Mismanagement affects almost half of the world population, affecting oral function and aesthetics. Clear aligners have gained popularity because of their discreet appearance and ease of use, but their effectiveness varies depending on the type of tooth movement. Unlike fixed devices, clear alignrs are based on elastic forces, which can complicate complex corrections such as invasion or torque control. In addition, patient compliance and anatomical restrictions further affect the results. These challenges emphasize the need for standard protocols to ensure predictable results. On the basis of these challenges, a thorough study on clinical strategies for the treatment of clear alignment (CAT) was essential for bridging the gap between patient expectations and treatment efficiency.
Published (Doi: 10.1038/S41368-025-00350-2) On March 13, 2025, at International Journal of Oral ScienceA study of experts from the leading institutions in China presents a consensus on clear alignment therapy (CAT). The research describes strategies based on evidence of cases, industrial authorities and clinical procedures, backed by a new Cat-Cat. By analyzing predictability in different tooth movements and proposal to solutions for common complications, the study aims to standardize CAT practices and improve patients’ results.
Consensus emphasizes the industrial shades of pure alignrs, highlighting their power in predictable movements such as molecular remote (86%success) and expansion (80%), with torque restrictions (52%) and extrusion (30%). A basic innovation is the Cat-Cat tool, which classifies the cases into four levels of difficulty, medium, difficult and provocative-guiding clinicians in the treatment of treatment. For complex cases, the study is gradual movements, auxiliary devices such as mini -impacts and excessive correction designs to eliminate alignment restrictions. Specifically, the research introduces the Bept-Cat philosophy (aesthetics guided by aesthetics supported by the periodontal, TMJ compatible), incorporating multi-scientific approaches to optimal results. For example, the expansion of Arch requires careful CBCT analysis to avoid cellular bone damage, while molecular remote removal from the “V-Pattern” career and cross-released tires. The study also deals with challenges such as the off-tracking path, which indicates elastic adhesion or adaptations.
The patient’s specific estimates, such as adolescent development or periodontal health, are underlined, along with strategies to alleviate risks such as root absorption and relapse. Consensus supports digital tools, including 3D modeling, to enhance accuracy and personalization of treatment.
Professor Wenli Lai, a corresponding author of the study, states: “Clear aligners represent an example of orthodontics, but their success depends on understanding their unique industrial. Our consent provides a course map for clinicians to browse complexity, from choosing cases to maintaining, providing predictable results.
This consensus has extensive effects on orthodontic practice, offering a frame for cat standardization worldwide. Clinicians can take advantage of the Cat-Cat tool to customize treatments by reducing test and error approaches. For patients, guidelines promise to improve aesthetics, comfort and shorter treatment times, especially for complex cases. The emphasis on digital work flows and interdisciplinary cooperation is aligned with trends towards personalized medicine. Future developments, such as adhesion plans and AI -based design, could further improve the cat. Treating current restrictions – such as predictability in extrusion or torque – this research paves the way for innovations that can gradually shift clear aligners towards the overall approach to orthodontics, possibly replacing traditional fixed devices.
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References
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Original Source URL
https://doi.org/10.1038/s41368-025-00350-2
For International Journal of Oral Science
International Journal of Oral Science (ISSN 1674-2818) was founded in 2009 and aims to publish all aspects of oral science and interdisciplinary fields, including fundamental, applied and clinical research. Covered areas include oral microbiology, oral and maxillofacial oncology, carology, oral inflammation and infection, dental stem cells and regenerative medicine, craniofacial surgery, dental surgery, dental surgery, dental and dental surgery disease.
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