Evidence map›Paper›PMID 39771418›Full record

ArticlePolymers2024

Towards Green Dentistry: Evaluating the Potential of 4D Printing for Sustainable Orthodontic Aligners with a Reduced Carbon Footprint.

Elena Palmieri, Luca Montaina, Denise Bellisario, Ivano Lucarini, Francesco Maita, Martina Ielmini, Maria Elena Cataldi, Loredana Cerroni, Roberta Condò, Luca Maiolo

Abstract read
In one paragraph

Article in Polymers, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

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

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Review
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

10 authors.

Elena PalmieriInstitute for Microelectronics and Microsystems, National Research Council, Via del Fosso del Cavaliere, 100, 00133 Rome, Italy.ORCID 0000-0002-0977-1528
Luca MontainaInstitute for Microelectronics and Microsystems, National Research Council, Via del Fosso del Cavaliere, 100, 00133 Rome, Italy.ORCID 0000-0002-7696-3634
Denise BellisarioDepartment of Industrial Engineering, University of Rome "Tor Vergata", Via del Politecnico 1, 00133 Rome, Italy.ORCID 0000-0001-5588-8738
Ivano LucariniInstitute for Microelectronics and Microsystems, National Research Council, Via del Fosso del Cavaliere, 100, 00133 Rome, Italy.
Francesco MaitaInstitute for Microelectronics and Microsystems, National Research Council, Via del Fosso del Cavaliere, 100, 00133 Rome, Italy.ORCID 0000-0002-0822-2850
Martina IelminiDepartment of Clinical Sciences and Translational Medicine, University of Rome "Tor Vergata", Via Montpellier, 1, 00133 Rome, Italy.
Maria Elena CataldiDepartment of Clinical Sciences and Translational Medicine, University of Rome "Tor Vergata", Via Montpellier, 1, 00133 Rome, Italy.
Loredana CerroniDepartment of Clinical Sciences and Translational Medicine, University of Rome "Tor Vergata", Via Montpellier, 1, 00133 Rome, Italy.ORCID 0000-0001-7888-4895
Roberta CondòDepartment of Clinical Sciences and Translational Medicine, University of Rome "Tor Vergata", Via Montpellier, 1, 00133 Rome, Italy.ORCID 0000-0003-2139-7927
Luca MaioloInstitute for Microelectronics and Microsystems, National Research Council, Via del Fosso del Cavaliere, 100, 00133 Rome, Italy.ORCID 0000-0003-3220-5353

Funding

Ministero dell'Università e della Ricerca CUP Master D53D23004020008
6 · The paper itself

Abstract

Clear aligners have transformed orthodontic care by providing an aesthetic, removable alternative to traditional braces. However, their significant environmental footprint, contributing to approximately 15,000 tons of plastic waste annually, poses a critical challenge. To address this issue, advancements in 4D printing have introduced "smart" aligners with shape memory properties, enabling reshaping and reducing the number of aligners required per treatment. This study focuses on ClearX aligners, an innovative 4D-printed solution aimed at extending usage duration and minimizing environmental impact. Using a comprehensive suite of tests, including morphological, optical, and mechanical evaluations conducted via scanning electron microscopy, UV-Vis spectroscopy, infrared spectroscopy, and bending and strain assessments, we evaluated the optical and mechanical stability of the ClearX material before and after thermal activation. Our results demonstrate that ClearX aligners retain their structural and functional properties after reshaping. Temporary changes in transparency, observed only under prolonged treatment durations exceeding manufacturer recommendations, are fully reversible within 12 h and do not compromise the aligner's usability. These findings support the potential of ClearX aligners to effectively combine patient-centered, high-quality orthodontic care with sustainable practices.

Indexed as

4D printingClearXgreen dentistryorthodontic alignerspolymers for 4D printingprinted polymerssustainable dentistry

Identifiers

PMID39771418
PMCPMC11679438

What OpenQuestion holds

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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.