Clear aligner therapy has gained widespread popularity as an esthetic and minimally invasive orthodontic treatment option. Accurate assessment of tooth movement is essential for achieving predictable outcomes. Cone Beam Computed Tomography (CBCT) provides three-dimensional imaging that enhances the evaluation of tooth displacement, root positioning, and alveolar bone adaptation during aligner therapy. This study explores the role of CBCT in monitoring and predicting tooth movement in clear aligner treatment.
CBCT imaging allows for precise measurement of crown and root positioning, which is often underestimated in conventional two-dimensional assessments. It also aids in evaluating bone remodeling and periodontal changes associated with orthodontic forces. By integrating CBCT with digital treatment planning software, clinicians can optimize force application, minimize unwanted movements, and improve treatment predictability. Moreover, CBCT facilitates early detection of potential complications, such as root resorption, bone dehiscence, and fenestrations, which may not be visible in traditional radiographs.
While CBCT enhances the accuracy of tooth movement assessment, its routine use must be justified based on clinical indications, considering radiation exposure and cost factors. Future advancements in artificial intelligence-driven CBCT analysis may further improve treatment efficiency and outcome predictability in clear aligner therapy.
Keywords: Clear aligners, CBCT, tooth movement, orthodontics, digital treatment planning, root resorption, bone remodeling.