The objective of this study was to assess the perceptions of orthodontists practicing in Morocco and their degrees of satisfaction with aligner treatments. A descriptive cross-sectional study was conducted during the 8th annual scientific days of the orthodontist (from 13 to 16 February 2020), among qualified orthodontists from the private and public sectors, practicing in Morocco. General practitioners providing orthodontics were excluded. Data analysis was performed using SPSS software. It was descriptive for all the variables. The qualitative variables were expressed in number and percentage. The main results of this study were that orthodontist’s satisfaction with the results obtained by the aligners, in terms of the category of malocclusion, type of treatment and the predictability of orthodontic movements was more or less well. In the general perception of treatments by aligners versus conventional fixed treatments, 77.2% of participants gave a score higher than 5. In conclusion, the aligner technique certainly has advantages, but also has difficulties and limits that are often binding for the practitioner in terms of the quality of the treatment results. Indeed, the long process of making and receiving and the unpredictability of certain movements are among the main factors calling into question the effectiveness, even the efficiency, of these new techniques.
Cite this paper
Alami, S. , Khamlich, K. , Khazi, I. , Bourzgui, F. , Hamza, M. and Quars, F. E. (2023). Orthodontists’ Perceived Satisfaction with Aligner Treatment. Open Access Library Journal, 10, e259. doi: http://dx.doi.org/10.4236/oalib.1110259.
Rossini, G., Parrinia, S., Castroflorio, T., Deregibus, A. and Debernardi, C.L. (2015) Efficacy of Clear Aligners in Controlling Orthodontic Tooth Movement: A Systematic Review. The Angle Orthodontist, 85, 881-889.
https://doi.org/10.2319/061614-436.1
Kesling, H.D. (1945) The Philosophy of Tooth Positioning Appliance. American Journal of Orthodontics, 31, 297-304.
https://doi.org/10.1016/0096-6347(45)90101-3
Naidu, S. and Suresh, A. (2018) Invisalign—A Brief Overview. International Journal of Advanced Research, 6, 183-188. https://doi.org/10.21474/IJAR01/7350
Pacheco-Pereira, C., Brandelli, J. and Flores-Mir, C. (2018) Patient Satisfaction and Quality of Life Changes after Invisalign Treatment. American Journal of Orthodontics and Dentofacial Orthopedics, 153, 834-841.
https://doi.org/10.1016/j.ajodo.2017.10.023
Adams, T.L. (2005) Feminization of Professions: The Case of Women in Dentistry. Canadian Journal of Sociology, 30, 71-94. https://doi.org/10.2307/4146158
D’apuzzo, F., et al. (2019) Clear Aligner Treatment: Different Perspectives between Orthodontists and General Dentists. Progress in Orthodontics, 20, Article No. 10.
https://doi.org/10.1186/s40510-019-0263-3
Mangano, F., Gandolfi, A., Luongo, G., et al. (2017) Intraoral Scanners in Dentistry: A Review of the Current Literature. BMC Oral Health, 17, Article No. 149.
https://doi.org/10.1186/s12903-017-0442-x
Marti, A.M., Harris, B.T., Metz, M.J., Morton, D., Scarfe, W.C., Metz, C.J. and Lin, W.S. (2017) Comparison of Digital Scanning and Polyvinyl Siloxane Impression Techniques by Dental Students: Instructional Efficiency and Attitudes towards Technology. European Journal of Dental Education, 21, 200-205.
https://doi.org/10.1111/eje.12201
Lim, J.H., Park, J.M., Kim, M., Heo, S.J. and Myung, J.Y. (2017) Comparison of Digital Intraoral Scanner Reproducibility and Image Trueness Considering Repetitive Experience. Journal of Prosthetic Dentistry, 119, 225-232.
https://doi.org/10.1016/j.prosdent.2017.05.002
Mandelli, F., Ferrini, F., Gastaldi, G., Gherlone, E. and Ferrari, M. (2017) Improvement of a Digital Impression with Conventional Materials: Overcoming Intraoral Scanner Limitations. The International Journal of Prosthodontics, 30, 373-376.
https://doi.org/10.11607/ijp.5138
Bilello, G., Fazio, M., Amato, E., Crivello, L., Galvano, A. and Currò, G. (2022) Accuracy Evaluation of Orthodontic Movements with Aligners: A Prospective Observational Study. Progress in Orthodontics, 23, Article No. 12.
https://doi.org/10.1186/s40510-022-00406-7
Buschang, P.H., Shaw, S.G., Ross, M., Crosby, D. and Campbell, P.M. (2014) Comparative Time Efficiency of Aligner Therapy and Conventional Edgewise Braces. The Angle Orthodontist, 84, 391-396. https://doi.org/10.2319/062113-466
Li, W., Wang, S. and Zhang, Y. (2015) The Effectiveness of the Invisalign Appliance in Extraction Cases Using the ABO Model Grading System: A Multicenter Randomized Controlled Trial. International Journal of Clinical and Experimental Medicine, 8, 8276-8282.
Ren, L., Liu, L., Wu, Z., Shan, D., Pu, L., Gao, Y., Tang, Z., Li, X., Jian, F., Wang, Y., Long, H. and Lai, W. (2022) The Predictability of Orthodontic Tooth Movements through Clear Aligner among First-Premolar Extraction Patients: A Multivariate Analysis. Progress in Orthodontics, 23, Article No. 52.
https://doi.org/10.1186/s40510-022-00447-y
Djeu, G., Shelton, C. and Maganzini, A. (2005) Outcome Assessment of Invisalign and Traditional Orthodontic Treatment Compared with the American Board of Orthodontics Objective Grading System. American Journal of Orthodontics and Dentofacial Orthopedics, 128, 292-298. https://doi.org/10.1016/j.ajodo.2005.06.002
Jiang, Q., et al. (2018) Periodontal Health during Orthodontic Treatment with Clear Aligners and Fixed Appliances: A Meta-Analysis. The Journal of the American Dental Association, 149, 296-299.
Boyd, R.L. (2005) Surgical-Orthodontic Treatment of Two Skeletal Class III Patients with Invisalign and Fixed Appliances. Journal of Clinical Orthodontics, 39, 245-258.
Kravitz, N.D., Kusnoto, B., Begole, E., Obrez, A. and Agran, B. (2009) How Well Does Invisalign Work? A Prospective Clinical Study Evaluating the Efficacy of Tooth Movement with Invisalign. American Journal of Orthodontics and Dentofacial Orthopedics, 135, 27-35. https://doi.org/10.1016/j.ajodo.2007.05.018
Charalampakis, O., Iliadi, A., Ueno, H., Oliver, D.R. and Kim, K.B. (2018) Accuracy of Clear Aligners: A Retrospective Study of Patients Who Needed Refinement. American Journal of Orthodontics and Dentofacial Orthopedics, 154, 49-54.
https://doi.org/10.1016/j.ajodo.2017.11.028
Dai, F.F., Xu, T.M. and Shu, G. (2019) Comparison of Achieved and Predicted Tooth Movement of Maxillary First Molars and Central Incisors: First Premolar Extraction Treatment with Invisalign. The Angle Orthodontist, 89, 679-687.
https://doi.org/10.2319/090418-646.1
Koletsi, D., Iliadi, A. and Eliades, T. (2021) Predictability of Rotational Tooth Movement with Orthodontic Aligners Comparing Software-Based and Achieved Data: A Systematic Review and Meta-Analysis of Observational Studies. Journal of Orthodontics, 48, 277-287. https://doi.org/10.1177/14653125211027266
Papagiannis, A., Koletsi, D., Halazonetis, D.J. and Sifakakis, I. (2021) Relapse 1 Week after Bracket Removal: A 3D Superimpositional Analysis. European Journal of Orthodontics, 43, 128-135. https://doi.org/10.1093/ejo/cjaa024
Vagdouti, G., Karvouni, E., Bitsanis, E. and Koletsi, D. (2019) Objective Evaluation of Compliance after Orthodontic Treatment Using Hawley or Vacuum-Formed Retainers: A 2-Center Randomized Controlled Trial over a 3-Month Period. American Journal of Orthodontics and Dentofacial Orthopedics, 156, 717-726.e2.
https://doi.org/10.1016/j.ajodo.2019.07.008
Vagdouti, G. and Koletsi, D. (2020) Authors’ Response. American Journal of Orthodontics and Dentofacial Orthopedics, 158, 7-8.
https://doi.org/10.1016/j.ajodo.2020.04.005
Papadimitriou, A., Mousoulea, S., Gkantidis, N. and Kloukos, D. (2018) Clinical Effectiveness of Invisalign？ Orthodontic Treatment: A Systematic Review. Progress in Orthodontics, 19, Article No. 37. https://doi.org/10.1186/s40510-018-0235-z
