TY - JOUR T1 - In-Office Aligner Fabrication TT - Ofis-İçi Şeffaf Plak Üretimi AU - Bor, Sabahattin PY - 2023 DA - August JF - Van Diş Hekimliği Dergisi JO - VDJ PB - Van Yüzüncü Yıl Üniversitesi WT - DergiPark SN - 2757-6868 SP - 42 EP - 51 VL - 4 IS - 1 LA - en AB - In-office aligner fabrication israpidly transforming the orthodontic landscape,offering a revolutionary approach to orthodontictreatment. This review discusses the fabricationprocess, focusing on the key steps involved:three-dimensional(3D) treatment planning, threedimensional(3D) printing, and post-processing.The direct printing of clear aligners is alsoexplored, as it presents a significant advancementin aligner production technology. In-officeproduction of clear aligners presents numerousadvantages, including enhanced patientsatisfaction, greater control for dentalpractitioners, and cost savings. As a discreet andvirtually invisible treatment option, clear alignershave garnered significant interest among patientsseeking orthodontic care. These aligners permitproper oral hygiene and unrestricted foodchoices, further increasing their appeal. Alignertherapy is generally associated with lessdiscomfort and reduced chair time in comparisonto traditional braces, contributing to its growingpopularity and impact on the orthodonticindustry. Direct printing of aligners offers thepotential for even greater efficiency andcustomization, as it enables dental professionalsto fabricate the aligners in-office using 3Dprinting technology. This approach eliminatesthe need for multiple steps and reduces relianceon external labs, streamlining the process andaccelerating treatment. In conclusion, in-officealigner fabrication, particularly through directprinting, is poised to revolutionize orthodonticcare. By streamlining the production process andoffering a more comfortable, discreet treatmentoption, this innovative approach is likely tocontinue gaining traction within the dentalcommunity and transform the patient’sexperience. KW - Clear aligner KW - 3D printing KW - Treatmentplanning software KW - Aligner materials N2 - Ofis içi şeffaf plak üretimi, ortodontiktedaviye devrim niteliğinde bir yaklaşım sunarakortodonti alanında hızla dönüşümsağlamaktadır. Bu derleme, üretim sürecini vesüreçte yer alan ana adımları ele alarak, üçboyutlu(3B) tedavi planlaması, üç boyutlu baskıve baskı sonrası işlemler üzerinde durmaktadır.Şeffaf plakların doğrudan basımı da önemli birüretim teknolojisi ilerlemesi olarakincelenmektedir. Ofis içi şeffaf plak üretimi,gelişmiş hasta memnuniyeti, diş hekimleri içindaha fazla kontrol ve maliyet tasarrufu gibi pekçok avantaj sunmaktadır. Şeffaf ve neredeysegörünmez bir tedavi seçeneği olarak şeffafplaklar, ortodontik tedavi olmak isteyen hastalararasında önemli bir ilgi görmektedir. Bu plaklar,düzgün ağız hijyenini ve sınırsız gıda seçimineizin vererek, cazibelerini daha da artırmaktadır.Plak tedavisi, geleneksel diş tellerine kıyasladaha az rahatsızlık ve daha kısa randevu süreleriile ilişkilendirildiğinden, ortodonti pratiğindepopülaritesi ve etkisi giderek artmaktadır.Plakların doğrudan basımı, diş hekimlerinin 3Bbaskı teknolojisi kullanarak plakları ofislerindeüretmelerine olanak tanıyarak daha da büyükverimlilik ve kişiselleştirme potansiyelisunmaktadır. Bu yöntem, birden fazla adımıortadan kaldırır ve dış laboratuvarlara olanbağımlılığı azaltarak süreci basitleştirir vetedaviyi hızlandırır. Sonuç olarak, özellikledoğrudan basım yoluyla ofis-içi şeffaf plaküretimi, ortodontik bakımı devrim niteliğindedönüştürme potansiyeline sahiptir. Üretimsürecini basitleştirerek ve daha rahat, estetik birtedavi seçeneği sunarak, bu yenilikçi yaklaşımındiş hekimliği topluluğu içinde giderek daha fazlailgi görmesi ve hastaların deneyiminidönüştürmesi muhtemeldir. CR - 1. Allareddy V, Nalliah R, Lee MK, Rampa S, Allareddy V. Adverse clinical events reported during Invisalign treatment: Analysis of the MAUDE database. American Journal of Orthodontics and Dentofacial Orthopedics. 2017 Nov 1;152(5):706–10. CR - 2. Kesling HD. The philosophy of the tooth positioning appliance. Am J Orthod Oral Surg. 1945;31(6):297–304. CR - 3. Rajasekaran A, Chaudhari PK. Integrated manufacturing of direct 3D-printed clear aligners. Front Dent Med. 2023;3:1089627. CR - 4. Shannon T, Groth C. Be your own manufacturer: 3D printing intraoral appliances. Semin Orthod. 2021 Sep 1;27(3):184–8. CR - 5. Tartaglia GM, Mapelli A, Maspero C, Santaniello T, Serafin M, Farronato M, et al. Direct 3D printing of clear orthodontic aligners: Current state and future possibilities. Vol. 14, Materials. MDPI AG; 2021. CR - 6. Shah MJ, Kubavat AK, Patel KV, Prajapati NH. Fabrication of in-house aligner- A review. Journal of Contemporary Orthodontics. 2022 Sep 28;6(3):120–4. CR - 7. Bichu YM, Alwafi A, Liu X, Andrews J, Ludwig B, Bichu AY, et al. Advances in orthodontic clear aligner materials. Bioact Mater. 2023 Apr 1;22:384–403. CR - 8. Wu E. The application of in-office aligners in the combination treatment protocol. Semin Orthod. 2022 Jun 1;28(2):85–91. CR - 9. Jedliński M, Mazur M, Grocholewicz K, Janiszewska-Olszowska J. 3D Scanners in Orthodontics-Current Knowledge and Future Perspectives-A Systematic Review. Int J Environ Res Public Health. 2021 Jan 27;18(3):1121. doi: 10.3390/ijerph18031121. PMID: 33513981; PMCID: PMC7908072. CR - 10. Christopoulou I, Kaklamanos EG, Makrygiannakis MA, Bitsanis I, Perlea P, Tsolakis AI. Intraoral Scanners in Orthodontics: A Critical Review. Vol. 19, International Journal of Environmental Research and Public Health. MDPI; 2022. CR - 11. Nulty AB. A comparison of full arch trueness and precision of nine intra-oral digital scanners and four lab digital scanners. Dent J (Basel). 2021 Jul 1;9(7). CR - 12. Xu X, Awad A, Robles-Martinez P, Gaisford S, Goyanes A, Basit AW. Vat photopolymerization 3D printing for advanced drug delivery and medical device applications. Vol. 329, Journal of Controlled Release. Elsevier B.V.; 2021. p. 743–57. CR - 13. Rouzé l’Alzit F, Cade R, Naveau A, Babilotte J, Meglioli M, Catros S. Accuracy of commercial 3D printers for the fabrication of surgical guides in dental implantology. J Dent. 2022 Feb 1;117. CR - 14. Lin L, Fang YZ, Liao Y, Chen G, Gao C, Zhu P. 3D Printing and Digital Processing Techniques in Dentistry: A Review of Literature. Adv Eng Mater. 2019;21 (6, article 1801013) CR - 15. Quan H, Zhang T, Xu H, Luo S, Nie J, Zhu X. Photo-curing 3D printing technique and its challenges. Bioact Mater. 2020;5(1):110-115. CR - 16. Shan W, Chen Y, Hu M, Qin S, Liu P. 4D printing of shape memory polymer via liquid crystal display (LCD) stereolithographic 3D printing. Mater Res Express. 2020 Oct 1;7(10). CR - 17. Lo Giudice A, Ronsivalle V, Rustico L, Aboulazm K, Isola G, Palazzo G. Evaluation of the accuracy of orthodontic models prototyped with entry-level LCD-based 3D printers: a study using surface-based superimposition and deviation analysis. Clin Oral Investig. 2022 Jan 1;26(1):303–12. CR - 18. Shah MJ, Kubavat AK, Patel KV, Prajapati NH. Fabrication of in-house aligner- A review. Journal of Contemporary Orthodontics. 2022 Sep 28;6(3):120–4. CR - 19. Kohda N, Iijima M, Muguruma T, Brantley WA, Ahluwalia KS, Mizoguchi I. Effects of mechanical properties of thermoplastic materials on the initial force of thermoplastic appliances. Angle Orthodontist. 2013 May;83(3):476–83. CR - 20. Kaur H, Khurelbaatar T, Mah J, Heo G, Major PW, Romanyk DL. Investigating the role of aligner material and tooth position on orthodontic aligner biomechanics. J Biomed Mater Res B Appl Biomater. 2023 Jan 1;111(1):194–202. CR - 21. Ryu JH, Kwon JS, Jiang HB, Cha JY, Kim KM. Effects of thermoforming on the physical and mechanical properties of thermoplastic materials for transparent orthodontic aligners. Korean J Orthod. 2018 Sep 1;48(5):316–25. CR - 22. Bucci R, Rongo R, Levatè C, Michelotti A, Barone S, Razionale AV, et al. Thickness of orthodontic clear aligners after thermoforming and after 10 days of intraoral exposure: a prospective clinical study. Prog Orthod. 2019 Dec 1;20(1). CR - 23. Koenig N, Choi JY, McCray J, Hayes A, Schneider P, Kim KB. Comparison of dimensional accuracy between direct-printed and thermoformed aligners. Korean J Orthod. 2022 Jul 1;52(4):249–57. CR - 24. Lee SY, Kim H, Kim HJ, Chung CJ, Choi YJ, Kim SJ, et al. Thermo-mechanical properties of 3D printed photocurable shape memory resin for clear aligners. Sci Rep. 2022 Dec 1;12(1). CR - 25. Park SY, Choi SH, Yu HS, Kim SJ, Hee K, Kim H, et al. Comparison of thickness, gap width and translucency for 3D-printed and thermoformed clear aligners: A micro-CT analysis. 2023; Available from: https://doi.org/10.21203/rs.3.rs-2512327/v1 CR - 26. Lambart AL, Xepapadeas AB, Koos B, Li P, Spintzyk S. Rinsing postprocessing procedure of a 3D-printed orthodontic appliance material: Impact of alternative postrinsing solutions on the roughness, flexural strength and cytotoxicity. Dental Materials. 2022 Aug 1;38(8):1344–53. UR - https://dergipark.org.tr/tr/pub/vdj/issue//1338620 L1 - https://dergipark.org.tr/tr/download/article-file/3311948 ER -