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Abstract

Introduction: Orthodontic treatment has evolved significantly over the years, with traditional metal braces and clear aligners emerging as the two primary options for correcting dental misalignments. Both methods aim to enhance oral health, improve aesthetics, and boost patients' confidence.
Objective: The main objective of this study is to find the outcomes, challenges, and effectiveness of conventional braces vs clear aligners.
Methodology: This prospective observational study was conducted at Bahria Town International Hospital  Karachi, B.M.C.H Quetta, from June 2022 to June 2024. A total of 160 participants were recruited for the study. Baseline data were collected on the participants' dental conditions, including the type and severity of malocclusion. for all analyses.
Results: The study included 160 participants, equally divided between the conventional braces group (Group A, n = 80) and the clear aligners group (Group B, n = 80). The mean age of participants was similar between the groups, with 28.5 years in the conventional braces group and 29.1 years in the clear aligners group. Gender distribution was almost equal, with slightly more females in both groups. The mean malocclusion severity scores were comparable, 7.8 ± 1.4 for braces and 7.5 ± 1.3 for aligners. 92% of participants in the conventional braces group achieved satisfactory alignment, compared to 84% in the clear aligners group, although this difference was not statistically significant (p = 0.08). The average treatment duration was significantly longer for the braces group (18.4 ± 2.3 months) compared to the clear aligners group (14.2 ± 1.9 months) (p = 0.01).
Conclusion: This study concludes that both conventional braces and clear aligners are effective for orthodontic treatment, but they cater to different patient needs. Conventional braces are more suited for complex cases requiring precise tooth movement, while clear aligners offer greater comfort, aesthetic appeal, and convenience for mild to moderate cases.