PERIODONTAL OUTCOMES ASSOCIATED WITH CLEAR ALIGNER THERAPY IN ORTHODONTICS:
CURRENT EVIDENCE AND CLINICAL IMPLICATIONS
DOI:
https://doi.org/10.36557/2674-9432.2026v5n2p406-426Palavras-chave:
Clear aligners, Orthodontics, Periodontal health, Gingival inflammation, Dental plaque, Oral hygieneResumo
Clear aligner therapy has become increasingly popular in contemporary orthodontics, especially among adult patients seeking esthetic and comfortable treatment alternatives. Beyond esthetic and biomechanical aspects, its potential influence on periodontal health has attracted growing scientific interest. This review aimed to analyze the current evidence regarding periodontal outcomes associated with clear aligner therapy in orthodontics and to discuss its clinical implications compared with conventional fixed appliances. A narrative literature review was performed based on recent systematic reviews, meta-analyses, randomized controlled trials, and evidence-based reviews addressing periodontal parameters during orthodontic treatment. Current evidence suggests that clear aligners are generally associated with more favorable periodontal conditions, particularly regarding plaque control, gingival inflammation, bleeding on probing, and probing depth, when compared with fixed appliances. However, these advantages appear to be modest and are strongly influenced by confounding variables such as oral hygiene compliance, patient motivation, professional periodontal maintenance, and treatment complexity. In periodontally compromised patients, orthodontic treatment may be performed safely after periodontal stabilization, provided that interdisciplinary planning and close periodontal monitoring are maintained. Although available evidence supports the periodontal benefits of clear aligners in selected clinical situations, further high-quality longitudinal and randomized studies are needed to better define their long-term periodontal effects and clinical relevance.
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BUMBAR, Zynoviya O.; SICHKORIZ, Khrystyna A.; BUMBAR, Oleg I.; MINKO, Lidiya Y. The orthodontic treatment and the periodontal status of patients. Wiadomości Lekarskie, [s. l.], v. 77, n. 3, p. 602–607, 2024. DOI: 10.36740/WLek202403133.
CREGO-RUIZ, M.; JORBA-GARCÍA, A. Assessment of the periodontal health status and gingival recession during orthodontic treatment with clear aligners and fixed appliances: a systematic review and meta-analysis. Medicina Oral, Patología Oral y Cirugía Bucal, [s. l.], v. 28, n. 4, p. e330–e340, 2023. DOI: 10.4317/medoral.25760.
DE LEYVA, P.; ESLAVA, J.-M.; HERNÁNDEZ-ALFARO, F.; ACERO, J. Orthognathic surgery and aligners. A comparative assessment of periodontal health and quality of life in postsurgical orthodontic treatment with aligners versus traditional fixed appliances: a randomized controlled trial. Medicina Oral, Patología Oral y Cirugía Bucal, [s. l.], v. 28, n. 3, p. e208–e216, 2023. DOI: 10.4317/medoral.25555.
DI SPIRITO, Federica; D’AMBROSIO, Francesco; CANNATÀ, Davide; D’ANTÒ, Vincenzo; GIORDANO, Francesco; MARTINA, Stefano. Impact of clear aligners versus fixed appliances on periodontal status of patients undergoing orthodontic treatment: a systematic review of systematic reviews. Healthcare, Basel, v. 11, n. 9, p. 1340, 2023. DOI: 10.3390/healthcare11091340.
DIPALMA, Gianna; INCHINGOLO, Alessio Danilo; FIORE, Arianna;
BALESTRIERE, Liviana; NARDELLI, Paola; CASAMASSIMA, Lucia; DI VENERE, Daniela; PALERMO, Andrea; INCHINGOLO, Francesco; INCHINGOLO, Angelo Michele. The differential impact of clear aligners and fixed orthodontic appliances on periodontal health: a systematic review. Children, Basel, v. 12, n. 2, p. 138, 2025. DOI: 10.3390/children12020138.
GEHLOT, Meenu; SHARMA, Rekha; TEWARI, Shikha; KUMAR, Davender; GUPTA, Ambika. Effect of orthodontic treatment on periodontal health of periodontally compromised patients. The Angle Orthodontist, [s. l.], v. 92, n. 3, p. 324–332, 2022. DOI: 10.2319/022521-156.1.
JEPSEN, Karin; SCULEAN, Anton; JEPSEN, Søren. Complications and treatment errors involving periodontal tissues related to orthodontic therapy. Periodontology 2000, [s. l.], v. 92, n. 1, p. 135–158, 2023. DOI: 10.1111/prd.12484.
LIU, Yuan; LI, Chen Xi; NIE, Juan; MI, Cong Bo; LI, Yi Ming. Interactions between orthodontic treatment and gingival tissue. Chinese Journal of Dental Research, [s. l.], v. 26, n. 1, p. 11–18, 2023. DOI: 10.3290/j.cjdr.b3978667.
PAPAGEORGIOU, Spyridon N.; KOLETSI, Despina; ILIADI, Anna; PELTOMAKI, Timo; ELIADES, Theodore. Treatment outcome with orthodontic aligners and fixed appliances: a systematic review with meta-analyses. European Journal of Orthodontics, [s. l.], v. 42, n. 3, p. 331–343, 2020. DOI: 10.1093/ejo/cjz094.
PARTOUCHE, Aaron Jacob David; CASTRO, Filipe; BAPTISTA, Ana Sofia; COSTA, Liliana Gavinha; FERNANDES, Juliana Campos Hasse; FERNANDES, Gustavo Vicentis de Oliveira. Effects of multibracket orthodontic treatment versus clear aligners on periodontal health: an integrative review. Dentistry Journal, Basel, v. 10, n. 10, p. 177, 2022. DOI: 10.3390/dj10100177.
WANG, Chin-Wei; YU, Shan-Huey; MANDELARIS, George A.; WANG, Hom-Lay. Is periodontal phenotype modification therapy beneficial for patients receiving orthodontic treatment? An American Academy of Periodontology best evidence review. Journal of Periodontology, [s. l.], v. 91, n. 3, p. 299–310, 2020. DOI: 10.1002/JPER.19-0037.
WANG, Yan; LONG, Hu; ZHAO, Zhihe; BAI, Ding; HAN, Xianglong; WANG, Jun; FANG, Bing; JIN, Zuolin; HE, Hong; BAI, Yuxin; et al. Expert consensus on the clinical strategies for orthodontic treatment with clear aligners. International Journal of Oral Science, [s. l.], v. 17, n. 1, p. 19, 2025. DOI: 10.1038/s41368-025-00350-2.
WEIR, T. Clear aligners in orthodontic treatment. Australian Dental Journal, [s. l.], v. 62, suppl. 1, p. 58–62, 2017. DOI: 10.1111/adj.12480.
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Copyright (c) 2026 Rafael Rudimar Holler Peres, Ana Luisa de Castro e Silva, Eliane de Carvalho Dourado Aragão, Eduardo Campana Magosteiro, Brenda Moraes da Silva, Juliana Menezes Meireles , Jonatas Firmo Chaves Silva, Danielle S. Quindos, Christian Cesar Soares, Samara de Oliveira Ribeiro, Ediliana Dias Chaves Campos de Amaral, Brenda Costa Pastre, José Augusto Pinheiro Sperandio

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