Changes in the Oral Microbiota with the Use of Aligners vs. Braces: A Systematic Review

Background: Orthodontic treatments have evolved significantly, with clear aligners be- coming increasingly popular due to their aesthetic appeal and ease of use. This study systematically reviewed the impact of clear aligners in the changes in the oral microbiota compared to traditional fixed applia...

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Detalles Bibliográficos
Autores: España Pamplona, Pilar, Bernés Martínez, Laura, Andrés Castelló, Carolina, Bolás Colveé, Belén, Adobes Martín, Milagros, Garcovich, Daniele
Tipo de recurso: artículo
Fecha de publicación:2024
País:España
Institución:Universidad Europea (UEM)
Repositorio:ABACUS. Repositorio de Producción Científica
Idioma:inglés
OAI Identifier:oai:abacus.universidadeuropea.com:11268/13346
Acceso en línea:http://hdl.handle.net/11268/13346
Access Level:acceso abierto
Palabra clave:Higiene bucal
Microbiota
Odontología
Goal 3: Ensure healthy lives and promote well-being for all at all ages
Descripción
Sumario:Background: Orthodontic treatments have evolved significantly, with clear aligners be- coming increasingly popular due to their aesthetic appeal and ease of use. This study systematically reviewed the impact of clear aligners in the changes in the oral microbiota compared to traditional fixed appliances. Methods: Following PRISMA guidelines, a systematic review was conducted using two databases such as Scopus, Web of Science, and the PubMed search engine. The studies included were those published between 2010 and 2023, involving adults over 18 years using clear aligners and fixed appliances. The data on oral microbiota changes were extracted and analyzed. Results: The review included eight studies, highlighting the differences in microbial changes associated with clear aligners versus fixed appliances. Clear aligners were associated with fewer detrimental changes in the oral microbiota, potentially due to their removable nature allowing for better hygiene. Fixed appliances showed a tendency to harbor more pathogenic bacteria, which is likely due to their difficulty to clean. Conclusions: Clear aligners may offer a better alternative to fixed appliances in terms of maintaining a healthier oral microbiota. Their design and ease of hygiene contribute to less accumulation of pathogenic bacteria, showing a more positive impact on maintaining a balanced oral microbiota when compared to fixed appliances.