Has Invisalign improved? A prospective follow-up study on the efficacy of tooth movement with Invisalign

Am J Orthod Dentofacial Orthop. 2020 Sep;158(3):420-425. doi: 10.1016/j.ajodo.2019.12.015. Epub 2020 Jun 30.


Introduction: The purpose of this research was to provide an update on the accuracy of tooth movement with Invisalign (Align Technology, Santa Clara, Calif).

Methods: This prospective clinical study included 38 patients treated with Invisalign Full or Invisalign Teen. All teeth, from the central incisor to the second molar, were measured on digital models created from intraoral scans. Predicted values were determined by superimposing the initial and final ClinCheck models, and achieved values were determined by superimposing the initial ClinCheck models and the digital models from the posttreatment scans. Individual teeth were superimposed with a best-fit analysis and measured using Compare software (version 8.1; GeoDigm, Falcon Heights, Minn). The types of tooth movements studied were a mesial-distal crown tip, buccal-lingual crown tip, extrusion, intrusion, and mesial-distal rotation.

Results: The mean accuracy of Invisalign for all tooth movements was 50%. The highest overall accuracy was achieved with a buccal-lingual crown tip (56%), whereas the lowest overall accuracy occurred with rotation (46%). The accuracies for mesial rotation of the mandibular first molar (28%), distal rotation of the maxillary canine (37%), and intrusion of the mandibular incisors (35%) were particularly low.

Conclusions: There was a marked improvement in the overall accuracy; however, the strengths and weaknesses of tooth movement with Invisalign remained relatively the same.

MeSH terms

  • Adolescent
  • Follow-Up Studies
  • Humans
  • Orthodontic Appliance Design*
  • Orthodontic Appliances, Removable*
  • Prospective Studies
  • Tooth Movement Techniques