{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T20:19:49Z","timestamp":1767817189099,"version":"3.49.0"},"reference-count":31,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,11,24]],"date-time":"2025-11-24T00:00:00Z","timestamp":1763942400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthod Craniofacial Res"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate the efficacy and efficiency of in\u2010house digital software and fabrication of clear aligners.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>This retrospective study analysed pre\u2010treatment, predicted and post\u2010treatment digital scans of 61 patients (42 females, 19 males) to assess the accuracy of predicted tooth movements. Planned and final scans were superimposed using best\u2010fit analysis in Geomagic Design X (Hexagon AB, Stockholm, Sweden). Distoincisal (DI), mesioincisal (MI) and gingival zenith (Z) landmarks were measured perpendicularly from the mid\u2010facial aspect, with differences &lt;\u20090.5\u2009mm deemed clinically acceptable. Data were analysed using repeated\u2010measures ANOVA with logarithmic transformation, and clinically acceptable movements were compared between groups using generalised estimating equations (GEE).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      When evaluated individually, 91% of mandibular and 95% of maxillary landmarks showed clinically acceptable movement. When all three landmarks per tooth were below the threshold, 84% of mandibular and 88% of maxillary teeth met this criterion. At the case level, 48% of mandibular and 50% of maxillary cases achieved overall clinically acceptable movement. The greatest discrepancies were observed at the Z point on maxillary teeth (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05). Mandibular canine movements were more predictable than those of mandibular incisors (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In\u2010house aligner planning and fabrication demonstrated effective and efficient outcomes for limited treatment cases. Tooth movement was generally more predictable in the maxilla than in the mandible, with canines showing greater predictability than incisors. Torque movements in the maxilla exhibited the lowest accuracy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ocr.70066","type":"journal-article","created":{"date-parts":[[2025,11,24]],"date-time":"2025-11-24T13:14:11Z","timestamp":1763990051000},"page":"186-195","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Efficacy and Efficiency of In\u2010House Clear Aligners in Limited Orthodontic Treatment"],"prefix":"10.1111","volume":"29","author":[{"given":"Michael C.","family":"Kessler","sequence":"first","affiliation":[{"name":"Department of Orthodontics and Oral Facial Genetics Indiana University School of Dentistry  Indianapolis Indiana USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joon","family":"Han","sequence":"additional","affiliation":[{"name":"Indiana University School of Dentistry  Indianapolis Indiana USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7798-7155","authenticated-orcid":false,"given":"George J.","family":"Eckert","sequence":"additional","affiliation":[{"name":"Department of Biostatistics and Health Data Science Indiana University School of Medicine  Indianapolis Indiana USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lana","family":"Helms","sequence":"additional","affiliation":[{"name":"Department of Orthodontics and Oral Facial Genetics Indiana University School of Dentistry  Indianapolis Indiana USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jay A.","family":"Hughes","sequence":"additional","affiliation":[{"name":"Department of Orthodontics and Oral Facial Genetics Indiana University School of Dentistry  Indianapolis Indiana USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Phillip","family":"Wong","sequence":"additional","affiliation":[{"name":"Department of Oral Pathology, Medicine, and Radiology Indiana University School of Dentistry  Indianapolis Indiana USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carolina","family":"Frota","sequence":"additional","affiliation":[{"name":"Department of Orthodontics and Oral Facial Genetics Indiana University School of Dentistry  Indianapolis Indiana USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0534-3067","authenticated-orcid":false,"given":"Vinicius","family":"Dutra","sequence":"additional","affiliation":[{"name":"Department of Oral Pathology, Medicine, and Radiology Indiana University School of Dentistry  Indianapolis Indiana USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9052-7700","authenticated-orcid":false,"given":"Hakan","family":"Turkkahraman","sequence":"additional","affiliation":[{"name":"Department of Orthodontics and Oral Facial Genetics Indiana University School of Dentistry  Indianapolis Indiana USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4888-4875","authenticated-orcid":false,"given":"R. 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