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Release of Microplastics and Chemical Compounds from Clear Orthodontic Aligners: A Narrative Review of the Current Evidence

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This review summarizes existing research on clear plastic orthodontic aligners, worn in the mouth, and whether they release chemicals and tiny plastic particles as they wear down. Lab studies found that aligner surfaces can develop roughness and tiny cracks, sometimes releasing chemicals and microplastics, but most evidence comes from lab models rather than real-world use in people.

Study Type In vitro

Resumen Introducción: El uso de alineadores ortodóncicos transparentes, los cuales permiten proporcionar fuerzas ortodóncicascontroladas, son fabricados a partir de polímeros termoplásticos, los cuales Sin embargo, también se ha visto que laexposición prolongada al ambiente oral puede inducir procesos de degradación del material que podrían favorecer laliberación de compuestos químicos y partículas microplásticas. Objetivo: Sintetizar la evidencia científica disponiblesobre la degradación de los materiales de alineadores ortodóncicos, la posible liberación de compuestos químicos y microplásticos, y sus potenciales implicancias biológicas. Métodos: Se realizó una revisión narrativa de laliteratura siguiendo principios metodológicos para revisiones narrativas de alta calidad y recomendaciones de la escalaSANRA. La búsqueda se efectuó en PubMed/MEDLINE, Web of Science y Cochrane Library utilizando términosrelacionados con alineadores ortodóncicos, degradación de materiales, liberación química y microplásticos.Resultados: La evidencia indica que los materiales utilizados en alineadores pueden experimentar cambios superficialesy mecánicos durante el uso intraoral, incluyendo aumento de rugosidad y microfisuras. Algunos estudios experimentaleshan demostrado la posible liberación de compuestos químicos y partículas microplásticas bajo condiciones de desgastemecánico, aunque la mayoría de los datos proviene de modelos in vitro. Conclusiones: Los alineadores ortodóncicospresentan un perfil de seguridad clínicamente favorable, aunque no completamente inerte desde el punto de vistafisicoquímico. Se requieren estudios clínicos longitudinales y métodos analíticos estandarizados para evaluar con mayorprecisión la exposición real y sus posibles implicancias biológicas.

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