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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Article info
Publication history
Published online: October 26, 2022
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© 2022 Elsevier Inc. All rights reserved.
