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This systematic review aimed to evaluate the accuracy of clear aligners in achieving incisor torque during orthodontic treatment. A 10-year data search was conducted based on specific inclusion criteria, such as randomized control trials, cross-sectional studies, and FEM studies involving patients undergoing aligner treatment. Out of 291 studies, 8 met the inclusion criteria and were included in the review.The review found that clear aligner accuracy in achieving programmed incisor torque varied, with average success rates as low as 41%. Power ridges and attachments emerged as essential tools, improving torque control but requiring over-correction to counteract torque loss. The findings highlight the need for further research and optimization to enhance clear aligner performance in orthodontic treatments.