“Even though the panelistswere huge aligner users, the statements are not so in favour of aligners, they are surprisingly reasonable.”

“It’s very difficult to find a real aligner experts without a conflict of interest. Almost impossible.”

“If you explain the differences honestly, most of my extraction patients choose fixed appliances. I’m not selling aligners.”

“Direct printing is the real breakthrough, but right now it has too many shortcomings to be a standard technology.”

“I am pessimistic. We must fight for our profession — against the idea that technology can replace orthodontists.”

In this episode, I’m joined by Vincenzo D'Antò, lead author and contributing author of this year’s two major consensusstatements on clear aligners. We explore the key findings from these landmark papers and how they translate into real-world clinical practice. Vincenzo shares his own views on aligners, their limitations, and his pragmatic approach to integrating hybrid mechanics, particularly skeletal anchorage, into alignertreatment. We discuss recent innovations in aligner therapy, distinguishing those with genuine clinical value from those that are ineffective. We also hear Vincenzo’s candid concerns about the future of orthodontics.

03:00 – Why did youcreate this Delphi aligner consensus?

05:03 – How were thealigner experts selected for the study?

06:51 – Do conflictsof interest affect aligner consensus statements?

11:49 – Crowding: Whydoes the Alharfi 2025 SR show better outcomes for aligners?

15:49 – 7 vs 10 vs 14days: How often should patients change aligners?

20:03 – Are complexmovement failures a design flaw or inherent to aligners?

22:19 – What trulylimits clear aligner biomechanics?

25:46 – Is hybridorthodontics the future of predictable aligner treatment?

29:35 – What hybridmechanics do you use most in practice?

32:05 – Can wereliably treat extraction cases with aligners?

36:03 – Is betterOHRQoL worth compromised occlusal outcomes?

39:11 – Do alignerswork for growing patients, or is this just marketing?

41:34 – Why ishigh-quality aligner research still so weak?

44:30 – Final advice:What should orthodontists focus on for the future?

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Please visit the website for this interview podcast:

https://orthoinsummary.com/is-there-really-a-consensus-on-aligners-a-delphi-author-explains-orthodontics-in-interview-vincenzo-danto/

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Farooq Ahmed

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