ArticleJournal of orofacial orthopedics = Fortschritte der Kieferorthopadie : Organ/official journal Deutsche Gesellschaft fur Kieferorthopadie2025
Effect of thermomechanical aging on force system of orthodontic aligners made of different thermoformed materials : An in vitro study.
Article in Journal of orofacial orthopedics = Fortschritte der Kieferorthopadie : Organ/official journal Deutsche Gesellschaft fur Kieferorthopadie, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Ageing effects on chemical, physical, mechanical, and morphological properties of clear aligners - a systematic review.Progress in orthodontics · 2026Pooled it
- Automated micro-CT quantification of clear aligner fit: a pilot comparison of manufacturing processes.BMC oral health · 2026Article
- Assessment of different direct printed aligner resins for leaching of urethane dimethacrylate: an in vivo study.The Angle orthodontist · 2026Article
- Article
- Biomechanical effect of combined use of mini-screws and aligners in preventing uncontrolled tipping of the incisor and mesial tipping of the molar: a three-dimensional finite element study.Progress in orthodontics · 2025Article
- Evaluation of aging effects on the physical, chemical, and mechanical properties of thermoplastic materials for orthodontic clear aligners: an in vivo study.BMC oral health · 2025Article
- 4D-Printed Smart Materials in Clear Aligner Fabrication: A Comprehensive Review :.Galen medical journal · 2025Review
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe aim was to investigate the effect of aging by thermocycling and mechanical loading on forces and moments generated by orthodontic clear aligners made from different thermoplastic materials.
methodsA total of 25 thermoformed aligners made from 5 different materials, i.e., Essix ACE® and Essix® PLUS™ (Dentsply Sirona, Bensheim, Germany), Invisalign® (Align Technology, San Jose, CA, USA), Duran®+ (Iserlohn, Germany), Zendura™ (Fremont, CA, USA), underwent a 14-day aging protocol involving mechanical loading (a 0.2 mm vestibular malalignment of the upper left second premolar [tooth 25]) and thermocycling in deionized water (temperature range 5-55 °C). The 3D forces/moments exerted on tooth 25 of a resin model were measured at three time points: before aging (day 0), after 2 days and after 14 days of aging.
resultsBefore aging, extrusion-intrusion forces were 0.6-3.0 N, orovestibular forces were 1.7-2.3 N, and moments as mesiodistal rotation were 0.3-42.1 Nmm. In all directions, multilayer Invisalign® exhibited the lowest force/moment magnitudes. After aging, all materials showed a significant force/moment decay within the first 2 days, except Invisalign® for orovestibular and vertical translation. However, following thermomechanical aging, Duran®+ and Zendura™ aligners had equivalent or even higher vestibular forces (direction of mechanical load).
conclusionThermomechanical aging significantly reduced forces and moments during the first 48 h. Multilayer aligner materials exhibit lower initial forces and moments than single-layer ones, and were less influenced by aging. Material hardening was observed after subjecting some of the aligner materials to mechanical loading. Thus, orthodontists should be aware of possible deterioration of orthodontic aligners over time. This work also sheds light on how material selection impacts the mechanical behavior of aligners and may provide valuable guidance regarding optimal timing for the aligner changing protocol.
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