Comparison of a novel 3-dimensional-printed attachment transfer method with conventional methods in clear aligner therapy: An in vitro study

Küçük Resim Yok

Tarih

2026

Dergi Başlığı

Dergi ISSN

Cilt Başlığı

Yayıncı

Mosby-Elsevier

Erişim Hakkı

info:eu-repo/semantics/closedAccess

Özet

Introduction: This study aimed to compare the accuracy of a novel 3-dimensional (3D)-printed attachment transfer technique with conventional composite-based methods, evaluating the effect of template and thickness. Methods: Three transfer methods were investigated: nonflowable composite resin, flowable composite resin, and 3D-printed attachments with a transfer carrier. In the conventional attachment method, 4 different thermoplastic template sheet thicknesses were used: 0.3, 0.5, 0.75, and 0.8 mm. dardized reference model with 6 digitally planned attachments was used for all groups. Using each method, tachments were transferred to 3D-printed dental models, which were then scanned and superimposed reference model. Root mean square and mean distance values were calculated using CloudCompare software (version 2.14; www.danielgm.net/cc/) for surface deviation analysis. Results: Statistically significant ences were observed among the attachment transfer methods (P <0.001, Kruskal-Wallis test). The printed attachment group exhibited the highest geometric accuracy across all evaluated sites. Pairwise comparisons showed that the 3D-printed group performed significantly better than both composite groups (P <0.001, Dunn's test). Composite viscosity showed no significant effect on transfer accuracy, except for attachments 16 and 23 in mean distance values (P = 0.023-0.031) and attachment 16 mean square values (P = 0.043). Template thickness significantly influenced transfer accuracy, with aligners generally producing lower deviation values, particularly between Tristar (0.3 mm) and Track mm) (P <0.05 to P <0.001). Conclusions: The 3D-printed attachment transfer method demonstrated superior accuracy than conventional composite-based methods. Although the thinnest template exhibited deviations, accuracy varied among the different templates, suggesting that both material thickness composition may influence transfer performance. Composite viscosity did not substantially affect accuracy, as both flowable and nonflowable composite resins produced comparable results in attachment sites.

Açıklama

Anahtar Kelimeler

Orthodontic Tooth Movement, Efficacy, Design

Kaynak

American Journal of Orthodontics and Dentofacial Orthopedics

WoS Q Değeri

Q1

Scopus Q Değeri

Q1

Cilt

169

Sayı

3

Künye