{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T17:10:11Z","timestamp":1790356211144,"version":"4.1.0"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"Suppl 4","license":[{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Gingival recession, a common clinical condition characterized by apical migration of the gingival margin, often presents in patients undergoing orthodontic treatment. Orthodontic forces can influence periodontal tissues positively or negatively, depending on the type of appliance used. The debate continues between clear aligners and traditional fixed braces concerning their effectiveness in managing such cases within interdisciplinary treatment plans.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      A prospective, randomized clinical trial was conducted with 60 patients (30 per group) aged 20\u201335 years presenting with anterior gingival recession and mild-to-moderate malocclusion. Group A received treatment using clear aligners (Invisalign\u00ae), and Group B was treated with conventional metal brackets. Periodontal parameters, including gingival recession depth (GRD), clinical attachment level (CAL), and plaque index (PI), were recorded at baseline and after 12 months. Recession coverage was performed surgically at 6 months. Statistical analysis was conducted using paired\n                      <jats:italic toggle=\"yes\">t<\/jats:italic>\n                      -tests and analysis of variance.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      After 12 months, Group A showed significantly greater reduction in GRD (1.68 \u00b1 0.39 mm) compared to Group B (1.21 \u00b1 0.42 mm),\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.014. CAL gain was higher in Group A (1.91 \u00b1 0.31 mm vs. 1.47 \u00b1 0.37 mm;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.026). PI scores were lower in the aligner group (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.032). Both groups achieved recession coverage success above 80%, but Group A showed superior esthetic outcomes and patient compliance.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Clear aligners demonstrate a more favorable outcome in the interdisciplinary management of gingival recession when compared to traditional braces. They offer better plaque control, enhanced periodontal healing, and improved esthetics.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jpbs.jpbs_1277_25","type":"journal-article","created":{"date-parts":[[2025,12,18]],"date-time":"2025-12-18T08:00:30Z","timestamp":1766044830000},"page":"S3189-S3191","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Clear Aligners or Traditional Braces? An Effective Plan in the Ortho-Perio Treatment of Gingival Recessions"],"prefix":"10.4103","volume":"17","author":[{"given":"Kishor B.","family":"Bagalkot","sequence":"first","affiliation":[{"name":"Department of Orthodontics, PMNM Dental College and Hospital, Bagalkot, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Puja","family":"Saha","sequence":"additional","affiliation":[{"name":"Department of Orthodontics and Dentofacial Orthopedics, M M Dental College and Hospital, Darbhanga, Bihar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Drashti K.","family":"Chikhalia","sequence":"additional","affiliation":[{"name":"Department of Orthodontics and Dentofacial Orthopaedics, Sai Dental Clinic, Valsad, Gujarat, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ajay","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Periodontology, Eklavya Dental College and Hospital, Jaipur, Rajasthan, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simran","family":"Aulakh","sequence":"additional","affiliation":[{"name":"Department of Periodontics and Oral Implantology, Desh Bhagat Dental College, Mandi Gobindgarh, Punjab, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adrita","family":"Purkayastha","sequence":"additional","affiliation":[{"name":"Department of Periodontics, Hi-tech Dental College and Hospital, Bhubaneswar, Odisha, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shruti","family":"Garg","sequence":"additional","affiliation":[{"name":"Department of Orthodontics and Dentofacial Orthopedics, Modern Dental College and Research Centre, Indore, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,12,17]]},"reference":[{"key":"R1-20251218","doi-asserted-by":"crossref","first-page":"293","DOI":"10.4041\/kjod.2021.51.4.293","article-title":"Effectiveness of Invisalign\u00ae aligners in the treatment of severe gingival recession: A case report","volume":"51","author":"Figueiredo","year":"2021","journal-title":"Korean J Orthod"},{"key":"R2-20251218","first-page":"E073","article-title":"The effects of orthodontic movement on a subepithelial connective tissue graft in the treatment of gingival recession","volume":"11","author":"Tanaka","year":"2010","journal-title":"J Contemp Dent Pract"},{"key":"R3-20251218","doi-asserted-by":"crossref","first-page":"110","DOI":"10.3390\/dj8040110","article-title":"The effect of high-frequency vibration on tooth movement and alveolar bone in non-growing skeletal class II high angle orthodontic patients: Case 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Orthod"},{"key":"R7-20251218","doi-asserted-by":"crossref","first-page":"484","DOI":"10.1002\/JPER.19-0375","article-title":"The association between gingival recession and buccal bone at maxillary anterior teeth","volume":"91","author":"D\u2019Silva","year":"2020","journal-title":"J Periodontol"},{"key":"R8-20251218","doi-asserted-by":"crossref","first-page":"146","DOI":"10.5051\/jpis.2020.50.3.146","article-title":"Correlation analysis of gingival recession after orthodontic treatment in the anterior region: An evaluation of soft and hard tissues","volume":"50","author":"Lee","year":"2020","journal-title":"J Periodontal Implant Sci"},{"key":"R9-20251218","doi-asserted-by":"crossref","first-page":"269","DOI":"10.1051\/orthodfr\/2011132","article-title":"[Orthodontic treatment of gingival recession: Indications]","volume":"82","author":"Delsol","year":"2011","journal-title":"Orthod 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