Understanding the effectiveness of attachments in clear aligner therapy: navigating design, placement, material selection and biomechanics
16 sept 2024
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Publicado en línea: 16 sept 2024
Páginas: 63 - 74
Recibido: 01 abr 2024
Aceptado: 01 ago 2024
DOI: https://doi.org/10.2478/aoj-2024-0021
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© 2024 Gizem Boztaş Demir, published by Sciendo
This work is licensed under the Creative Commons Attribution 4.0 International License.
Figure 1.

Classification of frequently used attachments in clear aligner therapy based on their configuration and dimensions
Classification | Configuration | Mesial-distal dimension | Occlusal-gingival dimension | Buccal-lingual dimension |
---|---|---|---|---|
Conventional | Elipsoid | 2 mm | 3 mm | 1 |
Rectangular | 2 mm–5 mm | 2 mm–5 mm | 0.5 mm– 1 mm | |
Bevelled | 2 mm–5 mm | 2 mm–5 mm | 0.25 mm (bevelled side)1 mm–1.25 (opposite side) | |
Optimised | Clear aligner provider-determined based on planned tooth movement | Predetermined fixed dimensions by the clear aligner provider | Predetermined fixed dimensions by the clear aligner provider | Predetermined fixed dimensions by the clear aligner provider. |
Customised | Clinician-designed based on individual tooth movement and treatment needs | Variable depending on the clinician | Variable depending on the clinician | Variable depending on the clinician |