Evidence map›Paper›PMID 39893392›Full record

ArticleBMC oral health2025

Impact of simulated gastric acid on the physical and mechanical properties of vacuum-formed retainers: an in vitro study.

Huda M Alkawari, Laila F Baidas, Areen A Alyahya, Renad A Alotaibi, Eman I Alshayea

Abstract read
In one paragraph

Article in BMC oral health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

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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

1 citing paper in PubMed.

  1. 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

5 authors.

Huda M AlkawariDepartment of Pediatric Dentistry and Orthodontics, College of Dentistry, King Saud University, PO Box 68004, Riyadh, 11527, Saudi Arabia.
Laila F BaidasDepartment of Pediatric Dentistry and Orthodontics, College of Dentistry, King Saud University, PO Box 68004, Riyadh, 11527, Saudi Arabia.
Areen A AlyahyaCollege of Dentistry, King Saud University, PO Box 68004, Riyadh, 11527, Saudi Arabia.
Renad A AlotaibiCollege of Dentistry, King Saud University, PO Box 68004, Riyadh, 11527, Saudi Arabia.
Eman I AlshayeaDepartment of Pediatric Dentistry and Orthodontics, College of Dentistry, King Saud University, PO Box 68004, Riyadh, 11527, Saudi Arabia. ealshayea@ksu.edu.sa.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA decrease in oral pH levels may have detrimental effects on vacuum-formed retainers since an acidic oral environment could impact the mechanical and physical properties of these retainers. The present In vitro study aimed to evaluate the effect of simulated gastric acid at pH 4 and 1.2 on the surface microhardness, flexural strength, and color change of three different types of orthodontic retainer materials.

methodsA total of 144 vacuum-formed commercially available retainer materials: copolyesters, polypropylene, and PET-G (n = 48/group) were evaluated. Each specimen was immersed in distilled water, and then the specimens were divided into two subgroups: those with a pH of 4 and those with a pH of 1.2. The microhardness test was performed using Innovatest, the flexural strength was evaluated by a universal testing machine, and the color change was analyzed using a spectrophotometer. The data were analyzed using One-Way ANOVA and independent sample t test at a significance value of P ≤ 0.05.

resultsOur findings indicated a significant decrease in flexural strength in all the experimental groups after immersion in pH 1.2 and 4 solutions (P < 0.001), with PET-G being the most affected material, followed by copolyester and polypropylene. Only copolyester demonstrated a significant decrease in surface microhardness following immersion in a pH 4 solution (P = 0.025). All materials exhibited the greatest degree of color alteration CP (P = 0.006), PP (P = 0.001), and PET-G (P = 0.009) respectively.

conclusionThe study concluded that copolyester adversely affects flexural strength, surface microhardness, and color when subjected to immersion in simulated gastric acid. Therefore, care is recommended for patients diagnosed with gastroesophageal reflux disease.

Indexed as

Dental MaterialsGastric AcidOrthodontic RetainersColorDental Stress AnalysisFlexural StrengthHardnessHumansHydrogen-Ion ConcentrationMaterials TestingPolyestersPolyethylene TerephthalatesPolypropylenesSpectrophotometrySurface PropertiesVacuumDental MaterialsPolyestersPolyethylene TerephthalatesPolypropylenesWaterFlextural strengthGastric acidGastroesophageal reflux vacuum retainersImmersionOrthodontic retainersPolypropylenes

Identifiers

PMID39893392
PMCPMC11786568

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Registered trials

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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.