orthodontics In summary

Aligner Evidence Nikhilesh Vaid IOF

Listen Later

Join me for a summary of Dr Nikhilesh Vaid’s lecture entitled More Than Meets The EYE!    Aligner Evidence Through Clinicians Eye It was part of the first International Orthodontic Foundation online symposium, with Ravi Nanda and co.

Evidence available

There are about 7000 papers available on clear aligner therapy

  • 39 are prospective clinical trials
  • 20 are systematic reviews

    • What do the systematic review and meta-analysis conclude?

    • Overall we don’t have sufficient good quality trials and there is a need of more such trials
    • In addition to that ratio of prospective trials to systematic review is merely 2: 1.

      • Systemic review topics

      Treatment outcomes

      • Aligners work well for mild to moderate cases.
      • Alignment with aligners is reasonably competent.
      • In Vertical sagittal and transverse dimension possess a bit of challenge.
      • If compared with fixed appliances – doesn’t fit well.
      • *** Outcomes mainly depend on the measurement criteria.

        • Deleterious effects

        • Slight improvement in terms of periodontal effects
        • Advantageous in external apical root resorption
        • Some of periodontal indices improved, also no adverse effect was found
        • Overall need for more studies.

          • Other effects

          • Force levels, only in vitro studies available with conflicting results.
          • Pain level, it was initially lower, thereafter similar, short term
          • QoL (Quality of life) there were less incidences of eating disturbances.

            • Nikhilesh conclusion: Although stated in one of systematic review (Papageorgiou) the current evidence doesn’t supports the use of clear aligner therapy.

            • That this doesn’t meant that it never worked.
            • So according to Dr Vaid its on us to be able to gather some evidence.

              • Nikhilesh’s research: Effectiveness, wear, refinement

              1st study - Are aligner effective

              Does wear protocol makes a difference? Nadawi 2021

              3rd study- Can we predict the number of refinements needed?

              Nikhilesh’s conclusion:

              • Refinements are non-negotiable.
              • Patients will be requiring nearly double the number of initially decided aligners.
                • Planned Vs total aligners 108.11%
                • Greater refinements class 3, deep bite, crowding, posterior crossbites

                  • Contributions

                  Contents: Shanya Kapoor

                  Editing and production: Farooq Ahmed

                  ...more
                  View all episodesView all episodes
                  Download on the App Store
                  orthodontics In summaryBy Farooq Ahmed
                  • 5
                  • 5
                  • 5
                  • 5
                  • 5

                  5

                  7 ratings

                  More shows like orthodontics In summary

                  View all
                  Freakonomics Radio by Freakonomics Radio + Stitcher

                  Freakonomics Radio

                  32,012 Listeners

                  Boundless Life by Ben Greenfield

                  Boundless Life

                  5,008 Listeners

                  The Dentist Money Show | Financial Planning & Wealth Management by Dentist Advisors - Financial Planning and Investment Management

                  The Dentist Money Show | Financial Planning & Wealth Management

                  148 Listeners

                  How I Built This with Guy Raz by Guy Raz | Wondery

                  How I Built This with Guy Raz

                  30,219 Listeners

                  The Daily by The New York Times

                  The Daily

                  112,484 Listeners

                  Up First from NPR by NPR

                  Up First from NPR

                  56,536 Listeners

                  TRIGGERnometry by TRIGGERnometry

                  TRIGGERnometry

                  2,120 Listeners

                  Forklart by Aftenposten

                  Forklart

                  101 Listeners

                  The Orthopreneurs Podcast with Dr. Glenn Krieger by Dr. Glenn Krieger

                  The Orthopreneurs Podcast with Dr. Glenn Krieger

                  75 Listeners

                  Protrusive Dental Podcast by Jaz Gulati

                  Protrusive Dental Podcast

                  23 Listeners

                  Americast by BBC News

                  Americast

                  733 Listeners

                  Huberman Lab by Scicomm Media

                  Huberman Lab

                  29,154 Listeners

                  The Rest Is Football by Goalhanger

                  The Rest Is Football

                  671 Listeners

                  The DOC Podcast by DeLuke Orthodontic Coaching, LLC

                  The DOC Podcast

                  17 Listeners

                  Orthodontic Pearls Podcast by Orthodontic Pearls

                  Orthodontic Pearls Podcast

                  18 Listeners