Transfer accuracy of silicone and 3D-printed trays for indirect bonding of orthodontic brackets

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Transfer accuracy of silicone and 3D-printed trays for indirect bonding of orthodontic brackets | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research Article Transfer accuracy of silicone and 3D-printed trays for indirect bonding of orthodontic brackets Irene Artioli, Romy Beniashvili, Natalie Schenz-Spisic, Adriano Giacomo Crismani This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-6924172/v1 This work is licensed under a CC BY 4.0 License Status: Posted Version 1 posted You are reading this latest preprint version Abstract Background/Objectives: The ideal positioning of brackets is one of the most time-consuming procedures in orthodontics. The aim of this study was to compare the transfer accuracy between digitally planned bracket positions of additively manufactured trays (ADT) and polyvinyl-siloxane trays (PST). In addition, a comparison between practitioners was made. Materials/Methods: 25 pre-existing digital mandibular dental casts were selected. The position of the brackets (discovery smart, Dentaurum) was planned digitally. Additively manufactured trays were printed and polyvinyl-siloxane trays were produced. Two examiners with different levels of experience placed the brackets on the 25 models once with ADTs and once with PSTs. The bracket position after transfer were compared to the digital plan (GOM Inspect). A linear deviation of < 0.25 mm and angular deviation of < 1° are defined as clinically acceptable. Results A total of 1.400 buccally bonded brackets and tubes were analyzed. In terms of linear deviations, a total of 97,58% of the transferred brackets were within the clinical acceptable values in the PST and 96,75% in the ADT respectively, 90,79% and 96,42% for the angular deviations. No statistically significant difference was found for the transfer of the brackets between the two examiners (p = 0.227), between the accuracy of ADT and PST (p = 0.102) and between the tooth groups (p = 0.299). Conclusions ADT and PST are both effective indirect bonding methods for orthodontic brackets, with transfer accuracy independent of practitioner experience. The transfer accuracy is the highest for the incisors, followed by premolars, canines and molars. bracket transfer transfer accuracy indirect bonding additively manufactured trays polyvinyl-siloxane tray Full Text Additional Declarations No competing interests reported. Cite Share Download PDF Status: Posted Version 1 posted You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. We do this by developing innovative software and high quality services for the global research community. Our growing team is made up of researchers and industry professionals working together to solve the most critical problems facing scientific publishing. Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-6924172","acceptedTermsAndConditions":true,"allowDirectSubmit":true,"archivedVersions":[],"articleType":"Research Article","associatedPublications":[],"authors":[{"id":474123211,"identity":"92a1a5f0-5274-486d-8f96-83210ecbe06f","order_by":0,"name":"Irene Artioli","email":"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAZAAAAAyAQMAAABI0h/eAAAABlBMVEX///8AAABVwtN+AAAACXBIWXMAAA7EAAAOxAGVKw4bAAABBUlEQVRIiWNgGAWjYBACNjiLmYHxQEKFBIhpQJwWHmYGhgMJZ5C08BCyDqTgAGMbA2EtfNKHjz34wGCXb8/OfODAw3kWDLrtzRsYftQwyNvjchhfWrrhDIZkyx5mtoQDidskGMzOHCtg7DnGYNiDSwsPj5k0DwOzAQ8zjwFIS/22GzkGDLwNDIy4tfB/k/7DUA/VMgdoy/03Box/Gxjs8djCJs3AcBiqpQGo5QaPATPQlkTcWtjMJHsMjhvwHAb6JeEYyC9pBYdljkkk9xzArkW+h/mZxI+KagP2/sMHH/6oqWMwO35448M3NTa27Q04rAED9OgGmi+BT/0oGAWjYBSMAgIAAMsCS0+P1Pi1AAAAAElFTkSuQmCC","orcid":"","institution":"Department of Dental and Oral Medicine and Cranio-Maxillofacial and Oral Surgery, Medical University of Innsbruck, MZA, Anichstr. 35, 6020, Innsbruck, Austria","correspondingAuthor":true,"prefix":"","firstName":"Irene","middleName":"","lastName":"Artioli","suffix":""},{"id":474123212,"identity":"f605ec90-2982-4ec6-96a1-5ce50b480076","order_by":1,"name":"Romy Beniashvili","email":"","orcid":"","institution":"Department of Dental and Oral Medicine and Cranio-Maxillofacial and Oral Surgery, Medical University of Innsbruck, MZA, Anichstr. 35, 6020, Innsbruck, Austria","correspondingAuthor":false,"prefix":"","firstName":"Romy","middleName":"","lastName":"Beniashvili","suffix":""},{"id":474123213,"identity":"8c15336a-9d4c-4b42-8565-0b212d76eab1","order_by":2,"name":"Natalie Schenz-Spisic","email":"","orcid":"","institution":"Department of Dental and Oral Medicine and Cranio-Maxillofacial and Oral Surgery, Medical University of Innsbruck, MZA, Anichstr. 35, 6020, Innsbruck, Austria","correspondingAuthor":false,"prefix":"","firstName":"Natalie","middleName":"","lastName":"Schenz-Spisic","suffix":""},{"id":474123216,"identity":"5f6117c7-3ee4-4748-bdf8-0b3aba21b80d","order_by":3,"name":"Adriano Giacomo Crismani","email":"","orcid":"","institution":"Department of Dental and Oral Medicine and Cranio-Maxillofacial and Oral Surgery, Medical University of Innsbruck, MZA, Anichstr. 35, 6020, Innsbruck, Austria","correspondingAuthor":false,"prefix":"","firstName":"Adriano","middleName":"Giacomo","lastName":"Crismani","suffix":""}],"badges":[],"createdAt":"2025-06-18 14:54:06","currentVersionCode":1,"declarations":"","doi":"10.21203/rs.3.rs-6924172/v1","doiUrl":"https://doi.org/10.21203/rs.3.rs-6924172/v1","draftVersion":[],"editorialEvents":[],"editorialNote":"","failedWorkflow":false,"files":[{"id":90335135,"identity":"72990bbb-0c0c-4a63-b153-e9b111a0c56a","added_by":"auto","created_at":"2025-09-01 14:02:11","extension":"pdf","order_by":1,"title":"","display":"","copyAsset":false,"role":"manuscript-pdf","size":699943,"visible":true,"origin":"","legend":"","description":"","filename":"Mainfile.pdf","url":"https://assets-eu.researchsquare.com/files/rs-6924172/v1_covered_5bfacadc-51c5-4036-bc09-5fe74c48f6a3.pdf"}],"financialInterests":"No competing interests reported.","formattedTitle":"Transfer accuracy of silicone and 3D-printed trays for indirect bonding of orthodontic brackets","fulltext":[],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":false,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":false,"hideJournal":true,"highlight":"","institution":"","isAcceptedByJournal":false,"isAuthorSuppliedPdf":true,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":false,"isPdf":true,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true},"keywords":"bracket transfer, transfer accuracy, indirect bonding, additively manufactured trays, polyvinyl-siloxane tray","lastPublishedDoi":"10.21203/rs.3.rs-6924172/v1","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.3.rs-6924172/v1","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003ch2\u003eBackground/Objectives:\u003c/h2\u003e\u003cp\u003eThe ideal positioning of brackets is one of the most time-consuming procedures in orthodontics. The aim of this study was to compare the transfer accuracy between digitally planned bracket positions of additively manufactured trays (ADT) and polyvinyl-siloxane trays (PST). In addition, a comparison between practitioners was made.\u003c/p\u003e\u003ch2\u003eMaterials/Methods:\u003c/h2\u003e\u003cp\u003e25 pre-existing digital mandibular dental casts were selected. The position of the brackets (discovery smart, Dentaurum) was planned digitally. Additively manufactured trays were printed and polyvinyl-siloxane trays were produced. Two examiners with different levels of experience placed the brackets on the 25 models once with ADTs and once with PSTs. The bracket position after transfer were compared to the digital plan (GOM Inspect). A linear deviation of \u0026lt;\u0026thinsp;0.25 mm and angular deviation of \u0026lt;\u0026thinsp;1\u0026deg; are defined as clinically acceptable.\u003c/p\u003e\u003ch2\u003eResults\u003c/h2\u003e\u003cp\u003eA total of 1.400 buccally bonded brackets and tubes were analyzed. In terms of linear deviations, a total of 97,58% of the transferred brackets were within the clinical acceptable values in the PST and 96,75% in the ADT respectively, 90,79% and 96,42% for the angular deviations. No statistically significant difference was found for the transfer of the brackets between the two examiners (p\u0026thinsp;=\u0026thinsp;0.227), between the accuracy of ADT and PST (p\u0026thinsp;=\u0026thinsp;0.102) and between the tooth groups (p\u0026thinsp;=\u0026thinsp;0.299).\u003c/p\u003e\u003ch2\u003eConclusions\u003c/h2\u003e\u003cp\u003eADT and PST are both effective indirect bonding methods for orthodontic brackets, with transfer accuracy independent of practitioner experience. 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