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A prospective randomized clinical trial assessed whether clear aligners or traditional fixed braces produce superior outcomes for anterior gingival recession with mild-to-moderate malocclusion. Sixty patients were treated with either Invisalign® or conventional metal brackets, then periodontal parameters were recorded at baseline and 12 months after surgical recession coverage at 6 months.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/clear-aligners-or-traditional-braces-an-effective-plan-in-the-orthoperio-treatment-of-gingival-recessions/460352/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/clear-aligners-or-traditional-braces-an-effective-plan-in-the-orthoperio-treatment-of-gingival-recessions/460352.png","ImageObject",300,407,{"name":92,"@type":93},"dhado","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-08","2026-09-30",true,{"@type":102,"interactionType":103,"userInteractionCount":24},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What clinical problem does the study address?","Question",{"text":112,"@type":113},"The study addresses gingival recession occurring in patients undergoing orthodontic treatment.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How were patients grouped in the trial?",{"text":117,"@type":113},"Sixty patients aged 20–35 were randomized to clear aligners (Invisalign®) or conventional metal brackets.",{"name":119,"@type":110,"acceptedAnswer":120},"What outcomes favored clear aligners after 12 months?",{"text":121,"@type":113},"Clear aligners showed greater reduction in gingival recession depth, higher clinical attachment gain, lower plaque index, and improved esthetic outcomes with good patient compliance.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},460352,1790758280,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":24,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":81,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":129,"read_time":39,"preview_page_count":4},5909893218464,"https://ap-avatar.wpscdn.com/davatar_085a072bc5b1113ac321206ff7593b45","Original Research  \nClear Aligners or Traditional Braces? An Effective Plan in the Ortho‑Perio Treatment of Gingival Recessions  \nKishor B. Bagalkot1, Puja Saha2, Drashti K. Chikhalia3, Ajay Kumar4, Simran Aulakh5, Adrita Purkayastha6, Shruti Garg7  \n1Department of Orthodontics, PMNM Dental College and Hospital, Bagalkot, Karnataka, India, 2Department of Orthodontics and Dentofacial Orthopedics, M M Dental College and Hospital, Darbhanga, Bihar, India, 3Department of Orthodontics and Dentofacial Orthopaedics, Sai Dental Clinic, Valsad, Gujarat, India, 4Department of Periodontology, Eklavya Dental College and Hospital, Jaipur, Rajasthan, India, 5Department of Periodonticsand Oral Implantology, Desh Bhagat Dental College, Mandi Gobindgarh, Punjab, India, 6Department of Periodontics, Hi‑tech Dental College and Hospital, Bhubaneswar, Odisha, India, 7Department of Orthodontics and Dentofacial Orthopedics, Modern Dental College and Research Centre, Indore, Madhya Pradesh, India  \nSubmitted: 22‑Jul‑2025  \nRevised: 02‑Aug‑2025  \nAccepted: 12‑Aug‑2025  \nPublished: 17‑Dec‑2025  \nAbstract  \nBackground: 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. Methods: A prospective, randomized clinical trial was conducted with 60 patients (30 per group) aged 20–35 years presenting with anterior gingival recession and mild‑to‑moderate malocclusion. Group A received treatment using clear aligners (Invisalign®), 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 t‑tests and analysis of variance. Results: After 12 months, Group A showed significantly greater reduction in GRD (1.68 ± 0.39 mm) compared to Group B (1.21 ± 0.42 mm), P = 0.014. CAL gain was higher in Group A (1.91 ± 0.31 mm vs. 1.47 ± 0.37 mm; P = 0.026) . PI scores were lower in the aligner group (P = 0.032) . Both groups achieved recession coverage success above 80%, but Group A showed superior esthetic outcomes and patient compliance. Conclusion: 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.  \nKeywords: Clear aligners, orthodontic treatment, recession   \nIntroduction  \nGingival recession is defined as the displacement of  \nthe gingival margin apical to the cementoenamel junction, resulting in root exposure and esthetic concerns. This condition affects nearly 50% of adults and is frequently encountered in orthodontic patients due to tooth movement outside the alveolar housing.[1] The interplay between orthodontics and periodontics becomes critical in such cases, where mechanical forces can  \n\n| Access this article online |  |\n| --- | --- |\n| Quick Response Code:\u003Cbr>| Website: [https://journals.lww.com/jpbs](https://journals.lww.com/jpbs) |\n|  | DOI: 10.4103/jpbs.jpbs_1277_25 |\n\neither facilitate or worsen periodontal health depending  \non their direction, magnitude, and appliance type.[2] Traditional fixed appliances have long been associated with challenges in oral hygiene maintenance and  \n\n| Address for correspondence: Dr. Puja Saha,\u003Cbr>Department of Orthodontics and Dentofacial Orthopedics, M M Dental College and Hospital, Darbhanga, Bihar - 846 001, India.\u003Cbr>E-mail: [sahapuja305@gmail.com](sahapuja305@gmail.com) |\n| --- ","cbCain5k4IgMh8y5","https://ap.wps.com/l/cbCain5k4IgMh8y5","pdf",573624,"English","# Abstract\n## Background\n## Methods\n## Results\n## Conclusion\n# Introduction\n# Materials and Methods","[{\"question\":\"What clinical problem does the study address?\",\"answer\":\"The study addresses gingival recession occurring in patients undergoing orthodontic treatment.\"},{\"question\":\"How were patients grouped in the trial?\",\"answer\":\"Sixty patients aged 20–35 were randomized to clear aligners (Invisalign®) or conventional metal brackets.\"},{\"question\":\"What outcomes favored clear aligners after 12 months?\",\"answer\":\"Clear aligners showed greater reduction in gingival recession depth, higher clinical attachment gain, lower plaque index, and improved esthetic outcomes with good patient compliance.\"}]","Clear Aligners or Traditional Braces - An Effective Plan in the Ortho‑Perio Treatment of Gingival Recessions | PDF"]