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May 28, 2026International Journal of Dentistry2 citationsOpen Access

Microplastics Release From Clear Aligners: A Scoping Review of Current Evidence, Health Implications, and Policy Directions

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CVChristal VargheseManipal Academy of Higher EducationSSShravan ShettyManipal Academy of Higher EducationMAM. V. AshithManipal Academy of Higher Education

Key Points

  • The aim is to explore the research surrounding microplastics released from orthodontic clear aligners and their potential health implications.
  • Conducted a scoping review to assess existing literature on microplastics in clear aligners.
  • Utilized a three-stage search strategy across multiple databases including PubMed and Scopus.
  • Reviewed 638 articles, narrowing to 10 studies demonstrating the presence of microplastics.
  • Six articles confirmed the presence of microplastics in clear aligners during use.
  • The review identified a lack of comprehensive research on the health risks associated with these microplastics.
  • There is a call for further in vivo studies and development of safer materials.

Abstract

Background Despite the dramatic increase in the use of orthodontic clear aligners in recent years, little is known about the presence of microplastics (MP) and their impact on human health. Through a scoping review study, we hope to map out the worldwide research on this intriguing topic of MP in orthodontic clear aligners. Methods The eligibility of both published and unpublished articles was determined using a three‐stage search strategy suggested by the Joanna Briggs Institute. The databases PubMed, Scopus, Embase, and Web of Science were thoroughly searched. Only publications in English language were taken into consideration for the study, which included research done worldwide during the previous 10 years to February 2025. At any stage of the selection process, disagreements between the two reviewers over whether to include an article were settled by debate and consultation with a third reviewer. The gathered data was shown using a narrative summary and a PRISMA ScR checklist. This gave an overview of the most recent data about MP in clear aligners. Results Literature search resulted in 638 articles out of which 250 duplicates were removed. Three hundred and eighty‐eight articles were screened for titles and abstracts out of which full text screening of 10 studies were done, and six articles proved the presence and the role of MP in Clear Aligners. Gray literature was also included in the scoping review. Conclusion It can be concluded that although there is already evidence that transparent aligners release MP when in use, it is still unknown how much of a health danger they present. To solve these issues, more extensive in vivo research and the production of sustainable, safer materials and other policies are required.

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Cite This Study

Varghese et al. (2026) studied this question.

synapsesocial.com/papers/6a17dcbb3fad632b0f9d9719https://doi.org/10.1155/ijod/6702035
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