement following different orthodontic therapy- classical orthodontic fixed appliance and aligners. Digital technologies are used in orthodontics as well; they provide computerized visual prediction of treatment outcomes. Planning, measurements, and stimulations are carried out on a precise 3D representation of the teeth, which is first obtained by digital models created from scans of plaster models or direct intraoral scans. The research was done in private dental office ("Albi Ortodent" Tetovo,N. Macedonia)and all patients with frontal toothcrowding in both jaws received treatment. Aligners and fixed orthodontic appliances were used for the patient’s treatment. Digital system applications are used in orthodontics, where they provide computerized visual therapy outcome prediction.The average age was 14.5 years old, while the range of ages was 13–16.After analyzing the data, it was noted that for F=3.94 and p<0.01 (p=0.002)there is a significant difference between the values of the mesial-distal direction movement of the teeth included in the study.For F=3.898 and p>0.05 (p=0.0599) there is no significant difference between the values of movement in mesial-distal direction of the teeth treated with a fixed appliance and an aligner. According toPost Hoc Tests /Bonferroni test analysis, for p>0.05 (p=0.0599) there is no significant difference between the value of the mesial distal direction movement of the teeth treated with a fixed appliance and an aligner.Clear aligners can produce outcomes that are clinically acceptable and potentially comparable to those obtained through fixed appliance therapy. They support improved oral hygiene practices, which in turn enhances oral and periodontal health. However, the current body of evidence does not affirm that aligners serve as an equally effective treatment modality when compared to the established gold standard of braces. Keywords: Orthodontic 3D model; tooth movement; Orthodontic fixed appliances; Clear aligners; Geomagic
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