Orthognathic Surgery Using Clear Aligners: State of the Art
Juan Mancilla Uribe1*, Carolina Martínez Guzmán2, Felipe Estrada Caceres3, María Ignacia Letelier Albornoz4
1Oral & Maxillofacial department, University of Chile, Santiago, Chile.
2Universidad Andre s Bello, Santiago, Chile.
3Universidad del Desarrollo, Santiago, Chile.
*Corresponding Author: Juan Mancilla Uribe, Oral & Maxillofacial department, University of Chile, Santiago, Chile.
https://doi.org/10.58624/SVOADE.2025.06.025
Received: August 07, 2025
Published: September 13, 2025
Citation: Mancilla Uribe J, Martínez Guzman C, Estrada Caceres F, Letelier Albornoz MI. Orthognathic Surgery Using Clear Aligners: State of the Art. SVOA Dentistry 2025, 6:5, 153-157. doi: 10.58624/SVOADE.2025.06.025
Abstract
Introduction: Orthognathic surgery is a common procedure for correcting dentofacial anomalies, traditionally preceded and followed by orthodontic treatment with fixed appliances. However, in recent decades, orthodontics has evolved with the use of digital technologies and a growing demand for aesthetic and customized options, such as clear aligners. These removable, computer-generated devices offer an aesthetic and functional alternative for the orthodontic preparation of patients undergoing orthognathic surgery.
Methods: A manual literature review search was carried out in the PubMed and EBSCO databases by two researchers, using acombination of keywords “orthognathic surgery” AND “clear aligner” AND “orthodontics”. Regarding the criteria For inclusion, bibliographic reviews, observational studies, clinical trials, clinical guidelines, systematic reviews and meta-analyses published between 2015 and 2025, in English or Spanish were considered. Animal studies and letters to the editor were excluded. Finally, 13 articles were included in this revision.
Conclusion: The benefits of aligners include improved oral hygiene, less soft tissue discomfort, the absence of dietary restrictions, and improved patient-reported quality of life. Comparative studies have shown that, after surgery, patients treated with clear aligners report less pain, greater aesthetic satisfaction, and improved social adjustment compared to those treated with fixed appliances. Clear aligners represent an effective and aesthetic alternative to traditional braces in the context of orthognathic surgery, offering precise results, good occlusal stability, and high patient acceptance.
Keywords: Orthognathic Surgery, Clear Aligner, Orthodontics
