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Essential factors in developing an efficient in-office aligner system

Published:October 26, 2022DOI:https://doi.org/10.1053/j.sodo.2022.10.008

      Abstract

      Aligner therapy has significantly changed from its inception in the 1970s. Mass produced CAD/CAM aligner fabrication process transformed aligner treatment in early years of the 2000s. Multiple aligner systems are available to treat patients with various complexity of care. Advances in digital software packages to move teeth along with access to user-friendly desktop 3D printers incentivized providers to revisit fabricating aligner in-office. Hence the outset of an in-office aligner (IOA) system. The components of an IOA system include all aspects of fabricating aligners, digital treatment planning, and delivery of the orthodontic care. Heterogeneity is currently one of the main attributes of an IOA system. Developing a standard protocol for an IOA system brings consistency to the orthodontic treatment outcomes with in-office aligners and allows assessment of treatment efficiencies with this aligner system. The first step to develop a standard protocol is to understand components of a system. This article reviews all components of an in-office aligner system. Additionally, the critical factors in each component are discussed in order to develop an efficient in-office aligner system.
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