About this trial
This randomized clinical trial aims to compare the clinical performance of two types of three-dimensionally printed fixed retainers (Cobalt-Chromium and Titanium Grade 5) with the conventional multistranded stainless steel fixed retainer following orthodontic treatment. Thirty-six participants will be randomly allocated into three parallel groups with a 1:1:1 allocation ratio. The primary outcome is post-treatment stability assessed by Little's Irregularity Index and lower arch dimensions. Secondary outcomes include bond failure rate and periodontal parameters over a 12-month follow-up period.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Age range 21-35 years old after finishing orthodontic treatment.
Presence of all maxillary and mandibular anterior teeth with normal shape and size.
Completion of orthodontic treatment with full fixed appliances.
Disqualifiers
Patients with cleft lip and/or palate or any other craniofacial syndrome
Patients with compromised oral hygiene or periodontal disease
Patients who had orthognathic surgery
Lingual appliance treatments
Trial design
Parallel
Treatments tested in this trial
Conventional Multistranded Stainless Steel Fixed Retainer
DeviceConventional 0.0215-inch six-stranded stainless steel bonded fixed retainer.
3D-Printed Cobalt-Chromium Fixed Retainer
DeviceCustomized 3D-printed cobalt-chromium bonded fixed retainer fabricated from intraoral scans.
3D-Printed Titanium Fixed Retainer
DeviceCustomized 3D-printed titanium (Ti-6Al-4V) bonded fixed retainer fabricated from intraoral scans.
Treatment groups
Trial outcomes
Primary outcomes
Orthodontic stability assessed using Little's Irregularity Index
Orthodontic stability will be assessed using Little's Irregularity Index on digital models. The Little's Irregularity Index ranges from 0 mm to higher positive values. A score of 0 mm indicates perfect alignment. Higher scores indicate greater relapse, whereas lower scores indicate better orthodontic stability.
Secondary outcomes
Retainer failure rate
Assessment of the failure rate of conventional stainless steel, 3D-printed cobalt-chromium, and 3D-printed titanium fixed retainers.
Plaque Index (Silness and Löe Plaque Index)
Dental plaque accumulation will be assessed using the Silness and Löe Plaque Index, which is scored from 0 to 3: 0: No plaque 1. A film of plaque detectable by probe 2. Moderate plaque accumulation 3. Abundant plaque accumulation Lower scores indicate better oral hygiene.
Gingival Index (Löe and Silness Gingival Index)
Gingival inflammation will be assessed using the Löe and Silness Gingival Index, which is scored from 0 to 3: 0: Normal gingiva 1. Mild inflammation 2. Moderate inflammation 3. Severe inflammation Lower scores indicate better gingival health.
Bleeding on Probing (BOP)
Assessment of bleeding on probing as an indicator of gingival inflammation. Bleeding on probing will be assessed as the percentage of bleeding sites (0-100%). Lower percentages indicate better periodontal health.
Locations
Sponsors and contacts
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