Evidence map›Paper›PMID 40447765›Full record

ArticleScientific reports2025

Impact of various cleaning protocols on the physical and aesthetic properties of 3D-printed orthodontic aligners.

Luka Šimunović, Paula Pečanić, Antun Jakob Marić, Tatjana Haramina, Iva Šrut Rakić, Senka Meštrović

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

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

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. Article
  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

6 authors.

Luka ŠimunovićDepartment of Orthodontics, School of Dental Medicine, University of Zagreb, Gundulićeva 5, Zagreb, 10000, Croatia. lsimunovic@sfzg.unizg.hr.ORCID https://orcid.org/0000-0003-2848-6041
Paula PečanićDepartment of Physics, Faculty of Science, University of Zagreb, Zagreb, Croatia.
Antun Jakob MarićFaculty of Mechanical Engineering and Naval Architecture, University of Zagreb, Zagreb, Croatia.ORCID https://orcid.org/0009-0008-2099-3237
Tatjana HaraminaDepartment of Materials, Faculty of Mechanical Engineering and Naval Architecture, University of Zagreb, Zagreb, Croatia.ORCID https://orcid.org/0000-0001-5327-4329
Iva Šrut RakićInstitute of Physics, Centre for Advanced Laser Techniques, Zagreb, Croatia.ORCID https://orcid.org/0000-0001-5184-8130
Senka MeštrovićDepartment of Orthodontics, School of Dental Medicine, University of Zagreb, Gundulićeva 5, Zagreb, 10000, Croatia.ORCID https://orcid.org/0000-0003-3224-3579

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The surface similarity phenomenon describes how users apply maintenance habits from one material to another based on perceived similarities. Cleaning protocols for thermoformed aligners are often used for three-dimensional (3D) printed aligners, despite their different material properties. This study aimed to evaluate how such practices impact the physical and aesthetic properties of 3D-printed aligners. A total of 84 polyurethane-based specimens were fabricated using direct light processing. They were divided into three groups: brushing only, brushing with toothpaste, and immersion in an alkaline solution (Corega). Each protocol simulated two weeks of daily cleaning. Surface roughness was assessed via profilometry and AFM, hardness via the Ball Indentation Method, and color change via VITA Easyshade before and after cleaning. Water absorption was measured daily over 14 days during immersion in either Corega or saline. Statistical analyses included Wilcoxon signed-rank tests, paired t-tests, one-way ANOVA with LSD post-hoc tests, and Kruskal-Wallis tests with post-hoc Dunn test. Brushing with toothpaste caused the greatest increase in surface roughness (ΔSa = 37.45 nm), followed by brushing alone (ΔSa = 10.55 nm); Corega slightly reduced roughness (ΔSa = -4.86 nm). Surface hardness increased after brushing but decreased with Corega (p < 0.05). No significant ΔE color differences were found, though "b" values decreased with brushing (p = 0.012). Water absorption stabilized at 8.47% in saline, while Corega immersion led to peak absorption on day 8 before degradation (p < 0.001). Cleaning methods designed for thermoformed aligners can alter surface properties and degrade 3D-printed aligners. Tailored cleaning protocols are essential to preserve their integrity and functionality.

Indexed as

Printing, Three-DimensionalHardnessHumansMaterials TestingPolyurethanesSurface PropertiesToothbrushingToothpastesPolyurethanesToothpastes3D printingCleaning methodsClear aligner appliance

Identifiers

PMID40447765
PMCPMC12125165

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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 Socratic graph.