Page 17 - GP Fall 2024

Figure 1 represents the flow diagram (PRISMA flowchart) for Results:
identifying and selecting the articles for the review. The review indicates differential arch expansion outcomes be-
The methodology of each systematic review was assessed using tween Invisalign and traditional braces. While clear aligners, such
critical appraisal tools for systematic reviews and the results are as Invisalign, offer notable advantages in terms of patient comfort
represented in Figure 2. and aesthetic appeal, making them a preferred choice for patients
with mild to moderate malocclusions, they face specific
PRISMA 2020 flow diagram for new systematic reviews which challenges, including torque control and transverse expan-
7,8
included searches of databases and registers only sion. Despite these challenges, initial pain perception is
reportedly lower with Invisalign, enhancing its appeal
9
for patient comfort, though the clinical significance of this
finding necessitates further exploration.
Conversely, traditional braces excel in delivering precise
adjustments and are highly effective in treating severe mis-
alignments, particularly in complex dental corrections. This
precise control supports the superior performance of tradi-
tional braces in tasks requiring detailed torque and rotational
movements, areas where aligners may struggle. The predict-
ability of tooth rotation with aligners also presents an area
for additional study, indicating potential limitations in their
ability to manage more complex orthodontic adjustments.
10
Both methods effectively correct misalignments, with
clear aligners being particularly advantageous for smaller
adjustments and shorter treatment times. Moreover, clear
aligners favor oral health benefits slightly, suggesting
easier maintenance and better overall patient compliance
than traditional braces. However, it is crucial to tailor
orthodontic treatment plans based on advancements in
aligner technology and the proven effectiveness of tradi-
tional braces. Considering patient preferences, the com-
plexity of the case, and desired outcomes, informed by
the latest research and clinical expertise, is essential for
Figure 1. Prisma Flowchart. advancing orthodontic care.

Figure 2. Appraisal - Quality Assessment of each systematic review. www.nysagd.org l Fall 2024 l GP 17