A 3.5-year follow-up of an unusual case of rampant caries during clear aligner treatment
Bibliographic record
Abstract
Abstract If patients follow the clinician’s recommendations, clear aligner orthodontic appliances cover the teeth for 20 to 22 hr daily. If oral hygiene is inadequate, bacterial plaque will lay extensively between the tooth surface and the clear aligner and lead to an increased risk of white spot lesions (WSL) and dental caries. Information regarding enamel WSL or caries formation in patients treated with clear aligners has not been widely discussed. This report describes an unusual case of rampant caries and enamel demineralisation in an adolescent due to poor oral hygiene during clear aligner orthodontic treatment. All enamel surfaces were chalky white, fragile, and rough, while approximately 1/4 to 1/2 incisal enamel was lost on most teeth. Interestingly, the exposed dentine presented a mamelon-like shape even though enamel was lost from some lower incisors. This case report discusses different WSL/caries management methods using clear aligners and a 3.5-year follow-up of the patient.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".