Clinical limitations and its solutions of the digital clear aligner treatment

Abstract

The digital clear aligner is widely used due to the convenience and efficiency of simultaneously manufacturing the entire aligner used in treatment with a single setup. However, due to the characteristics of clear aligners, which make it difficult to effectively transmit orthodontic force to the teeth compared to traditional brackets, the teeth do not move as planned, resulting in repeated refinements and increased treatment periods. The following measures have been proposed to solve these problems:1. Partial production of Clear aligner: Manufacturing the entire aligner not all at once but in stages, typically 8-10 at a time, allows for more precise management of the individual tooth movement. Additionally, adjustments can be made promptly if treatment does not go as planned.2. Direct 3D printing of clear aligners: Direct 3D printing offers the possibility of creating more efficient aligners that adhere more closely to the teeth than vacuum-formed ones. Moreover, effective tooth movement can be achieved by adjusting the aligner's thickness or designing structures to apply orthodontic forces as required.3. Digital hybrid treatment: Using 3D-printed brackets with two strands of NiTi wire allows for rapid and accurate tooth movement with gentle force. In particular, the ability to manufacture clear aligners and 3D-printed brackets together in a single digital setup enables various clinical applications. This not only shortens the treatment period but also allows for better treatment results.