Predictability of the gingival margin of the upper incisors with transparent aligners: a pilot retrospective study

Purpose In Dentistry, the demand for orthodontic treatment solely focused on improving the aesthetics of the smile is increasingly common. The gingival margin of the upper anterior sector is one of the keys to achieving a harmonious and aesthetic smile. Transparent aligners, and within them, the Inv...

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Main Authors: Antonio Bach-Álvarez, Lourdes Abellán-Ferris, María-Dolores Oteo-Calatayud, Susana de la Cruz-Vigo, Wenceslao Piedra-Gascón, Alba Pérez-Jardón, Naresh Kewalramani, Ángel-Orión Salgado-Peralvo, Carlos Oteo-Morilla
Format: Article
Language:English
Published: Taylor & Francis Group 2025-01-01
Series:Clinical and Investigative Orthodontics
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Online Access:https://www.tandfonline.com/doi/10.1080/27705781.2024.2448411
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author Antonio Bach-Álvarez
Lourdes Abellán-Ferris
María-Dolores Oteo-Calatayud
Susana de la Cruz-Vigo
Wenceslao Piedra-Gascón
Alba Pérez-Jardón
Naresh Kewalramani
Ángel-Orión Salgado-Peralvo
Carlos Oteo-Morilla
author_facet Antonio Bach-Álvarez
Lourdes Abellán-Ferris
María-Dolores Oteo-Calatayud
Susana de la Cruz-Vigo
Wenceslao Piedra-Gascón
Alba Pérez-Jardón
Naresh Kewalramani
Ángel-Orión Salgado-Peralvo
Carlos Oteo-Morilla
author_sort Antonio Bach-Álvarez
collection DOAJ
description Purpose In Dentistry, the demand for orthodontic treatment solely focused on improving the aesthetics of the smile is increasingly common. The gingival margin of the upper anterior sector is one of the keys to achieving a harmonious and aesthetic smile. Transparent aligners, and within them, the Invisalign® system, are one of the most used and demanded to achieve our aesthetic and functional goals, and the ClinCheck software is key to determining the final result of our treatment. This retrospective study aims to analyse the predictability of the gingival margin of the upper incisors designed in the ClinCheck, comparing it with real intraoral photographs of the patients.Materials and methods Thirty-one patients between 16 and 59 years old were selected from the dental clinics of the Complutense University of Madrid and the position of the gingival margin in the ClinCheck was compared with its millimetre template by superimposing it on intraoral photographs taken with a millimetre ruler under the incisors in order to make the match between both.Results In 71% of the upper incisors there were differences between the ClinCheck and the final photographs, being these differences statistically significant (p = 0.001).Conclusion This is a pilot retrospective study with short-term results and a small sample size. It was determined that there are differences between the ClinCheck and the final results, but these differences are mainly ≤ 1 mm. We cannot trust the end of the ClinCheck 100%, but it is quite close to reality.
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spelling doaj-art-a3fc2c1ea5064e598e364ed913a1f5342025-01-21T07:37:18ZengTaylor & Francis GroupClinical and Investigative Orthodontics2770-57812770-579X2025-01-011810.1080/27705781.2024.2448411Predictability of the gingival margin of the upper incisors with transparent aligners: a pilot retrospective studyAntonio Bach-Álvarez0Lourdes Abellán-Ferris1María-Dolores Oteo-Calatayud2Susana de la Cruz-Vigo3Wenceslao Piedra-Gascón4Alba Pérez-Jardón5Naresh Kewalramani6Ángel-Orión Salgado-Peralvo7Carlos Oteo-Morilla8Private Practitioner in Madrid, Madrid, SpainPrivate Practitioner in Madrid, Madrid, SpainDepartment of Dental Clinical Specialties, Faculty of Dentistry, Complutense University of Madrid, Madrid, SpainDepartment in Clinical Dentistry, Universidad Europea de Madrid, Madrid, SpainDepartment of Dental Clinical Specialties, Faculty of Dentistry, Complutense University of Madrid, Madrid, SpainOral Medicine, Oral Surgery and Implantology Unit (MedOralRes), Faculty of Medicine and Dentistry, University of Santiago de Compostela, SpainDepartment of Nursery and Stomatology, Faculty of Dentistry, Rey Juan Carlos University, Madrid, SpainDepartment of Dental Clinical Specialties, Faculty of Dentistry, Complutense University of Madrid, Madrid, SpainDepartment of Dental Clinical Specialties, Faculty of Dentistry, Complutense University of Madrid, Madrid, SpainPurpose In Dentistry, the demand for orthodontic treatment solely focused on improving the aesthetics of the smile is increasingly common. The gingival margin of the upper anterior sector is one of the keys to achieving a harmonious and aesthetic smile. Transparent aligners, and within them, the Invisalign® system, are one of the most used and demanded to achieve our aesthetic and functional goals, and the ClinCheck software is key to determining the final result of our treatment. This retrospective study aims to analyse the predictability of the gingival margin of the upper incisors designed in the ClinCheck, comparing it with real intraoral photographs of the patients.Materials and methods Thirty-one patients between 16 and 59 years old were selected from the dental clinics of the Complutense University of Madrid and the position of the gingival margin in the ClinCheck was compared with its millimetre template by superimposing it on intraoral photographs taken with a millimetre ruler under the incisors in order to make the match between both.Results In 71% of the upper incisors there were differences between the ClinCheck and the final photographs, being these differences statistically significant (p = 0.001).Conclusion This is a pilot retrospective study with short-term results and a small sample size. It was determined that there are differences between the ClinCheck and the final results, but these differences are mainly ≤ 1 mm. We cannot trust the end of the ClinCheck 100%, but it is quite close to reality.https://www.tandfonline.com/doi/10.1080/27705781.2024.2448411Estheticsdentalgingival marginclinCheckorthodontic appliancesremovable
spellingShingle Antonio Bach-Álvarez
Lourdes Abellán-Ferris
María-Dolores Oteo-Calatayud
Susana de la Cruz-Vigo
Wenceslao Piedra-Gascón
Alba Pérez-Jardón
Naresh Kewalramani
Ángel-Orión Salgado-Peralvo
Carlos Oteo-Morilla
Predictability of the gingival margin of the upper incisors with transparent aligners: a pilot retrospective study
Clinical and Investigative Orthodontics
Esthetics
dental
gingival margin
clinCheck
orthodontic appliances
removable
title Predictability of the gingival margin of the upper incisors with transparent aligners: a pilot retrospective study
title_full Predictability of the gingival margin of the upper incisors with transparent aligners: a pilot retrospective study
title_fullStr Predictability of the gingival margin of the upper incisors with transparent aligners: a pilot retrospective study
title_full_unstemmed Predictability of the gingival margin of the upper incisors with transparent aligners: a pilot retrospective study
title_short Predictability of the gingival margin of the upper incisors with transparent aligners: a pilot retrospective study
title_sort predictability of the gingival margin of the upper incisors with transparent aligners a pilot retrospective study
topic Esthetics
dental
gingival margin
clinCheck
orthodontic appliances
removable
url https://www.tandfonline.com/doi/10.1080/27705781.2024.2448411
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