Innovative use of the snowplow technique in orthodontics: Evaluation of its effect on the accuracy and manipulation time in clear aligner attachment reproduction

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dc.authoridDuran, Gökhan Serhat / 0000-0001-6152-6178
dc.contributor.authorDemir, Gizem Boztaş
dc.contributor.authorGörgülü, Serkan
dc.contributor.authorTopsakal, Kübra Gülnur
dc.contributor.authorDuran, Gökhan Serhat
dc.date.accessioned2025-05-29T02:57:59Z
dc.date.available2025-05-29T02:57:59Z
dc.date.issued2025
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractObjective: In this study, we evaluated the effectiveness of the snowplow technique, commonly used in restorative dentistry, in clear aligner therapy, focusing on manipulation time and the accuracy of attachment-shape transfer from the 3D-designed model (i.e., attachment-reproduction accuracy). Methods: Rectangular, ellipsoidal, and customized attachments were placed on the first premolar teeth, and different attachment-reproduction methods were evaluated. The study groups included high-viscosity (HV) and low-viscosity (LV) composites, as well as two variations of the snowplow techniques (S1 and S2). The manipulation time was recorded, and a highly detailed 3D comparison methodology (sigma, arithmetic mean, and deviation label) was used to assess attachment-reproduction accuracy. Results: Manipulation time differed significantly across all groups, with the LV group exhibiting the shortest time, followed by the S1 group (p < .001). For surface deviation, the S1 group demonstrated the lowest sigma values, particularly for rectangular attachment designs (p < .001). Conclusions: Using the LV composite allowed the shortest application time, while the S1 technique required less manipulation time than did the HV composite. The S1 technique also achieved superior attachment accuracy, making it an effective technique for reproducing attachments with intricate surface details. Clinical Significance: The improved accuracy facilitated by the S1 technique may positively influence clinical outcomes by enhancing successful execution of planned tooth movements, thereby potentially improving the overall efficacy of clear aligner therapy.
dc.description.sponsorshipScientific Research Projects Coor-dination Unit of the University of Health Sciences
dc.description.sponsorshipThis study was supported by the Scientific Research Projects Coor-dination Unit of the University of Health Sciences under the project
dc.identifier.doi10.1016/j.jdent.2025.105716
dc.identifier.issn0300-5712
dc.identifier.issn1879-176X
dc.identifier.pmid40132791
dc.identifier.scopus2-s2.0-105000948266
dc.identifier.scopusqualityQ1
dc.identifier.urihttps://doi.org/10.1016/j.jdent.2025.105716
dc.identifier.urihttps://hdl.handle.net/20.500.12428/30226
dc.identifier.volume156
dc.identifier.wosWOS:001460029500001
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherElsevier Sci Ltd
dc.relation.ispartofJournal of Dentistry
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WOS_20250529
dc.subject3D surface comparison
dc.subjectAligners
dc.subjectAttachment reproduction
dc.subjectDigital models
dc.subjectSnowplow technique
dc.titleInnovative use of the snowplow technique in orthodontics: Evaluation of its effect on the accuracy and manipulation time in clear aligner attachment reproduction
dc.typeArticle

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