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
                  The School of Greatness by Lewis Howes

                  The School of Greatness

                  21,270 Listeners

                  The Skinny Confidential Him & Her Podcast by Lauryn Bosstick & Michael Bosstick / Dear Media

                  The Skinny Confidential Him & Her Podcast

                  14,877 Listeners

                  The Diary Of A CEO with Steven Bartlett by DOAC

                  The Diary Of A CEO with Steven Bartlett

                  6,967 Listeners

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

                  The Orthopreneurs Podcast with Dr. Glenn Krieger

                  77 Listeners

                  Well with Arielle Lorre by Dear Media, Arielle Lorre

                  Well with Arielle Lorre

                  4,045 Listeners

                  All-In with Chamath, Jason, Sacks & Friedberg by All-In Podcast, LLC

                  All-In with Chamath, Jason, Sacks & Friedberg

                  9,095 Listeners

                  Huberman Lab by Scicomm Media

                  Huberman Lab

                  28,301 Listeners

                  Meditación para dormir by Noelia García

                  Meditación para dormir

                  61 Listeners

                  ZOE Science & Nutrition by ZOE

                  ZOE Science & Nutrition

                  2,005 Listeners

                  Hey Docs! by Jill Allen

                  Hey Docs!

                  35 Listeners

                  Morning Microdose by Almost 30

                  Morning Microdose

                  223 Listeners

                  Motivación Diaria por Motiversity by Motiversity

                  Motivación Diaria por Motiversity

                  54 Listeners

                  Pursuit of Wellness by Mari Llewellyn & Pursuit Network

                  Pursuit of Wellness

                  2,721 Listeners

                  The DOC Podcast by DeLuke Orthodontic Coaching, LLC

                  The DOC Podcast

                  16 Listeners

                  Orthodontic Pearls Podcast by Orthodontic Pearls

                  Orthodontic Pearls Podcast

                  16 Listeners