COMPARING TRADITIONAL BRACES VS. MODERN ALTERNATIVES: A FOCUS ON ALIGNERS AND RETAINERS

Abstract

Background:
Orthodontic treatment has traditionally relied on fixed appliances such as metal braces to correct dental malocclusions. However, recent advancements have introduced modern alternatives like clear aligners and advanced retainers, which promise better aesthetics, comfort, and patient compliance. This study aims to compare traditional braces with modern orthodontic options in terms of treatment efficiency, patient satisfaction, and clinical outcomes.
Materials and Methods:
A total of 90 patients aged 14–35 were enrolled in a 12-month prospective observational study. They were divided into three equal groups (n=30 each): Group A received traditional metal braces, Group B underwent treatment with clear aligners, and Group C used modern retainers post minor corrections. Parameters assessed included treatment duration, pain perception (VAS scale), oral hygiene status (Plaque Index), and patient satisfaction (Likert scale).

Results:
Group A showed an average treatment duration of 14.2 ± 1.1 months, Group B had 11.3 ± 0.9 months, while Group C had 6.5 ± 0.6 months. Pain scores were significantly higher in Group A (mean VAS: 7.1) compared to Group B (4.3) and Group C (2.1). Patient satisfaction was highest in Group B (Likert score: 4.8/5), followed by Group C (4.5/5) and Group A (3.2/5). Oral hygiene status remained more favorable in Groups B and C.
Conclusion:
Modern orthodontic alternatives like clear aligners and advanced retainers demonstrate improved patient comfort, reduced treatment time, and enhanced oral hygiene maintenance compared to traditional braces. While traditional braces remain effective for complex cases, clear aligners and retainers provide aesthetically pleasing and efficient options for suitable candidates.