Effect of clear aligners and fixed appliances among orthodontic patients: A comparative study

Orthodontic treatment can be delivered using clear aligners (CA) or fixed appliances (FA), yet direct comparisons of overall efficacy remain limited. This randomized controlled trial included 120 patients (60 CA, 60 FA) with mild-to-moderate malocclusions to evaluate treatment duration, occlusal outcomes (PAR index), pain, satisfaction and compliance. Treatment duration was longer with CA (18.2 ± 3.1 vs. 14.5 ± 2.8 months; p<0.001), while both groups achieved comparable PAR index reductions (p=0.082). Pain was lower and satisfaction higher in the CA group, with good compliance (21.8 ± 1.5 h/day). Both modalities effectively corrected malocclusions, with FA showing greater efficiency and CA providing superior comfort and patient experience.

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Published
2025-09-30
DOI
https://doi.org/10.6026/973206300213099
Primary Topic
Orthodontics and Dentofacial Orthopedics
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article
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article

Effect of clear aligners and fixed appliances among orthodontic patients: A comparative study

Suman Kumari, Jugajyoti Pathi, Poonam K Jayaprakash, Ananya Bhargava et al.
Bioinformation
Orthodontics and Dentofacial Orthopedics
article

Effect of clear aligners and fixed appliances among orthodontic patients: A comparative study

Suman Kumari, Jugajyoti Pathi, Poonam K Jayaprakash, Ananya Bhargava, Manàs Dave, Shashank Gaikwad, Miral Mehta, Ishaan Saha
article en

Abstract

Orthodontic treatment can be delivered using clear aligners (CA) or fixed appliances (FA), yet direct comparisons of overall efficacy remain limited. This randomized controlled trial included 120 patients (60 CA, 60 FA) with mild-to-moderate malocclusions to evaluate treatment duration, occlusal outcomes (PAR index), pain, satisfaction and compliance. Treatment duration was longer with CA (18.2 ± 3.1 vs. 14.5 ± 2.8 months; p<0.001), while both groups achieved comparable PAR index reductions (p=0.082). Pain was lower and satisfaction higher in the CA group, with good compliance (21.8 ± 1.5 h/day). Both modalities effectively corrected malocclusions, with FA showing greater efficiency and CA providing superior comfort and patient experience.

BioinformationVol. 21(09)
Sant Gadge Baba Amravati University (IN), Sri Ramachandra Institute of Higher Education and Research (IN), Rajendra Institute of Medical Sciences (IN), Ruxmaniben Deepchand Gardi Medical College (IN), Shree Guru Gobind Singh Tricentenary University (IN), Bethlehem Area School District (US), Karnavati University, KIIT University (IN), Bharati Vidyapeeth (Deemed to be University) (IN)
Openalex Percentile: Top 71%
Orthodontics and Dentofacial Orthopedics
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