Evidence map›Paper›PMID 39441556›Full record

ArticleOrthodontics & craniofacial research2025

The Mechanical Properties of Orthodontic Aligners of Clear Aligner After Intraoral Use in Different Time Periods.

Kalliopi Siotou, Theofanis Chountalas, Athanasios Katsavrias, Charalampos Siotos, Konstantinos Mpalias, Dionysios Semitekolos, Constantinos Charitidis, Apostolos I Tsolakis

Abstract read
In one paragraph

Article in Orthodontics & craniofacial research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

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

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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

8 authors.

Kalliopi SiotouDepartment of Orthodontics, National and Kapodistrian University of Athens, Athens, Greece.
Theofanis ChountalasDepartment of Laboratory of Heterogeneous Mixtures & Combustion Systems, Mechanical Engineering School of the National Technical University of Athens, Athens, Greece.
Athanasios KatsavriasResearch Lab of Advanced, Composite, Nano Materials & Nanotechnology, Chemical Engineering School of the National Technical University of Athens, Zografou, Greece.
Charalampos SiotosDivision of Plastic and Reconstructive Surgery, Rush University Medical Center, Chicago, Illinois, USA.
Konstantinos MpaliasResearch Lab of Advanced, Composite, Nano Materials & Nanotechnology, Chemical Engineering School of the National Technical University of Athens, Zografou, Greece.
Dionysios SemitekolosResearch Lab of Advanced, Composite, Nano Materials & Nanotechnology, Chemical Engineering School of the National Technical University of Athens, Zografou, Greece.
Constantinos CharitidisResearch Lab of Advanced, Composite, Nano Materials & Nanotechnology, Chemical Engineering School of the National Technical University of Athens, Zografou, Greece.
Apostolos I TsolakisDepartment of Orthodontics, National and Kapodistrian University of Athens, Athens, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveAlthough the technique of orthodontic aligners has risen in popularity, their mechanical properties have not been thoroughly investigated. The aim of this study was to evaluate the mechanical properties of the orthodontic aligners Clear Aligner after intraoral use for 7, 10 and 14 days, and to compare them with as-received aligners (0 days). It was also sought to examine the properties of the unprocessed raw material (polyethylene glycol terephthalate) used to manufacture these aligners. MATERIALS/

methodsThirty-two aligners by four patients were evaluated and studied at 0, 7, 10, 14 days of use. Each aligner was divided into three segments (two posterior and one anterior), which resulted in 96 samples. Also, 16 samples of unprocessed material were studied. For all samples, elastic modulus, ultimate tensile stress (UTS) and yield stress were calculated by conducting tensile testing. Additionally, material hardness was tested. The two-tailed Mann-Whitney test was performed, having set the level of significance at p = 0.05.

resultsAnalysis of the measurements indicated a statistically significant decrease in elastic modulus between days 0 and 14 of use, of UTS between days 0 and 7, 7 and 10, and of yield stress between days 0 and 7. For hardness, in every period, posterior segments demonstrated significantly higher values than anterior segments. All properties of the unprocessed material were statistically significantly higher than the processed samples.

conclusionsThe unprocessed material presented significant differences in every property tested in comparison to the processed aligners. The processed material showed further deterioration over time during use. The present study provides evidence that thermoforming and ageing affect the mechanical properties of the aligners.

Indexed as

Orthodontic Appliance DesignOrthodontic Appliances, RemovableDental Stress AnalysisElastic ModulusHardnessHumansMaleMaterials TestingPolyethylene GlycolsPolyethylene TerephthalatesStress, MechanicalTensile StrengthTime FactorsPolyethylene Glycolspolyethylene terephthalate glycolPolyethylene Terephthalatesageingclear alignerintraoralmechanical propertiesorthodontic aligners

Identifiers

PMID39441556
PMCPMC11897417

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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.