[Combining the benefits of aligners with those of fixed appliance treatments – Part 2].

Orthod Fr

41 rue du Rempart, 59300 Valenciennes, France

Published: March 2025

Introduction: Aligners are presented as an aesthetic and simple solution capable of treating a wide range of malocclusions. However, they require numerous auxiliaries that are often complex to implement and unesthetic attachments to compensate for their inability in reproducing the simulated movements.

Objectives: The aim of this article is to review the advantages and limitations of aligners by proposing an aesthetic, rational, and standardized solution.

Material And Methods: The scientific data shows the movements for which aligners are less effective. The article illustrates through a clinical case how it is possible to combine the 2D lingual appliance and aligners to compensate for the shortcomings of each and optimize their strengths during their use.

Results: When the treatment plan defines the movements to be performed, the choice of the appliance becomes clinically and logically evident according to the ongoing therapeutic sequence.

Conclusion: Aligners offer advantages that make them indispensable in the orthodontist's therapeutic arsenal, but they are not sufficient on their own.

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Source
http://dx.doi.org/10.1684/orthodfr.2025.166DOI Listing

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