Comparison of the adhesive performance of various composite materials used for clear aligner attachments


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Kurnaz M., Sultanzade Ö. E., Kopuz D.

Acta Odontologica Turcica, cilt.42, sa.2, ss.88-95, 2025 (Hakemli Dergi)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 42 Sayı: 2
  • Basım Tarihi: 2025
  • Doi Numarası: 10.17214/gaziaot.1470625
  • Dergi Adı: Acta Odontologica Turcica
  • Derginin Tarandığı İndeksler: TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.88-95
  • İstanbul Kent Üniversitesi Adresli: Evet

Özet

ABSTRACT

OBJECTIVE: This study aims to investigate the impact of

commonly consumed beverages in patients’ daily diets

on the bonding performance of composite attachments

used in clear aligner treatments.

MATERIALS AND METHODS: Extracted ninety premolar teeth

were cleaned and polished. These premolar teeth were

then used for attachment placement, utilizing three

distinct types of composites and with an attachment

template. To simulate the impact of beverages on bond

strength during in vitro evaluation, the attachments were

exposed to three different solutions: coffee, cola, and

distilled water. The bonding force was quantified using

the shear bond strength test, followed by an assessment

of the Adhesive Remnant Index (ARI) scores to evaluate

the remaining adhesive. Statistical analyses were done.

RESULTS: The subgroups within the GC Aligner Connect

showed statistically significant differences in shear bond

strength (p < 0.05). Specifically, the cola group’s shear

bond strength values were significantly lower than the

coffee and distilled water groups. Additionally, the shear

bond strength values in the distilled water group were

significantly higher than those observed in the coffee

group (p < 0.05). Notably, the measured values for the

cola solution exhibited a significant difference across the

groups (p < 0.05).

CONCLUSIONS: The three composites immersed in acidic

solutions of cola, coffee, and distilled water were affected

to varying degrees, with Omnichroma being the least

affected. Clinicians should emphasize to patients the

significance of proper dietary rules and their compliance.

Additionally, they should consider dietary habits when

selecting suitable materials.

KEYWORDS: Dental bonding; feeding behavior; orthodontic

appliances, removable; shear strength