Comparison of Clear Aligners and Fixed Orthodontic Appliances from the Patient's Perspective: A Questionnaire-Based Study

Irmak Ocak; Semih Demirci

Makale detayları

Comparison of Clear Aligners and Fixed Orthodontic Appliances from the Patient's Perspective: A Questionnaire-Based Study

Yazarlar:

Irmak Ocak | Semih Demirci

Yayıncı:

Ankara University

Ana Başlıklar:

Orthodontics and Dentofacial Orthopaedics

Dergi:

European Annals of Dental Sciences Vol.52 Issue 2, pp.111-119

Belge Tipi:

Makale

Yayın Tarihi:

8/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001355095

pISSN:

2757-6744

Anahtar kelimeler:

Özet:

 Purpose: This study aimed to evaluate and compare the treatment experiences of individuals receiving orthodontic care with either clear aligners or fixed appliances. Materials and Methods: This cross-sectional study included 90 individuals aged 1220 years undergoing active orthodontic treatment clear aligners: n45; fixed appliances: n45. A face-to-face questionnaire comprising Likert-type, and multiple-choice items was administered to assess pain, oral hygiene, and ease of appliance use. Non-parametric continuous variables were analyzed with the MannWhitney U test, whereas categorical variables were evaluated using Chi-square and linear-by-linear association tests. A p-value of 0.05 was considered statistically significant. Results: Pain during functional activities was significantly more pronounced in the fixed appliance group. Gingival bleeding and intraoral injuries were also more frequently reported in this group p0.004 and p0.049, respectively. Conversely, speech impairment and halitosis were more commonly observed among clear aligner users p0.040 and p0.007, respectively. Tooth brushing difficulty and the use of auxiliary oral hygiene tools were more prevalent in the fixed appliance group. The frequency of emergency-related additional appointments was significantly lower in the clear aligner group p0.023. No statistically significant differences were found between the groups regarding the impact on social life or willingness to recommend the treatment method p0.05. Conclusion: This study demonstrated that clear aligners and fixed appliances exert significantly different effects on patient experience across multiple domains. These findings underscore the importance of incorporating not only biomechanical considerations but also individual patient factorssuch as lifestyle, communication needs, and oral hygiene routinesinto orthodontic treatment planning.

 Purpose: This study aimed to evaluate and compare the treatment experiences of individuals receiving orthodontic care with either clear aligners or fixed appliances. Materials and Methods: This cross-sectional study included 90 individuals aged 1220 years undergoing active orthodontic treatment clear aligners: n45; fixed appliances: n45. A face-to-face questionnaire comprising Likert-type, and multiple-choice items was administered to assess pain, oral hygiene, and ease of appliance use. Non-parametric continuous variables were analyzed with the MannWhitney U test, whereas categorical variables were evaluated using Chi-square and linear-by-linear association tests. A p-value of 0.05 was considered statistically significant. Results: Pain during functional activities was significantly more pronounced in the fixed appliance group. Gingival bleeding and intraoral injuries were also more frequently reported in this group p0.004 and p0.049, respectively. Conversely, speech impairment and halitosis were more commonly observed among clear aligner users p0.040 and p0.007, respectively. Tooth brushing difficulty and the use of auxiliary oral hygiene tools were more prevalent in the fixed appliance group. The frequency of emergency-related additional appointments was significantly lower in the clear aligner group p0.023. No statistically significant differences were found between the groups regarding the impact on social life or willingness to recommend the treatment method p0.05. Conclusion: This study demonstrated that clear aligners and fixed appliances exert significantly different effects on patient experience across multiple domains. These findings underscore the importance of incorporating not only biomechanical considerations but also individual patient factorssuch as lifestyle, communication needs, and oral hygiene routinesinto orthodontic treatment planning.

 Purpose: This study aimed to evaluate and compare the treatment experiences of individuals receiving orthodontic care with either clear aligners or fixed appliances. Materials and Methods: This cross-sectional study included 90 individuals aged 1220 years undergoing active orthodontic treatment clear aligners: n45; fixed appliances: n45. A face-to-face questionnaire comprising Likert-type, and multiple-choice items was administered to assess pain, oral hygiene, and ease of appliance use. Non-parametric continuous variables were analyzed with the MannWhitney U test, whereas categorical variables were evaluated using Chi-square and linear-by-linear association tests. A p-value of 0.05 was considered statistically significant. Results: Pain during functional activities was significantly more pronounced in the fixed appliance group. Gingival bleeding and intraoral injuries were also more frequently reported in this group p0.004 and p0.049, respectively. Conversely, speech impairment and halitosis were more commonly observed among clear aligner users p0.040 and p0.007, respectively. Tooth brushing difficulty and the use of auxiliary oral hygiene tools were more prevalent in the fixed appliance group. The frequency of emergency-related additional appointments was significantly lower in the clear aligner group p0.023. No statistically significant differences were found between the groups regarding the impact on social life or willingness to recommend the treatment method p0.05. Conclusion: This study demonstrated that clear aligners and fixed appliances exert significantly different effects on patient experience across multiple domains. These findings underscore the importance of incorporating not only biomechanical considerations but also individual patient factorssuch as lifestyle, communication needs, and oral hygiene routinesinto orthodontic treatment planning.

 Purpose: This study aimed to evaluate and compare the treatment experiences of individuals receiving orthodontic care with either clear aligners or fixed appliances. Materials and Methods: This cross-sectional study included 90 individuals aged 1220 years undergoing active orthodontic treatment clear aligners: n45; fixed appliances: n45. A face-to-face questionnaire comprising Likert-type, and multiple-choice items was administered to assess pain, oral hygiene, and ease of appliance use. Non-parametric continuous variables were analyzed with the MannWhitney U test, whereas categorical variables were evaluated using Chi-square and linear-by-linear association tests. A p-value of 0.05 was considered statistically significant. Results: Pain during functional activities was significantly more pronounced in the fixed appliance group. Gingival bleeding and intraoral injuries were also more frequently reported in this group p0.004 and p0.049, respectively. Conversely, speech impairment and halitosis were more commonly observed among clear aligner users p0.040 and p0.007, respectively. Tooth brushing difficulty and the use of auxiliary oral hygiene tools were more prevalent in the fixed appliance group. The frequency of emergency-related additional appointments was significantly lower in the clear aligner group p0.023. No statistically significant differences were found between the groups regarding the impact on social life or willingness to recommend the treatment method p0.05. Conclusion: This study demonstrated that clear aligners and fixed appliances exert significantly different effects on patient experience across multiple domains. These findings underscore the importance of incorporating not only biomechanical considerations but also individual patient factorssuch as lifestyle, communication needs, and oral hygiene routinesinto orthodontic treatment planning.

Makale detayları

Comparison of Clear Aligners and Fixed Orthodontic Appliances from the Patient's Perspective: A Questionnaire-Based Study

Yazarlar:

Irmak Ocak | Semih Demirci

Yayıncı:

Ankara University

Ana Başlıklar:

Orthodontics and Dentofacial Orthopaedics

Dergi:

European Annals of Dental Sciences Vol.52 Issue 2, pp.111-119

Belge Tipi:

Makale

Yayın Tarihi:

8/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001355095

pISSN:

2757-6744

Clear aligner

fixed orthodontics

patient satisfaction

oral hygiene

Sayı

Makale detayları

Comparison of Clear Aligners and Fixed Orthodontic Appliances from the Patient's Perspective: A Questionnaire-Based Study

Yazarlar: Irmak Ocak | Semih Demirci

Yayıncı: Ankara University

Ana Başlıklar: Orthodontics and Dentofacial Orthopaedics

Dergi: European Annals of Dental Sciences Vol.52 Issue 2, pp.111-119

Belge Tipi: Makale

Yayın Tarihi: 8/2025

Belge Dili: İngilizce

Document ID (Org No.): 2001355095

pISSN: 2757-6744

Clear aligner

fixed orthodontics

patient satisfaction

oral hygiene

Sayı

Yazarlar:

Irmak Ocak | Semih Demirci

Yayıncı:

Ankara University

Ana Başlıklar:

Orthodontics and Dentofacial Orthopaedics

Dergi:

European Annals of Dental Sciences Vol.52 Issue 2, pp.111-119

Belge Tipi:

Makale

Yayın Tarihi:

8/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001355095

pISSN:

2757-6744