Clear Aligner Treatment: A new paradigm shift? Point & Counterpoint

Abstract

The emergence of Clear Aligner Treatment (CAT) has redefined modern orthodontics by integrating advanced digital technology and 3D printing. Originating from the concept introduced by Kesling in 1945, CAT uses its digital foundation to allow precise tooth movement planning within virtual models. CAT's popularity has surged due to its cosmetic appeal and comfort, offering advantages like reduced root resorption and improved oral hygiene. The upswing of CAT systems by various manufacturers has the potential to enhance orthodontic treatment acceptance among the general public. However, the counterpoint emphasizes that successful CAT outcomes hinge on accurate diagnosis, case selection, and above all, patient compliance. Aligner wear for a minimum of 22 hours daily is paramount for success. The viscoelastic properties of aligner materials introduce complexities, demanding a nuanced understanding of biomechanics for effective treatment. Practitioners are advised to begin with simpler cases before advancing to complex malocclusions, emphasizing patient compliance, considering potential refinements, and incorporating appropriate force systems into virtual setups. Supervision by experienced orthodontists during the learning phase can optimize outcomes. In summary, while CAT holds immense promise, careful planning and patient engagement remain the cornerstones of achieving successful orthodontic results