Conventional Braces and Clear Aligners: An Evaluation of Outcome and Treatment

Conventional orthodontic treatment to treat a variety of malocclusions using wires, brackets, or ligatures has been around since 1770. Development of new research and technology in the late 20th and early 21st century brought CAD/CAM manufacturing, which has allowed the development of plastic orthodontics including Invisalign. This systematic review focused on the following question: In young adults in need of orthodontic treatment, which orthodontic appliance, traditional braces, or clear aligners, will have the best outcome and treatment in the most effective way possible? Orthodontic wires such as Nickel-Titanium and Stainless steel exert a great amount of force once applied. The time for the clear aligners was most likely shorter as it does not need a detailing or finishing phase, while traditional braces take up to 6 months for it. However, the American Board of Orthodontics objective grading system showed that the aligners did not correct malocclusions as well as braces did.Data gathered by Kaklamanos et al (29) showed that aligners for treatment may offer further advantages to the improved Oral Health-Related Quality of Life (OHRQoL) seen with orthodontic correction, compared to traditional treatment using conventional metal fixed appliances. These advantages could include enhanced comfort during sleep, eating, and social interactions, as well as increased self-esteem and overall satisfaction with oral health (29). Clear aligners and traditional braces aim to accomplish the same result through different methods. However, this study showed clear aligners improve quality of life in a more efficient, time reduced manner. It also corrects malocclusion and provided better outcomes for patients with periodontal disease.