Patient-Reported Outcomes of Orthodontic Treatment for Mild Crowding With Modified Aligner Appliance With Nickel-Titanium Springs: A Prospective Cohort Study
2024

Patient-Reported Outcomes of Orthodontic Treatment for Mild Crowding

Sample size: 42 publication Evidence: moderate

Author Information

Author(s): Muacevic Alexander, Adler John R, Alhafi Ziad Mohamad, Hajeer Mohammad Y, Burhan Ahmad S, Latifeh Youssef, Ajaj Mowaffak A, Almusawi Alaa Oudah Ali, Zakaria Ahmad Salim

Primary Institution: Department of Orthodontics, Faculty of Dentistry, University of Damascus

Hypothesis

How do patient-reported outcomes compare between modified aligner appliances and traditional fixed orthodontic appliances for treating mild crowding?

Conclusion

Patients experienced temporary discomfort, but the modified aligner appliance caused additional challenges with swallowing and speaking that resolved over time.

Supporting Evidence

  • Patients reported lower pain levels with traditional fixed appliances compared to modified aligners.
  • Swallowing and speech difficulties were significantly higher in the modified aligner group during the first two days.
  • Discomfort levels peaked on the second day for both treatment types but decreased over time.

Takeaway

This study looked at how people felt during orthodontic treatment for crowded teeth. Both treatments caused some discomfort, but the new aligners made it harder to swallow and talk at first.

Methodology

This was a prospective cohort study involving 42 patients who were treated with either a modified aligner appliance or a traditional fixed orthodontic appliance, with outcomes measured using a visual analog scale.

Potential Biases

Potential bias due to non-randomized assignment of patients to treatment groups based on preference.

Limitations

The study did not analyze differences in responses between male and female participants and focused solely on patient-reported outcomes.

Participant Demographics

42 participants (11 males, 31 females) with a mean age of 21.69 years.

Statistical Information

P-Value

P < 0.008

Statistical Significance

p<0.008

Digital Object Identifier (DOI)

10.7759/cureus.76179

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