{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T07:02:59Z","timestamp":1782975779352,"version":"3.54.5"},"reference-count":71,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T00:00:00Z","timestamp":1782950400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Oral Health"],"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The purpose of this scoping review is to systematically map and synthesize the available evidence on sustainable practices in Clear Aligner Therapy (CAT), including materials, workflows, and end-of-life management with specific focus on material properties and clinical applications relevant to prosthodontic practice. It aims to systematically map the available evidence on sustainable practices in clear aligner therapy (CAT), including materials, workflows, and end-of-life management, with a specific focus on practical implementation and implications for pre-restorative and prosthodontic care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and methods<\/jats:title>\n                    <jats:p>\n                      Following PRISMA-ScR guidelines, databases including PubMed, Scopus, Web of Science, and Google Scholar were searched.\n                      <jats:italic>In vitro<\/jats:italic>\n                      , observational and clinical studies on sustainability and environmental impact of CAT were included. Extracted data included study characteristics, types of environmentally sustainable practices reported, key outcomes, and identified knowledge gaps.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Result<\/jats:title>\n                    <jats:p>\n                      Out of 419 records, 21 studies met the inclusion criteria. The field is emerging, with the majority (57.1%) published in 2024. Study designs included reviews (52.4%) and\n                      <jats:italic>in-vitro<\/jats:italic>\n                      studies (23.8%). Geographically, (38.1%) of the included studies were originated from India. Key sustainability drivers were environmental impact reduction and public health\/well-being (each 61.9%). Reported environmental dimensions primarily focused on material\/instrument use (57.1%) and chemical use (47.6%). However, significant knowledge gaps were identified, including a lack of standardized sustainability metrics, unproven clinical feasibility of biodegradable materials and recycling protocols, and an absence of validated frameworks connecting environmental practices to prosthodontic treatment planning.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      Sustainable CAT can reduce material and chemical burdens through digital workflows, the evidence base, largely comprising recent narrative and\n                      <jats:italic>in-vitro<\/jats:italic>\n                      studies, lacks the clinical data necessary to validate \u201cenvironmentally sustainable\u201d protocols, life-cycle impacts, and end-of-life recycling. Because significant knowledge gaps persist regarding standardized metrics and practical feasibility, direct clinical translation remains limited. Orthodontists can best advance sustainability by optimizing digital treatment planning to minimize aligner volume and utilizing structured clinical frameworks to guide responsible, minimally invasive pre-restorative care.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical implications<\/jats:title>\n                    <jats:p>Orthodontists should consider both material properties and environmental impact when selecting clear aligners for pre-restorative tooth positioning, occlusal therapy, or interdisciplinary treatment. The \u201cProSustain-P\u201d framework provides practical guidance for implementing sustainable material practices in prosthodontic workflows, potentially reducing costs while addressing growing patient demand for environmentally responsible treatment options.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/froh.2026.1854402","type":"journal-article","created":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T05:34:36Z","timestamp":1782970476000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Sustainable clear aligner practice in esthetic and prosthetic dentistry: a scoping review for practical implementation"],"prefix":"10.3389","volume":"7","author":[{"given":"Noha","family":"Taymour","sequence":"first","affiliation":[{"name":"Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University","place":["Dammam, Saudi Arabia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hams H.","family":"Abdelrahman","sequence":"additional","affiliation":[{"name":"Department of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Alexandria University","place":["Alexandria, Egypt"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dina G.","family":"Hassan","sequence":"additional","affiliation":[{"name":"Department of Medical Environmental Studies, Faculty of Graduate Studies and Environmental Research, Ain Shams University","place":["Cairo, Egypt"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayman R.","family":"Khalifa","sequence":"additional","affiliation":[{"name":"Department of Preventive Dentistry, College of Dentistry, Gulf Medical University, Thumbay Dental Hospital","place":["Ajman, United Arab Emirates"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed A.","family":"Abdelaziz","sequence":"additional","affiliation":[{"name":"Department of Orthodontics, Faculty of Dentistry, Assiut University","place":["Assiut, Egypt"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed","family":"Ellabban","sequence":"additional","affiliation":[{"name":"Department of Orthodontics, Faculty of Dentistry, Assiut University","place":["Assiut, Egypt"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mai","family":"El Zayat","sequence":"additional","affiliation":[{"name":"Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University","place":["Dammam, Saudi Arabia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed G.","family":"Hassan","sequence":"additional","affiliation":[{"name":"Department of Orthodontics, Faculty of Dentistry, Assiut University","place":["Assiut, Egypt"]},{"name":"Division of Bone and Mineral Diseases, Department of Medicine, School of Medicine, Washington University in St. Louis","place":["St. Louis, MO, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,7,2]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"37","DOI":"10.4103\/jos.jos_30_23","article-title":"Clear aligner therapy: up to date review article","volume":"12","author":"AlMogbel","year":"2023","journal-title":"J Orthod Sci"},{"key":"B2","doi-asserted-by":"publisher","first-page":"455","DOI":"10.1016\/j.prosdent.2023.02.024","article-title":"Effect of prerestorative short-term clear aligner therapy in restorative treatment planning","volume":"133","author":"Korkut","year":"2025","journal-title":"J Prosthet Dent"},{"key":"B3","doi-asserted-by":"publisher","first-page":"241","DOI":"10.5152\/TurkJOrthod.2019.18083","article-title":"Orthodontic treatment with clear aligners and the scientific reality behind their marketing: a literature review","volume":"32","author":"Tamer","year":"2019","journal-title":"Turk J Orthod"},{"key":"B4","doi-asserted-by":"publisher","first-page":"384","DOI":"10.1016\/j.bioactmat.2022.10.006","article-title":"Advances in orthodontic clear aligner materials","volume":"22","author":"Bichu","year":"2023","journal-title":"Bioact Mater"},{"key":"B5","doi-asserted-by":"publisher","first-page":"cjaf017","DOI":"10.1093\/ejo\/cjaf017","article-title":"Patient experiences with clear aligners: a scoping review","volume":"47","author":"Chong","year":"2025","journal-title":"Eur J Orthod"},{"key":"B6","doi-asserted-by":"publisher","first-page":"75","DOI":"10.1186\/s12903-025-05439-y","article-title":"Impact of clear aligners on gingivitis incidence and prevention strategies in adolescents and adults: a prospective observational study","volume":"25","author":"Zhang","year":"2025","journal-title":"BMC Oral Health"},{"key":"B7","doi-asserted-by":"publisher","first-page":"385","DOI":"10.3390\/children11040385","article-title":"Clear aligners in the growing patient: a systematic review","volume":"11","author":"Inchingolo","year":"2024","journal-title":"Children"},{"key":"B8","doi-asserted-by":"publisher","first-page":"216","DOI":"10.4274\/TurkJOrthod.2023.2022.124","article-title":"Has the COVID-19 pandemic affected orthodontists' interest in various orthodontic appliances?","volume":"36","author":"E\u01e7lenen","year":"2023","journal-title":"Turk J Orthod"},{"key":"B9","doi-asserted-by":"publisher","first-page":"111","DOI":"10.1038\/sj.bdj.2015.46","article-title":"Adults seeking orthodontic treatment: expectations, periodontal and TMD issues","volume":"218","author":"Christensen","year":"2015","journal-title":"Br Dent J"},{"key":"B10","doi-asserted-by":"publisher","first-page":"291","DOI":"10.3390\/dj11120291","article-title":"Profile of orthodontic use across demographics","volume":"11","author":"Hung","year":"2023","journal-title":"Dent J (Basel)"},{"key":"B11","author":"Pawar","year":"2023"},{"key":"B12","doi-asserted-by":"publisher","first-page":"1773","DOI":"10.3390\/medicina59101773","article-title":"Orthodontic aligners: current perspectives for the modern orthodontic office","volume":"59","author":"Kau","year":"2023","journal-title":"Medicina (B Aires)"},{"key":"B13","doi-asserted-by":"publisher","first-page":"4171","DOI":"10.3390\/ma17174171","article-title":"Towards sustainable orthodontics: environmental implications and strategies for clear aligner therapy","volume":"17","author":"Macr\u00ec","year":"2024","journal-title":"Materials (Basel)"},{"key":"B14","doi-asserted-by":"publisher","first-page":"100689","DOI":"10.1016\/j.apmt.2020.100689","article-title":"On the environmental impacts of 3D printing technology","volume":"20","author":"Khosravani","year":"2020","journal-title":"Appl Mater Today"},{"key":"B15","doi-asserted-by":"publisher","first-page":"173","DOI":"10.3390\/jfb16050173","article-title":"Do clear aligners release toxic chemicals?\u2014a systematic review","volume":"16","author":"Ferreira","year":"2025","journal-title":"J Funct Biomater"},{"key":"B16","doi-asserted-by":"publisher","first-page":"55","DOI":"10.4103\/jos.jos_211_23","article-title":"The new additive era of orthodontics: 3D-printed aligners and shape memory polymers\u2014the latest trend\u2014and their environmental implications","volume":"13","author":"Alkhamees","year":"2024","journal-title":"J Orthod Sci"},{"key":"B17","doi-asserted-by":"publisher","first-page":"7","DOI":"10.3390\/prosthesis7010007","article-title":"Dimensional accuracy of polyether elastomeric impression materials after using chitosan as a disinfectant: a sustainable approach to dental infection control","volume":"7","author":"Taymour","year":"2025","journal-title":"Prosthesis"},{"key":"B18","doi-asserted-by":"publisher","first-page":"194","DOI":"10.1016\/j.ejwf.2025.06.003","article-title":"Environmental footprints in orthodontics: the world federation of orthodontists' white paper on sustainable practices, challenges and research imperatives","volume":"14","author":"Eliades","year":"2025","journal-title":"J World Fed Orthod"},{"key":"B19","doi-asserted-by":"publisher","first-page":"1466","DOI":"10.1016\/j.prosdent.2023.05.024","article-title":"Environmental sustainability related to dental materials and procedures in prosthodontics: a critical review","volume":"133","author":"Shinkai","year":"2025","journal-title":"J Prosthet Dent"},{"key":"B20","doi-asserted-by":"publisher","first-page":"270","DOI":"10.1111\/jerd.12919","article-title":"Restoratively guided orthodontic treatment: the pre-orthodontic bonding concept","volume":"35","author":"Robbins","year":"2023","journal-title":"J Esthet Restor Dent"},{"key":"B21","doi-asserted-by":"publisher","first-page":"144","DOI":"10.12968\/aedu.2024.1.3.144","article-title":"Porcelain rehabilitation of the maxillary arch following clear aligner orthodontic treatment","volume":"1","author":"O'Neill","year":"2024","journal-title":"Aesthetic Update"},{"key":"B22","doi-asserted-by":"publisher","first-page":"671","DOI":"10.1186\/s12903-021-02034-9","article-title":"Five-to-five clear aligner therapy: predictable orthodontic movement for general dentist to achieve minimally invasive dentistry","volume":"21","author":"Weinstein","year":"2021","journal-title":"BMC Oral Health"},{"key":"B23","first-page":"84","article-title":"An interdisciplinary approach to restorative treatment with clear aligners","volume":"35","author":"Tai","year":"2020","journal-title":"J Cosmetic Dent"},{"key":"B24","doi-asserted-by":"publisher","first-page":"122702","DOI":"10.1016\/j.jenvman.2024.122702","article-title":"A comprehensive review on integrating sustainable practices and circular economy principles in concrete industry","volume":"370","author":"Barbhuiya","year":"2024","journal-title":"J Environ Manage"},{"key":"B25","doi-asserted-by":"publisher","first-page":"174445","DOI":"10.1016\/j.scitotenv.2024.174445","article-title":"Biodegradable biopolymers: real impact to environment pollution","volume":"947","author":"Pinaeva","year":"2024","journal-title":"Sci Total Environ"},{"key":"B26","doi-asserted-by":"publisher","first-page":"25","DOI":"10.1053\/j.sodo.2022.12.007","article-title":"3D printed aligners: material science, workflow and clinical applications","volume":"29","author":"Panayi","year":"2023","journal-title":"Semin Orthod"},{"key":"B27","doi-asserted-by":"publisher","first-page":"371","DOI":"10.3390\/polym16030371","article-title":"Advancements in clear aligner fabrication: a comprehensive review of direct-3D printing technologies","volume":"16","author":"Narongdej","year":"2024","journal-title":"Polymers (Basel)"},{"key":"B28","doi-asserted-by":"publisher","first-page":"17","DOI":"10.1186\/s40510-021-00363-7","article-title":"Patients' perceptions of orthodontic treatment experiences during COVID-19: a cross-sectional study","volume":"22","author":"Arqub","year":"2021","journal-title":"Prog Orthod"},{"key":"B29","doi-asserted-by":"publisher","first-page":"488","DOI":"10.1186\/s12903-024-04281-y","article-title":"Study on decision-making for orthodontic treatment plans based on analytic hierarchy process","volume":"24","author":"Ruan","year":"2024","journal-title":"BMC Oral Health"},{"key":"B30","doi-asserted-by":"publisher","first-page":"1113","DOI":"10.3390\/medicina61061113","article-title":"Scoping review\u2014the effectiveness of clear aligners in the management of anterior open bite in adult patients","volume":"61","author":"Olteanu","year":"2025","journal-title":"Medicina (B Aires)"},{"key":"B31","doi-asserted-by":"publisher","first-page":"37","DOI":"10.1186\/s40510-018-0235-z","article-title":"Clinical effectiveness of Invisalign\u00ae orthodontic treatment: a systematic review","volume":"19","author":"Papadimitriou","year":"2018","journal-title":"Prog Orthod"},{"key":"B32","doi-asserted-by":"publisher","first-page":"S457","DOI":"10.4103\/jpbs.jpbs_1424_24","article-title":"Assessment of patient-reported outcomes in the use of clear aligners compared to conventional fixed braces","volume":"17","author":"Subbaraju","year":"2025","journal-title":"J Pharm Bioallied Sci"},{"key":"B33","doi-asserted-by":"publisher","first-page":"4447","DOI":"10.3390\/su16114447","article-title":"Sustainable digital transformation for SMEs: a comprehensive framework for informed decision-making","volume":"16","author":"Mart\u00ednez-Pel\u00e1ez","year":"2024","journal-title":"Sustainability"},{"key":"B34","doi-asserted-by":"publisher","first-page":"160764","DOI":"10.1098\/rsos.160764","article-title":"Challenges and opportunities associated with waste management in India","volume":"4","author":"Kumar","year":"2017","journal-title":"R Soc Open Sci"},{"key":"B35","doi-asserted-by":"publisher","first-page":"e17306","DOI":"10.1016\/j.heliyon.2023.e17306","article-title":"Assessing the role of green economy on sustainable development in developing countries","volume":"9","author":"Houssam","year":"2023","journal-title":"Heliyon"},{"key":"B36","doi-asserted-by":"publisher","first-page":"e06313","DOI":"10.1016\/j.heliyon.2021.e06313","article-title":"Challenges and actions to the environmental management of bio-medical waste during COVID-19 pandemic in India","volume":"7","author":"Goswami","year":"2021","journal-title":"Heliyon"},{"key":"B37","doi-asserted-by":"publisher","first-page":"13345","DOI":"10.3390\/su151813345","article-title":"Environmental regulations and carbon emissions: the role of renewable energy research and development expenditures","volume":"15","author":"Tao","year":"2023","journal-title":"Sustainabiliy"},{"key":"B38","doi-asserted-by":"publisher","first-page":"100251","DOI":"10.1016\/j.fhj.2025.100251","article-title":"Global trends in sustainable healthcare research: a bibliometric analysis","volume":"12","author":"Nunes","year":"2025","journal-title":"Future Healthc J"},{"key":"B39","doi-asserted-by":"publisher","first-page":"31","DOI":"10.21037\/atm-25-57","article-title":"Climate change and environmental sustainability in emergency medicine: a narrative review","volume":"13","author":"Chua","year":"2025","journal-title":"Ann Transl Med"},{"key":"B40","doi-asserted-by":"publisher","first-page":"114145","DOI":"10.1016\/j.jbusres.2023.114145","article-title":"Reinvigorating research on sustainability reporting in the construction industry: a systematic review and future research agenda","volume":"167","author":"Kazemi","year":"2023","journal-title":"J Bus Res"},{"key":"B41","doi-asserted-by":"publisher","first-page":"04179","DOI":"10.7189\/jogh.14.04179","article-title":"Detection of microplastics in human tissues and organs: a scoping review","volume":"14","author":"Roslan","year":"2024","journal-title":"J Glob Health"},{"key":"B42","doi-asserted-by":"publisher","first-page":"7379","DOI":"10.3390\/su16177379","article-title":"Digitalization and digital applications in waste recycling: an integrative review","volume":"16","author":"Onur","year":"2024","journal-title":"Sustainability"},{"key":"B43","doi-asserted-by":"publisher","first-page":"1252","DOI":"10.1007\/s10924-020-01684-0","article-title":"Biodegradable nanocomposites developed from PLA\/PCL blends and silk fibroin nanoparticles: study on the microstructure, thermal behavior, crystallinity and performance","volume":"28","author":"Dadras Chomachayi","year":"2020","journal-title":"J Polym Environ"},{"key":"B44","doi-asserted-by":"publisher","first-page":"1261","DOI":"10.3390\/polym15051261","article-title":"Biodegradable polylactic acid-polyhydroxyalkanoate-based nanocomposites with bio-hydroxyapatite: preparation and characterization","volume":"15","author":"Injorhor","year":"2023","journal-title":"Polymers (Basel)"},{"key":"B45","doi-asserted-by":"publisher","first-page":"69","DOI":"10.1016\/j.wmb.2024.06.007","article-title":"Leveraging digital technologies for advancing circular economy practices and enhancing life cycle analysis: a systematic literature review","volume":"2","author":"Hariyani","year":"2024","journal-title":"Waste Manag Bull"},{"key":"B46","doi-asserted-by":"publisher","first-page":"343","DOI":"10.3390\/su16010343","article-title":"Promoting the transition to a circular economy: a study about behaviour, attitudes, and knowledge by university students in Portugal","volume":"16","author":"Alves","year":"2024","journal-title":"Sustainability"},{"key":"B47","doi-asserted-by":"publisher","first-page":"1047827","DOI":"10.3389\/fnut.2022.1047827","article-title":"An insight into bisphenol A, food exposure and its adverse effects on health: a review","volume":"9","author":"Manzoor","year":"2022","journal-title":"Front Nutr"},{"key":"B48","doi-asserted-by":"publisher","first-page":"2315","DOI":"10.3390\/pr13072315","article-title":"Innovations in manufacturing processes and systems for sustainable practices","volume":"13","author":"Campilho","year":"2025","journal-title":"Processes"},{"key":"B49","doi-asserted-by":"publisher","first-page":"21","DOI":"10.3390\/technologies12020021","article-title":"Energy efficiency in additive manufacturing. Condensed review","volume":"12","author":"Fidan","year":"2024","journal-title":"Technologies"},{"key":"B50","doi-asserted-by":"publisher","first-page":"173","DOI":"10.1016\/j.coche.2020.08.002","article-title":"A review of 3D printing techniques for environmental applications","volume":"28","author":"Nadagouda","year":"2020","journal-title":"Curr Opin Chem Eng"},{"key":"B51","doi-asserted-by":"publisher","first-page":"e01525","DOI":"10.1016\/j.susmat.2025.e01525","article-title":"Pioneering clean water solutions: how cutting-edge resin-based 3D printing is driving sustainable remediation","volume":"45","author":"Norman","year":"2025","journal-title":"Sustain Mater Technol"},{"key":"B52","article-title":"Microplastics in orthodontics: a review","volume":"16","author":"Mani","year":"2023","journal-title":"Guident"},{"key":"B53","doi-asserted-by":"publisher","first-page":"01035","DOI":"10.1051\/E3SCONF\/202130901035","article-title":"A critique on materials for orthodontic aligners through sustainable manufacturing","volume":"309","author":"Kilaru","year":"2021","journal-title":"E3S Web Conf"},{"key":"B54","doi-asserted-by":"publisher","first-page":"619","DOI":"10.1016\/j.ajodo.2021.12.012","article-title":"Are clear aligners environment friendly?","volume":"161","author":"Peter E","year":"2022","journal-title":"Am J Orthod Dentofac Orthop"},{"key":"B55","doi-asserted-by":"publisher","first-page":"186","DOI":"10.47750\/PNR.2022.13.S06.027","article-title":"Aligners- their properties and disposal","volume":"13","author":"Gupta","year":"2022","journal-title":"J Pharm Negat Results"},{"key":"B56","doi-asserted-by":"publisher","first-page":"16757","DOI":"10.3390\/SU152416757","article-title":"Sustainability in healthcare sector: the dental aligners case","volume":"15","author":"Caelli","year":"2023","journal-title":"Sustainability"},{"key":"B57","doi-asserted-by":"publisher","first-page":"cjae012","DOI":"10.1093\/EJO\/CJAE012","article-title":"Environmental sustainability of post-orthodontic dental retainers: a comparative life-cycle assessment of hawley and essix retainers","volume":"46","author":"Da Tan","year":"2024","journal-title":"Eur J Orthod"},{"key":"B58","doi-asserted-by":"publisher","first-page":"353","DOI":"10.1177\/03015742241264372","article-title":"Awareness regarding clear aligner disposal among orthodontists and general dentists: a cross-sectional survey-based study","volume":"58","author":"Raj","year":"2024","journal-title":"J Indian Orthod Soc"},{"key":"B59","author":"Leach","year":"2024"},{"key":"B60","doi-asserted-by":"publisher","first-page":"169","DOI":"10.1684\/ORTHODFR.2024.151","article-title":"Aligneurs: mise en perspective de la composition chimique, du recyclage, des propri\u00e9t\u00e9s m\u00e9caniques et des besoins th\u00e9rapeutiques \u2013 partie 1","volume":"95","author":"Lecocq","year":"2024","journal-title":"Orthod Fr"},{"key":"B61","doi-asserted-by":"publisher","first-page":"259","DOI":"10.1016\/J.EJWF.2024.10.001","article-title":"Microplastics and orthodontic aligners: the concerns arising from the modernization of practice through polymers and plastics","volume":"13","author":"Panayi","year":"2024","journal-title":"J World Fed Orthod"},{"key":"B62","doi-asserted-by":"publisher","first-page":"135563","DOI":"10.1016\/J.JHAZMAT.2024.135563","article-title":"Profusion of microplastics in dental healthcare units; morphological, polymer, and seasonal trends with hazardous consequences for humans","volume":"479","author":"Akhtar","year":"2024","journal-title":"J Hazard Mater"},{"key":"B63","doi-asserted-by":"publisher","first-page":"70","DOI":"10.25259\/APOS_34_2024","article-title":"The carbon emissions of clear aligner therapy: a critical review","volume":"14","author":"Veseli","year":"2024","journal-title":"APOS Trends in Orthod"},{"key":"B64","doi-asserted-by":"publisher","first-page":"881","DOI":"10.1039\/D3SU00364G","article-title":"The global burden of plastics in oral health: prospects for circularity, sustainable materials development and practice","volume":"2","author":"Ong","year":"2024","journal-title":"RSC Sustainability"},{"key":"B65","doi-asserted-by":"publisher","first-page":"3566","DOI":"10.3390\/POLYM16243566","article-title":"Towards green dentistry: evaluating the potential of 4D printing for sustainable orthodontic aligners with a reduced carbon footprint","volume":"16","author":"Palmieri","year":"2024","journal-title":"Polymers (Basel)"},{"key":"B66","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1038\/s41467-024-53489-7","article-title":"Viscoelastic and antimicrobial dental care bioplastic with recyclable life cycle","volume":"15","author":"Choi","year":"2024","journal-title":"Nat Commun"},{"key":"B67","doi-asserted-by":"publisher","first-page":"39","DOI":"10.1016\/j.ajodo.2024.08.011","article-title":"How environmentally friendly is the disposal of clear aligners? A gas chromatography-mass spectrometry study","volume":"167","author":"Peter","year":"2025","journal-title":"Am J Orthod Dentofac Orthop"},{"key":"B68","doi-asserted-by":"publisher","first-page":"e78809","DOI":"10.7759\/CUREUS.78809","article-title":"Eco-Conscious orthodontics: a greener approach to dental care","volume":"17","author":"Shrivastava","year":"2025","journal-title":"Cureus"},{"key":"B69","doi-asserted-by":"publisher","first-page":"256","DOI":"10.1016\/j.ajodo.2024.10.016","article-title":"Aligners from another perspective: could they be a long-term environmental threat? Problems and potential remedies","volume":"167","author":"Camc\u0131","year":"2025","journal-title":"Am J Orthod Dentofac Orthop"},{"key":"B70","author":"Manochehri","year":"2025"},{"key":"B71","first-page":"367","article-title":"An overview on environmental hazards of clear aligners","volume":"23","author":"Gandhi","year":"2023","journal-title":"Int J Chem Biochem Sci"}],"container-title":["Frontiers in Oral Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/froh.2026.1854402\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T05:34:37Z","timestamp":1782970477000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/froh.2026.1854402\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,2]]},"references-count":71,"alternative-id":["10.3389\/froh.2026.1854402"],"URL":"https:\/\/doi.org\/10.3389\/froh.2026.1854402","relation":{},"ISSN":["2673-4842"],"issn-type":[{"value":"2673-4842","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,2]]},"article-number":"1854402"}}