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Dental Asia January/February 2019

For more than two decades, Dental Asia is the premium journal in linking dental innovators and manufacturers to its rightful audience. We devote ourselves in showcasing the latest dental technology and share evidence-based clinical philosophies to serve as an educational platform to dental professionals. Our combined portfolio of print and digital media also allows us to reach a wider market and secure our position as the leading dental media in the Asia Pacific region while facilitating global interactions among our readers.

For more than two decades, Dental Asia is the premium journal in linking dental innovators
and manufacturers to its rightful audience. We devote ourselves in showcasing the latest dental technology and share evidence-based clinical philosophies to serve as an educational platform to dental professionals. Our combined portfolio of print and digital media also allows us to reach a wider market and secure our position as the leading dental media in the Asia Pacific region while facilitating global interactions among our readers.

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Clinical Feature<br />

A Literature Update on<br />

Nuvola Clear Aligners<br />

By Dr. Kevin Ng<br />

A report to review, evaluate and discuss the Nuvola aligner system from a<br />

clinician’s point of view.<br />

Invisalign first appeared at an<br />

orthodontic meeting in 1991 and<br />

a peer review was published later<br />

on in 2000. In the following years,<br />

aesthetic and socialisation demands<br />

have influenced more adult patients to<br />

seek orthodontic treatment. Different<br />

aesthetic orthodontic appliances have<br />

been advocated such as ceramic brackets<br />

and lingual appliances however, clear<br />

aligners seem to be most popular among<br />

them. 1<br />

As Invisalign has been used for over 18<br />

years, treating over six millions of people<br />

worldwide, most of the studies focus on<br />

one single aligner system. However, there<br />

are various systems with different features<br />

that can provide different treatment<br />

outcomes. 2<br />

The aim of this report is to review and<br />

evaluate the literature available online that<br />

discuss the Nuvola aligner system, from a<br />

clinician’s point of view.<br />

General indications and advantages<br />

of clear aligners<br />

Orthodontic tooth movement using<br />

sequential thermoformed aligners was first<br />

proposed by Kesling and McNamara. This<br />

was later marketed by Align Technology in<br />

1997. With the introduction of CAD/CAM<br />

software techniques, this concept became<br />

a feasible treatment modality. 10<br />

Patients with dental crowding can be<br />

treated by performing interproximal<br />

enamel reduction (IPR). Teeth movement<br />

such as leveling, aligning, intrusion<br />

and even bodily distalisation of upper<br />

molars (

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