3D-Printed vs Conventional Fixed Retainers After Orthodontic Treatment

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age21-35
SponsorMinia University

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 volunteers

Qualifiers

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

Design model

Parallel

Treatments tested in this trial

  • Conventional Multistranded Stainless Steel Fixed Retainer

    Device

    Conventional 0.0215-inch six-stranded stainless steel bonded fixed retainer.

  • 3D-Printed Cobalt-Chromium Fixed Retainer

    Device

    Customized 3D-printed cobalt-chromium bonded fixed retainer fabricated from intraoral scans.

  • 3D-Printed Titanium Fixed Retainer

    Device

    Customized 3D-printed titanium (Ti-6Al-4V) bonded fixed retainer fabricated from intraoral scans.

Treatment groups

36 Participants
are divided into 3 treatment groups
Group A: Conventional Stainless Steel Fixed RetainerExperimental treatment 1 intervention
Group B: 3D-Printed Cobalt-Chromium Fixed RetainerExperimental treatment 1 intervention
Group C: 3D-Printed Titanium Fixed RetainerExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

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.

Time frame
12 months

Secondary outcomes

1

Retainer failure rate

Assessment of the failure rate of conventional stainless steel, 3D-printed cobalt-chromium, and 3D-printed titanium fixed retainers.

Time frame
12 months
2

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.

Time frame
12 months
3

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.

Time frame
12 months
4

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.

Time frame
12 months

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

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