Received 03.04.2025

DOI: 10.35556/idr-2025-4(113)54-59

Aligners and attachments in modern orthodontics
Kosyreva T.F., ORCID: 0000-0003-4333-5735
Orlova O.S., ORCID: 0009-0001-7237-3012
Gaidarov A.A., ORCID: 0009-0004-9032-1189
Virginskaya O.V., ORCID: 0000-0003-2935-8965
Peoples’ Friendship University of Russia named after Patrice Lumumba
117198, Russia, Moscow, Miklukho-Maklaya St., 6

E-mail address: kosyreva_tf@pfur.ru

Summary
Aligners are a modern method of orthodontic treatment that offers aesthetic and comfortable correction of dental alignment through digital technologies. They have advantages over traditional braces, including predictability of results and fewer visits to the orthodontist. Attachments made from composite materials play an important role in treatment by providing control over tooth movement. Their reliable fixation is necessary for the success of the treatment, and issues with their attachment can arise at any stage of the process. Surface preparation of teeth, especially artificial crowns, is essential for achieving optimal results.
The aim of the study is to review the scientific literature in order to analyze the different types of materials used for attachments in the process of treatment using aligners in global practice.
Material and methods: A search for scientific publications was conducted in information and analytical systems such as PubMed, Google Scholar, Elsevier, and eLibrary, without restrictions on the publication date. The search was conducted using combinations of keywords: aligners, attachments,composite material, adhesive, and crowns. As a result, 380 articles were selected,and 31 publications were used to form the final review.
Results and discussion. The study did not identify a specific type of attachment material that could be considered preferable, especially in the case of patients with orthopedic restorations such as zirconium dioxide crowns, metal-ceramic crowns, ceramic veneers, and composite crowns in the oral cavity. These findings may have implications for the practice of orthodontists.
Conclusion. Today, there is a wide range of composite materials used for attachments. However, there is no consensus on the optimal choice of composites for use in combination with aligners. Additionally, there is a lack of data to assess the strength of fixation, the duration of function, and their usability in clinical practice.

Keywords: aligners, attachments, composite material, adhesive, crowns.

For citation: Kosyreva T.F., Orlova O.S., Gaidarov A.A., Virginskaya O.V. Aligners and attachments in modern orthodontics. Stomatology for All / Int. Dental Review. 2025; no. 4 (113): 54–59 (in Russian). doi: 10.35556/idr-2025-4(113)54-59

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