Evaluation of Long-term colour resistance of composite materials used in aligner treatments: A comparative study

Yildiz H., Dedeoglu M., Aydemir M., OKTAY H.

Orthodontics and Craniofacial Research, 2024 (SCI-Expanded) identifier identifier

  • Publication Type: Article / Article
  • Publication Date: 2024
  • Doi Number: 10.1111/ocr.12801
  • Journal Name: Orthodontics and Craniofacial Research
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, CAB Abstracts, CINAHL, MEDLINE
  • Keywords: clear aligners, colour stability, composite attachments, discolouration, orthodontic appliance
  • Istanbul Medipol University Affiliated: Yes


Aim: The aim of this study is to evaluate the discolouration resistance of attachments made of composites having different physical properties, filler ratios and viscosity through the simulated environment and conditions. Materials and Methods: Seventy-two extracted human teeth were aligned to simulate upper and lower dental arches. The attachments were prepared according to the guides determined by ClearCorrect. Three different composite groups were used for attachments preparation: Aligner Connect, G-Aenial Universal Injectable, and Tetric Prime and Tetric Evoflow combination. Dental models and aligners were kept in artificial saliva throughout the experiment of 96 weeks. The aligners were also subjected to 2308 thermal cycles and insertion and removing procedures 840 times for each period of 12 weeks. Afterwards, the models were kept in coffee and red wine solutions. Colour measurements were made with Vita Easy Shade 4.0 at 12th, 24th, 48th and 96th simulated weeks. Results: No significant difference in discolouration was observed during thermal cycle application of 12th and 24th week experimental periods. In the later periods, discolouration was observed in the composite materials, and G-Aenial Universal Injectable was less coloured than the other samples. The composite samples were more coloured in proportion to their residence time. The G-Aenial Universal Injectable was more affected by wine solution, and Tetric Prime and Tetric Evoflow combination were more affected by coffee solution. Conclusions: Viscosity, resin matrix content and nature of inorganic filler particles of the composite materials significantly affect the colour changing properties of them due to the long-term ageing and exposure to colouring agents.