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@article{209713,
        author = {DR. PRAVINKUMAR S. MAROORE and DR. HRITHIK R. PATKAR},
        title = {From digital setup to clinical reality: predictability of individual tooth movements with clear aligners},
        journal = {International Journal of Innovative Research in Technology},
        year = {2026},
        volume = {13},
        number = {5},
        pages = {3044-3051},
        issn = {2349-6002},
        url = {https://ijirt.org/article?manuscript=209713},
        abstract = {Clear aligner therapy has gained widespread acceptance in contemporary dentistry because of its aesthetic appeal, removability, and integration with digital treatment planning. However, the accuracy of virtual treatment simulations does not always translate into the expected clinical outcomes. This narrative review examines the predictability of individual tooth movements with clear aligners and the factors influencing treatment accuracy. Evidence suggests that predictability varies according to the type and magnitude of tooth movement, tooth morphology, biomechanical requirements, appliance characteristics, and patient compliance. While buccolingual tipping and certain alignment movements may be achieved relatively consistently, rotational correction of selected teeth, extrusion, root torque, and some forms of vertical and bodily movement remain challenging. Discrepancies between planned and achieved outcomes have also been reported in intrusion, deep-bite correction, and molar distalization. Appropriate attachment design, interproximal reduction, movement staging, auxiliary mechanics, and clinical monitoring may improve treatment outcomes when selected according to individual treatment requirements. Clinicians should therefore interpret digital treatment setups as planning tools rather than guarantees of the final result. An understanding of movement-specific limitations is essential for setting realistic expectations, refining treatment mechanics, and improving the clinical effectiveness of clear aligner therapy.},
        keywords = {Clear aligners; orthodontic tooth movement; predictability; digital treatment planning; orthodontic biomechanics; treatment accuracy},
        month = {October},
        }