Rheological and Structural Evaluation of Dental Flowable Composites for Optimized Performance in Transparent Aligner...

Clear aligner therapy (CAT) increasingly relies on composite-based attachments to improve force transmission and aligner retention, yet the role of flowable composite properties in clinical performance remains poorly understood. In this study, five commercially available flowable composites used for orthodontic attachments-Aligner FLOW LC, SIMPLY SHADE, SOFT ENA Flow, TETRIC EvoFlow, and VENUS Bulk Flow One-were comparatively investigated through physicochemical, morphological, optical, thermal, and rheological characterization. Scanning electron microscopy coupled with energy-dispersive X-ray analysis, thermogravimetric analysis, UV-Vis-NIR and ATR-FTIR spectroscopy, and rheological measurements before and after curing were employed to probe composition, filler content, viscoelastic behavior, and mechanical response. The results revealed marked differences among the investigated materials, with post-curing storage modulus spanning nearly two orders of magnitude, from 0.06 MPa for SOFT ENA Flow to approximately 5 MPa for SIMPLY SHADE. Similarly, the elastic modulus ranged from about 20 MPa to nearly 1000 MPa for the softest and stiffest resins, respectively. Interestingly, SOFT ENA Flow, the softest material after curing, also exhibited the highest pre-curing viscosity, nearly one order of magnitude greater than the least viscous resin, Aligner FLOW LC. These findings highlight an intrinsic trade-off between pre-cure processability and post-cure mechanical stability, providing a rational framework for material selection in orthodontic attachments and supporting more predictable and durable CAT outcomes.