PERIODONTAL OUTCOMES ASSOCIATED WITH CLEAR ALIGNER THERAPY IN ORTHODONTICS:

CURRENT EVIDENCE AND CLINICAL IMPLICATIONS

Autores/as

  • Rafael Rudimar Holler Peres Mestrado em Odontologia Clínica, Universidade Positivo, Curitiba, PR, Brazil. https://orcid.org/0009-0008-8615-9835
  • Ana Luisa de Castro e Silva Universidade Salgado de Oliveira
  • Eliane de Carvalho Dourado Aragão Mestrado em Odontopediatria, São Leopoldo Mandic, Campinas, SP, Brazil. https://orcid.org/0000-0002-5762-1911
  • Eduardo Campana Magosteiro Especialista em Ortodontia, Faculdade de Odontologia São Leopoldo Mandic, SP, Brazil. https://orcid.org/0009-0009-7065-6535
  • Brenda Moraes da Silva Bacharel em Odontologia, Universidade Federal do Espírito Santo, Vitória, ES, Brasil. https://orcid.org/0009-0005-5362-5084
  • Juliana Menezes Meireles Especialização em Ortodontia, Centro Universitário Redentor, Itaperuna, RJ, Brasil. https://orcid.org/0009-0001-5118-1791
  • Jonatas Firmo Chaves Silva Especialista em Ortodontia, Universidade Cruzeiro do Sul, São Paulo, SP, Brasil.
  • Danielle S. Quindos Especialista em Odontologia para Pacientes com Necessidades Especiais (OPNE), Fundecto / USP, Brasil.
  • Christian Cesar Soares Pós-graduação em Implantes Dentários, Funorte, Governador Valadares, MG, Brasil. Certificados: https://orcid.org/0009-0005-0656-4856
  • Samara de Oliveira Ribeiro Pós-graduação em Ortodontia, Faculdade Unidas do Norte de Minas (FUNORTE), Governador Valadares, MG, Brasil. https://orcid.org/0009-0009-7524-5823
  • Ediliana Dias Chaves Campos de Amaral Radiologia e Imaginologia Odontológica, Pontifícia Universidade Católica do Paraná (PUC-PR), Curitiba, PR, Brasil. https://orcid.org/0009-0003-3303-934X
  • Brenda Costa Pastre Especialização em Ortodontia, Faculdade São Lucas, Porto Velho, RO, Brasil.
  • José Augusto Pinheiro Sperandio Doutor em Periodontia, FOB-USP https://orcid.org/0009-0007-7223-549X

DOI:

https://doi.org/10.36557/2674-9432.2026v5n2p406-426

Palabras clave:

Clear aligners, Orthodontics, Periodontal health, Gingival inflammation, Dental plaque, Oral hygiene

Resumen

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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Biografía del autor/a

Christian Cesar Soares, Pós-graduação em Implantes Dentários, Funorte, Governador Valadares, MG, Brasil. Certificados:

  • AI for Business, Columbia University (dez. 2025)
  • Data Privacy and Technology, Harvard (dez. 2024)
  • Applied Generative AI for Digital Transformation, MIT (maio 2025)

Citas

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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;

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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.

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Publicado

2026-04-06

Cómo citar

RUDIMAR HOLLER PERES, Rafael et al. PERIODONTAL OUTCOMES ASSOCIATED WITH CLEAR ALIGNER THERAPY IN ORTHODONTICS: : CURRENT EVIDENCE AND CLINICAL IMPLICATIONS. Periódicos Brasil. Pesquisa Científica, Macapá, Brasil, v. 5, n. 2, p. 406–426, 2026. DOI: 10.36557/2674-9432.2026v5n2p406-426. Disponível em: https://periodicosbrasil.emnuvens.com.br/revista/article/view/835. Acesso em: 27 abr. 2026.

Número

Vol. 5 Núm. 2 (2026): Periódicos Brasil. Pesquisa Científica - QUALIS A3

Sección

Ciências da Saúde

Licencia

Derechos de autor 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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