Impact of Lingual Attachment on WSL Development in Clear Aligner Patients: A Randomized Controlled Clinical Trial

Authors
Category Primary study
Registry of Trialsclinicaltrials.gov
Year 2026
White spot lesions (WSLs) are a common esthetic complication during orthodontic treatment. While clear aligners (CAs) generally reduce WSL risk compared to fixed appliances, composite attachments remain plaque-retentive sites. This two-arm clinical trial investigated the effect of shifting attachments to lingual surfaces on WSL development.
Epistemonikos ID: b6ceb983a80bcf99dc5a231302b2813e7dac45fd
First added on: Jan 27, 2026