We'd appreciate your feedback. Send feedback Subscribe to our newsletters and alerts


Asian Journal of Periodontics and Orthodontics

2025 Volume 5

Comparative Evaluation of Orthodontic Clear Aligner Attachments Using Scanning Electron Microscopy


,
  1. Orthodontic Unit, Adelaide Dental School, The University of Adelaide, Adelaide, South Australia, Australia.
Abstract

The success of clear aligner treatment depends largely on how effectively forces are transmitted through the aligner and attachment interface. This research investigated how well two clear aligner materials—Duran+ and Zendura FLX—fit against two attachment configurations—rectangular and optimized—at a microscopic level using scanning electron microscopy (SEM). Fifty-six samples were prepared and divided equally into four groups: Duran+ with rectangular attachments, Zendura FLX with rectangular attachments, Duran+ with optimized attachments, and Zendura FLX with optimized attachments (n = 14 per group). After bonding attachments to bovine incisors under standardized conditions, the aligners were thermoformed at 220 °C for 40 seconds. Cross-sectional analyses were carried out under SEM at 250× magnification, and gap widths were recorded at specific measurement sites (seven for rectangular and five for optimized attachments).
Interfacial gaps ranged from 14.75 ± 1.41 µm to 91.07 ± 3.11 µm. Zendura FLX showed a tighter fit compared with Duran+ in rectangular attachments (42.10 ± 1.07 µm vs. 44.52 ± 1.51 µm, p < 0.001). Optimized attachments generally achieved better conformity than rectangular ones. Across all groups, gaps were widest along gingival margins (67.18–91.07 µm) and narrowest on flat buccal areas (14.75–20.98 µm). None of the evaluated combinations achieved a completely precise fit. Both aligner composition and attachment shape play important roles in microscopic adaptation, with multi-layer materials and optimized geometries providing superior contact. These outcomes help clarify mechanical factors that may contribute to the clinical shortcomings of clear aligner systems.


How to cite this article
Vancouver
Akhter R, Yao D. Comparative Evaluation of Orthodontic Clear Aligner Attachments Using Scanning Electron Microscopy. Asian J Periodontics Orthod. 2025;5:129-40. https://doi.org/10.51847/GyJtq8HEWl
APA
Akhter, R., & Yao, D. (2025). Comparative Evaluation of Orthodontic Clear Aligner Attachments Using Scanning Electron Microscopy. Asian Journal of Periodontics and Orthodontics, 5, 129-140. https://doi.org/10.51847/GyJtq8HEWl
Articles
Nanotechnology in Orthodontics: Current Applications and Future Perspectives
Asian Journal of Periodontics and Orthodontics
Vol 4 , 2024 | Wojciech Dobrzynski
Artificial Intelligence in Prosthodontics: Transforming Diagnosis and Treatment Planning
Asian Journal of Periodontics and Orthodontics
Vol 4 , 2024 | Lakshman Samaranayake
Clinical Longevity and Functional Success of Direct vs. Indirect Restorations Post-Endodontic Therapy
Asian Journal of Periodontics and Orthodontics
Vol 4 , 2024 | Maurits C.F.M. de Kuijper
Resin Infiltration for White-Spot Lesion Management After Orthodontic Treatment
Asian Journal of Periodontics and Orthodontics
Vol 4 , 2024 | Alexandra Maria Prada
Awareness and Clinical Competency of Dental Students in Crown Lengthening Procedures
Asian Journal of Periodontics and Orthodontics
Vol 4 , 2024 | Abdulrahman Majed Al-Mubarak
Comparing Root Resorption in Fixed vs. Clear Aligner Orthodontics: A Radiographic Study
Asian Journal of Periodontics and Orthodontics
Vol 4 , 2024 | Mariam Varoneckaitė
Injectable Composite Resin in Orthodontics: A Novel Approach for Optimized Smile Aesthetics
Asian Journal of Periodontics and Orthodontics
Vol 5 , 2025 | Qinghuang Tang

About TSDP

Find out more

Our platform is dedicated to covering all facets of dental health, technology, education, and innovation. From general dentistry and orthodontics to cosmetic procedures, oral surgery, and the latest advancements in dental science, we strive to be a one-stop destination for professionals, students, and anyone passionate about dental care.

Our mission is to elevate the dental field by fostering knowledge sharing and encouraging the adoption of cutting-edge practices. We are committed to bridging the gap between innovation and application, making the latest research, trends, and technological breakthroughs accessible to everyone. Whether you're a seasoned practitioner seeking to refine your expertise, a student eager to stay ahead in your studies, or simply someone curious about oral health, our website is designed to empower and inspire.