Evaluating clear aligners and conventional braces in treating TMJ and Speech Impediment
DOI:
https://doi.org/10.47611/jsrhs.v11i4.3688Keywords:
STEM, orthodontics, ortho, ortho treatment, clear aligners, conventional materials, braces, orthodontic materials, tmj issues, TMJ issues, speech, speech problems, orthodontists, comfortability, reliance, compliance, evaluate, materials, OrthodonticsAbstract
Orthodontics is the study of treating misaligned occlusion, malpositioned teeth & jaws, and facial growth modification. A variety of orthodontic treatments can prevent these misaligned bite patterns and fix malpositioned teeth & jaws through straightening/moving teeth with the assistance of orthodontic materials. A concept many people do not commonly relate to orthodontics is speech impediment and TMJ (Temporomandibular Joint) issues. Current research shows both braces and clear aligners are very strategic materials that move teeth efficiently, but very few research articles contain information that specifies a better choice for treating speech impediment/TMJ. A systematic review was conducted to evaluate if adult patients with speech impediment and TMJ issues are more likely to have a better outcome in treatment of these symptoms with conventional (e.g. traditional braces) or new orthodontic treatments (e.g. clear aligners). Results show clear aligners work quickly and are less painful for adults; however, conventional braces are proven to be highly effective in treating moderate to severe cases of malocclusions, while clear aligners are best for simple malocclusions. Although this is a popular result, articles continue to state that the comparison is inconclusive and that both materials effectively treat all cases of malocclusions. Be that as it may, it is significant that issues like speech impediment and temporomandibular (TMJ) issues are fixed quickly and efficiently to relieve symptoms before conditions worsen. Other factors like comfortability, compliance, treatment duration, and pricing are often taken into account when deciding which option is most suitable for the patient.
Downloads
References or Bibliography
“Global Orthodontic Services Market Forecast to
- Increasing Cases of Dental Disorders Is
Driving Growth - Researchandmarkets.com.”
Business Wire, 20 June 2022, https://
www.businesswire.com/news/home/
/en/Global-Orthodontic-ServicesMarket-Forecast-to-2028---Increasing-Cases-ofDental-Disorders-is-Driving-Growth---
ResearchAndMarkets.com.
Doctormmdev. (2021, May 13). Myths busted!: 5
common misconceptions about braces. Moody
Orthodontics. Retrieved August 8, 2022, from https://
moodyortho.com/myths-busted-5-commonmisconceptions-about-braces/
“Jaw Problems and Headaches.” Oral Health
Foundation, www.dentalhealth.org/jaw-problemsand-headaches.
“What Percentage of People Need Braces to
Straighten Their Teeth? | Dr. Paz Orthodontics.” Dr.
Mario Paz, DDS Orthodontist, 6 Aug. 2020,
invisiblebraces.com/2020/08/06/percentage-peopleneed-braces-straighten-teeth/.
“123 Dentist Presents: The History of Braces -
Dentist.” 123Dentist, 123Dentist Network, 24
Oct. 2014, www.123dentist.com/123-dentistpresents-history-braces/.
“Clear Aligners Market Size & Share Report,
-2030.” Www.grandviewresearch.com,
www.grandviewresearch.com/industry-analysis/clearalignersmarket#:~:text=The%20major%20factor%20for%20t
he. Accessed 8 Aug. 2022.
“Malocclusion: Classes, Definition & Treatment.”
Cleveland Clinic, my.clevelandclinic.org/health/
diseases/22010-malocclusion.
“What Is a Class I, Class II or Class III Bite?”
Instituto Maxilofacial, 15 Nov. 2019,
www.institutomaxilofacial.com/en/2019/11/15/biteclassification/.
“Speech Impediment: Definition, Causes, Types &
Treatment.” Cleveland Clinic,
my.clevelandclinic.org/health/diseases/21937-speechimpediment.
Cabal, Dr. “Am I Overworking My Jaw? | Fort
Worth, TX.” Mybestsmileever.com, 8 June 2018,
mybestsmileever.com/2018/06/am-i-overworkingmy-jaw/.
“Malocclusion versus TMJ Dysfunction – What’s
the Difference? | Kanehl Dental.”
Www.kanehldental.com, www.kanehldental.com/
blog/malocclusion-vstmj#:~:text=With%20that%20being%20said%2C%2
just. Accessed 8 Aug. 2022.
“Temporomandibular Joint (TMJ) Disorders:
Symptoms, Treatment & Prevention.” Cleveland
Clinic, my.clevelandclinic.org/health/diseases/15066-
temporomandibular-disorders-tmd-overview.
Zou, Jing, et al. “Common Dental Diseases in
Children and Malocclusion.” International Journal of
Oral Science, vol. 10, no. 1, 2018. Crossref, https://
doi.org/10.1038/s41368-018-0012-3.
“Orthodontic Classification of Teeth Willmar
MN.” Www.westcentralsmiles.com,
www.westcentralsmiles.com/about-orthodontics/
classification-of-teeth/. Accessed 8 Aug. 2022.
Thurman, Dr Brian. “Types of Malocclusions and
How Orthodontic Treatment Helps.” Thurman
Orthodontics, 14 July 2021, www.thurmanortho.com/
malocclusion-of-teeth-and-its-treatment/
#:~:text=Class%201%20malocclusion%20is%20an.
“TMJ Disorders - Symptoms and Causes.” Mayo
Clinic, 2018, www.mayoclinic.org/diseasesconditions/tmj/symptoms-causes/syc-20350941.
“Dental Occlusion; Jaw Problems & Headaches.
Gentle Dental.” Www.standrewsdentist.co.uk,
www.standrewsdentist.co.uk/dental-occlusiontmj#:~:text=These%20problems%20are%20called%2
%27occlusal. Accessed 8 Aug. 2022.
“The Dangers of Untreated TMJ | Robert
Rosenfeld, DDS | Solana Beach, CA.” Robert
Rosenfeld DDS, 27 Feb. 2017,
www.robertrosenfelddds.com/dangers-of-untreatedtmj/.
Almăşan, Oana Cristina, et al. “Skeletal Pattern in
Subjects with Temporomandibular Joint Disorders.”
Archives of Medical Science, vol. 1, 2013, pp. 118–
Crossref, https://doi.org/10.5114/
aoms.2013.33072.
Fichera, Grazia, et al. “Class II Skeletal
Malocclusion and Prevalence of Temporomandibular
Disorders. An Epidemiological Pilot Study on
Growing Subjects.” Journal of Functional
Morphology and Kinesiology, vol. 6, no. 3, July
, p. 63, https://doi.org/10.3390/jfmk6030063.
Speech and Malocclusion-A Review. ejmcm.com/
article_4492_bb8933f00d64cd0d38d3cc578337ad15.
pdf.
“Are Dental Problems Affecting My Child’s
Speech? – NOVA Pediatric Dentistry &
Orthodontics.” Novapdo.com, novapdo.com/aredental-problems-affecting-my-childs-speech/
#:~:text=Malocclusion%20can%20lead%20to%20dis
ordered. Accessed 8 Aug. 2022.
“Orthodontic Treatment.” Oral Health
Foundation, www.dentalhealth.org/orthodontictreatment#:~:text=Orthodontic%20treatment%20is%
a%20way.
Ke, Yunyan, et al. “A Comparison of Treatment
Effectiveness between Clear Aligner and Fixed
Appliance Therapies.” BMC Oral Health, vol. 19, no.
, 2019. Crossref, https://doi.org/10.1186/
s12903-018-0695-z.
Kassam, Shaira K, and Fleur R Stoops. “Are clear
aligners as effective as conventional fixed
appliances?.” Evidence-based dentistry vol. 21,1
(2020): 30-31. doi:10.1038/s41432-020-0079-5
Yassir, Yassir A et al. “Clinical effectiveness of
clear aligner treatment compared to fixed appliance
treatment: an overview of systematic reviews.”
Clinical oral investigations vol. 26,3 (2022):
-2370. doi:10.1007/s00784-021-04361-1
Koukou, Melina, et al. “Orthodontic Management
of Skeletal Class II Malocclusion with the Invisalign
Mandibular Advancement Feature Appliance: A Case
Report and Review of the Literature.” Case Reports
in Dentistry, edited by Ali I. Abdalla, vol. 2022, May
, pp. 1–11, https://doi.org/
1155/2022/7095467.
Zhang, Bo et al. “Effect of clear aligners on oral
health-related quality of life: A systematic review.”
Orthodontics & craniofacial research vol. 23,4
(2020): 363-370. doi:10.1111/ocr.12382
admin. “How Long Do I Have to Wear Braces |
Brace Place Orthodontics.” The Brace Place
Orthodontics, 26 July 2017, braceplace.net/blog/howlong-do-i-have-to-wear-braces/
#:~:text=On%20average%2C%20it%20takes%20abo
ut.
“Frequently Asked Questions | Invisalign.”
Invisalign.com, 2019, www.invisalign.com/
frequently-asked-questions.
Invisalign vs Braces (Effectiveness & Costs in
. 1 Oct. 2020, www.newmouth.com/blog/
invisalign-vs-braces/.
Cardoso, Paula Coutinho, et al. “Pain Level
between Clear Aligners and Fixed Appliances: A
Systematic Review.” Progress in Orthodontics, vol.
, no. 1, Jan. 2020, https://doi.org/10.1186/
s40510-019-0303-z.
US, Orthodontic Practice. “Clear Aligners or
Traditional Braces — Which Is More Effective?”
Https://Orthopracticeus.com/, orthopracticeus.com/
ce-articles/a-comparison-of-efficacy-and-efficiencyof-clear-aligners-versus-braces-post-covid-19/.
Evans, Ava English, Chad. “Should You Get
Invisalign or Braces? Which One Is Cheaper, Most
Effective, and Better for Your Teeth.” Insider,
www.insider.com/guides/health/dental/invisalign-vsbraces#:~:text=Braces%20are%20cheaper%20than%
Invisalign. Accessed 8 Aug. 2022.
Published
How to Cite
Issue
Section
Copyright (c) 2022 Chloe Lu
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Copyright holder(s) granted JSR a perpetual, non-exclusive license to distriute & display this article.
