Periodontal disease treated with clear aligner

Abstract

Clear aligner is a kind of removable orthodontic appliance, which designed and manufactured using digital technology. It is more and more widely used in adults and patients with periodontal disease. Clear aligner treatment in patients with moderate and mild periodontal diseases can achieve good result. Meanwhile, there are still risks in the clear aligner treatment in patients with severe periodontal diseases, so it is necessary to strictly control the indications. Multidisciplinary treatment of complex periodontal disease is important before the start of orthodontics. The objective of orthodontic treatment in patients with periodontal disease should be made clear and the range of tooth movement must be strictly controlled. In the application of the clear aligner, the feasible target position of clear aligner should be designed. According to patient's periodontal condition, staging should be designed and the reasonable attachment should be set. The shape of the aligner should be designed to reduce the gingival stimulation. Clear aligner treatment could play an important role in multidisciplinary treatment, and improve the overall effect in patients with periodontal disease. The application of clear aligner in the treatment of periodontal diseases was discussed in various aspects, providing a reference for rational clinical use.