How well does Invisalign ClinCheck predict actual results: A prospective study

Luis Huanca Ghislanzoni; Zamira Kalemaj; Maurizio Manuelli; Cinzia Magni; Antonella Polimeni; Alessandra Lucchese

doi:10.1111/ocr.12752

How well does Invisalign ClinCheck predict actual results: A prospective study

Orthod Craniofac Res. 2024 Jan 11. doi: 10.1111/ocr.12752. Online ahead of print.

Authors

Luis Huanca Ghislanzoni^{1

2}, Zamira Kalemaj³, Maurizio Manuelli^{4

5

6

7}, Cinzia Magni⁸, Antonella Polimeni⁹, Alessandra Lucchese^{4

5

6}

Affiliations

¹ Department of Orthodontics, University of Geneva, Geneva, Switzerland.
² Private Practice, Lausanne, Switzerland.
³ Private Practice, Milano, Italy.
⁴ Unit of Orthodontics, Division of Dentistry, IRCCS Ospedale San Raffaele Scientific Institute, Milan, Italy.
⁵ Department of Orthodontics, School of Dentistry, Vita-Salute San Raffaele University, Milan, Italy.
⁶ Unit of Dentistry, Division of Orthodontics, Research Center for Oral Pathology and Implantology, IRCCS Ospedale San Raffaele Scientific Institute, Milan, Italy.
⁷ Private Practice Milano, Pavia, Bologna, Italy.
⁸ Private Practice, Genova, Italy.
⁹ Department of Oral and Maxillo-Facial Science, 'Sapienza' University of Rome, Rome, Italy.

PMID: 38205876
DOI: 10.1111/ocr.12752

Abstract

Introduction: This study aimed to compare achieved movements with predicted movements after 28-week use of Invisalign Lite aligners.

Settings and sample population: The digital impressions of 21 subjects treated with Invisalign Lite at a private practice and in the dental clinic (Milan, Italy) were taken and analysed. Subjects were Caucasian with a mean age of 20.1 years.

Methods: Patients were analysed at two time points: at T0, before starting therapy, and at T1, after 28 weeks of treatment with Invisalign clear aligners, with a 2-week change interval. The changes that occurred between T0 and T1 were compared to the predicted changes between T0 and Ts (setup/ClinCheck). Tooth movement performance was estimated through variables calculated as the difference between obtained and planned movements.

Results: In both maxillary and mandibular arches, the teeth that exhibited the least accurate expression of torque were the central incisors. Tip was not accurate on maxillary central incisors and canines, mandibular central incisors, lateral incisors, first premolars, second premolars and first molars. Rotations were under-expressed on maxillary lateral incisors, canines and second premolars and on mandibular central incisors, canines, first premolars, second premolars and first molars. The overall angular changes showed a tendency to underperformance. Transverse linear changes were accurate with a significant overperformance on maxillary and mandibular first molars.

Conclusions: Torque correction of maxillary central incisors, as well as rotational correction of most of the teeth, showed significant differences between what was planned and what was obtained.

Keywords: ClinCheck; Invisalign Lite; clear aligners; tooth movements.