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Research Article|Articles in Press

The mechanical testing and performance analysis of three-dimensionally produced lingual retainers

Published:January 16, 2023DOI:https://doi.org/10.1016/j.ejwf.2022.12.003

      Highlights

      • Introducing three-dimensional (3D) printing has opened new visions in the orthodontic field.
      • This research evaluates three-dimensionally produced orthodontic retainers and their future possible uses.
      • Using both 3D-printed and 3D pen-produced retainers for orthodontics, several advantages can be obtained, such as less or no technician help, time saving, and decreased costs compared with the conventional method.
      • This is the first study evaluating the characteristics of these 3D methods.

      ABSTRACT

      Background

      Introducing three-dimensional (3D) printing has opened new visions in the orthodontic field. This research evaluates three-dimensionally produced orthodontic retainers and their future possible uses. For this purpose, in vitro tests were performed for these groups, including bond strength, failure analysis, discoloration, and biodegradation.

      Methods

      A total of 30 specimens (n = 30), lower incisor human teeth, were randomly divided into three groups for a bond strength failure analysis (for each group n = 10). In the experimental groups, lingual retainers were fabricated using 3D systems (group 1 with 3D dental pen and group 2 with 3D-printed). In the control group (group 3), the retainer system was a combination of a wire and composite, which is being used worldwide. A total of 30 specimens (n = 30) from the 3D dental pen and 3D-printed for discoloration and biodegradation tests were divided into three groups (water, tea, and coffee). Data were analyzed using the Mann-Whitney U test, ANOVA, and chi-square test.

      Results

      For all parameters tested, significant differences were determined among groups. The 3D pen group had the highest score for bond strength, whereas discoloration differed significantly.

      Conclusions

      According to the limitations of this research, 3D-printed retainers have the potential for clinical use in the near future.

      Keywords

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      References

      1. 3DPrint.com. Surgeons create 3D printed custom implant to restore pelvis after resection. August 25, 2015. Available from: https://3dprint.com/91580/3d-printed-pelvic-implant/ [Accessed 2015].

        • Kasparova M
        • Grafova L
        • Dvorak P
        • et al.
        Possibility of reconstruction of dental plaster cast from 3D digital study models.
        Biomed Eng OnLine. 2013; 12: 49
      2. Not Impossible Labs. Available from: http://www.notimpossible.com [Accessed 2018].

        • Dawood A
        • Marti Marti B
        • Sauret-Jackson V
        • Darwood A
        3D printing in dentistry.
        Br Dent J. 2015; 219: 521-529
        • Melchels FP
        • Feijen J
        • Grijpma DW.
        A review on stereolithography and its applications in biomedical engineering.
        Biomaterials. 2010; 31: 6121-6130
        • Tsolakis IA
        • Gizani S
        • Panayi N
        • Antonopoulos G
        • Tsolakis AI.
        Three-dimensional printing technology in orthodontics for dental models: a systematic review.
        Children (Basel). 2022; 9: 1106
      3. 3Doodler. Available from: http://www.wikipedia.com/3Doodler [Accessed 2017].

        • Athanasiou KA
        • Niederauer GG
        • Agrawal CM.
        Sterilization, toxicity, biocompatibility and clinical applications of polylactic acid/polyglycolic acid copolymers.
        Biomaterials. 1996; 17: 93-102
        • Kulkarni NB
        • Goyal SM
        • Shah VD.
        3D printing pen: a novel adjunct for indirect bonding.
        J Contemp Dent Pract. 2021; 22: 964-968
      4. Ufuk OK Braket Altında Oluşan Mikrosızıntının Dört Farklı Bonding TekniğindeTermal Siklus ve Çiğneme Similatörü Yöntemleri ile Karşılaştırmalı Olarak Değerlendirilmesi. Comparative Evaluation of Microleakage Under Bracket with Thermal Cycle and Chewing Simulator Methods in Four Different Bonding Techniques.Bezmialem Vakıf University; 2017. https://openaccess.bezmialem.edu.tr/entities/publication/792ac6aa-fa0f-48b9-9cc5-762771e2b9b3.

        • Ufuk Ok, Tosun T
        • Sadry S
        • Kayalar E
        • Karaman A
        In vitro comparison of new generation adhesive systems in enamel conditioning with ER: YAG laser: SBS and ARI analysis.
        Lasers Dent Sci. 2021; 5: 19-26
        • Akl R
        • Ghoubril J
        • Le Gall M
        • Shatila R
        • Philip-Alliez C
        Evaluation of shear bond strength and adhesive remnant index of metal APC™ Flash-Free adhesive system: a comparative in vitro study with APC™ II and uncoated metal brackets.
        Int Orthod. 2022; 20100705
        • Schipper RG
        • Silletti E
        • Vingerhoeds MH.
        Saliva as research material: biochemical, physicochemical and practical aspects.
        Arch Oral Biol. 2007; 52: 1114-1135
        • Shiboski CH
        • Hodgson TA
        • Ship JA
        • Schiødt M.
        Management of salivary hypofunction during and after radiotherapy.
        Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007; 103 (S66.e1–19)
        • Noiphung J
        • Nguyen MP
        • Punyadeera C
        • Wan Y
        • Laiwattanapaisal W
        • Henry CS.
        Development of paper-based analytical devices for minimizing the viscosity effect in human saliva.
        Theranostics. 2018; 8: 3797-3807
        • Ok U
        • Aksakalli S
        • Eren E
        • Kechagia N.
        Single-component orthodontic adhesives: comparison of the clinical and in vitro performance.
        Clin Oral Investig. 2021; 25: 3987-3999
        • Saccucci M
        • Corridore D
        • Di Carlo G
        • Bonucci E
        • Cicciù M
        • Vozza I.
        Assessment of enamel color stability of resins infiltration treatment in human teeth: a systematic review.
        Int J Environ Res Public Health. 2022; 19: 11269
        • Guler AU
        • Yilmaz F
        • Kulunk T
        • Guler E
        • Kurt S.
        Effects of different drinks on stainability of resin composite provisional restorative materials.
        J Prosthet Dent. 2005; 94: 118-124
        • Ertas E
        • Güler AU
        • Yücel AC
        • Köprülü H
        • Güler E.
        Color stability of resin composites after immersion in different drinks.
        Dent Mater J. 2006; 25: 371-376
      5. Krämer A, Sjöström M, Apelthun C, Hallman M, Feldmann I. Post-treatment stability after 5 years of retention with vacuum-formed and bonded retainers-a randomized controlled trial [published online August 15, 2022]. Eur J Orthod doi:10.1093/ejo/cjac043.

        • Cooke ME
        • Sherriff M.
        Debonding force and deformation of two multi-stranded lingual retainer wires bonded to incisor enamel: an in vitro study.
        Eur J Orthod. 2010; 32: 741-746
        • Baysal A
        • Uysal T
        • Gul N
        • Alan MB
        • Ramoglu SI.
        Comparison of three different orthodontic wires for bonded lingual retainer fabrication.
        Korean J Orthod. 2012; 42: 39-46
        • Dahl EH
        • Zachrisson BU.
        Long-term experience with direct-bonded lingual retainers.
        J Clin Orthod. 1991; 25: 619-630
        • Aldrees AM
        • Al-Mutairi TK
        • Hakami ZW
        • MM Al-Malki
        Bonded orthodontic retainers: a comparison of initial bond strength of different wire-and-composite combinations.
        J Orofac Orthop. 2010; 71: 290-299
        • Reynolds IR.
        A review of direct orthodontic bonding.
        Br J Orthod. 1975; 2: 171-178
        • Cokakoglu S
        • Kizildag A.
        Comparison of periodontal status and failure rates with different retainer bonding methods and adhesives: a randomized clinical trial.
        Angle Orthod. 2023; 93: 57-65
        • Kanwal L
        • Idrees W
        • Ahmed A
        • Sukhia RH.
        Indirect vs direct bonding of mandibular fixed retainers in orthodontic patients.
        Am J Orthod Dentofacial Orthop. 2022; 162: 808
        • Ngaowthong C
        • Borůvka M
        • Běhálek L
        • et al.
        Recycling of sisal fiber reinforced polypropylene and polylactic acid composites: thermo-mechanical properties, morphology, and water absorption behavior.
        Waste Manag. 2019; 97: 71-81
        • Ashori A
        • Sheshmani S.
        Hybrid composites made from recycled materials: moisture absorption and thickness swelling behavior.
        Bioresour Technol. 2010; 101: 4717-4720