Evidence map›Paper›PMID 38887908›Full record

ArticleOrthodontics & craniofacial research2024

Effect of thermomechanical ageing on force transmission by orthodontic aligners made of different thermoformed materials: An experimental study.

Tarek M Elshazly, Christoph Bourauel, Ahmed M Ismail, Omar Ghoraba, Philippe Chavanne, Hanaa Elattar, Abdulaziz Alhotan

Abstract read
In one paragraph

Article in Orthodontics & craniofacial research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Tarek M ElshazlyOral Technology, Dental School, University Hospital Bonn, Bonn, Germany.ORCID https://orcid.org/0000-0002-3219-9048
Christoph BourauelOral Technology, Dental School, University Hospital Bonn, Bonn, Germany.ORCID https://orcid.org/0000-0002-2195-1011
Ahmed M IsmailOral Technology, Dental School, University Hospital Bonn, Bonn, Germany.
Omar GhorabaOral Technology, Dental School, University Hospital Bonn, Bonn, Germany.
Philippe ChavanneInstitut Straumann AG, Basel, Switzerland.
Hanaa ElattarOrthodontic Department, Faculty of Dentistry, Suez Canal University, Ismailia, Egypt.ORCID https://orcid.org/0000-0001-9432-4900
Abdulaziz AlhotanDepartment of Dental Health, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesInvestigating the impact of thermal and mechanical loading on the force generation of orthodontic aligners made from various thermoplastic materials and different compositions. MATERIALS AND

methodsFive distinct materials were utilized including, three multi-layer (Zendura FLX, Zendura VIVA, CA Pro) and two single-layer (Zendura A and Duran). A total of 50 thermoformed aligners (n = 10) underwent a 48-hour ageing protocol, which involved mechanical loading resulting from a 0.2 mm facial malalignment of the upper right central incisor (Tooth 11) and thermal ageing through storage in warm distilled water at 37°C. The force exerted on Tooth 11 of a resin model was measured both before and after ageing using pressure-sensitive films and a biomechanical setup.

resultsBefore ageing, pressure-sensitive films recorded normal contact forces ranging from 83.1 to 149.7 N, while the biomechanical setup measured resultant forces ranging from 0.1 to 0.5 N, with lingual forces exceeding facial forces. Multi-layer materials exhibited lower force magnitudes compared to single-layer materials. After ageing, a significant reduction in force was observed, with some materials experiencing up to a 50% decrease. Notably, multi-layer materials, especially Zendura VIVA, exhibited lower force decay.

conclusionsThe force generated by aligners is influenced by both the aligner material and the direction of movement. Multi-layer materials exhibit superior performance compared to single-layer materials, primarily because of their lower initial force, which enhances patient comfort, and their capability to maintain consistent force application even after undergoing ageing.

Indexed as

Materials TestingBiomechanical PhenomenaDental Stress AnalysisHumansOrthodontic Appliance DesignStress, MechanicalTemperatureTime FactorsTooth Movement Techniquesageingbiomaterialsorthodontic forceremovable thermoplastic appliancetooth movement

Identifiers

PMID38887908
PMCPMC11654358

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.