Clinical Effectiveness of Cobalt Chromium CAD-CAM Designed Customized Lingual Retainer

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age12-25
SponsorUniversity of Baghdad

About this trial

This study aims to evaluate the clinical effectiveness of CAD/CAM 3D printed Chrome Cobalt fixed retainer in maintaining mandibular anterior teeth stability.

The Research Question; "Does the Cobalt-Chromium CAD/CAM designed customized lingual retainer better than Stainless steel lingual retainer in improving tooth stability after orthodontic treatment?" The null hypothesis "There is no differences between the fixed CAD/CAM 3D printed Chrome Cobalt customized retainer and the multi-stranded stainless-steel fixed retainer in maintaining mandibular anterior teeth stability."

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Completion of a course of fixed appliance therapy.

with a satisfactory correction of malocclusion and dental alignment.

Class I canine relationship based on Andrew's criteria for finishing.

Patients with a history of constant oral hygiene measures daily.

Disqualifiers

Patients with a deep overbite

Patients with traumatic parafunctional habits such as bruxism and clenching.

Patients with carious, restored, fractured, or missing lower anterior teeth.

Patients with medical health problems that may influence gingival health, like uncontrolled type II diabetic patients.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Stainless steel fixed retainer

    Device

    The Stainless steel fixed orthodontic retainer is fabricated from a 0.0215-inch, five-stranded stainless steel wire

  • 3D printed CAD/CAM Chrome cobalt fixed lingual retainers

    Device

    CAD/CAM Chrome cobalt retainers; will be digitally designed by the dental technician using EXOCAD software. Then, they will be printed by DMP Flex100 metal 3D printer and then will be polished. Also, a projection like extensions will be added at the ends of the retainers to avoid slippage in addition to gingivally directed V notch shaped bend in the retainer to increase the retention in the anterior region

Treatment groups

42 Participants
are divided into 2 treatment groups
Group A: CAD/CAM 3D Printed Chrome Cobalt Fixed Retainers groupActive comparator 1 intervention
Group B: Stainless steel Fixed Retainer groupActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Evaluate the effectiveness of CAD/CAM 3D printed Chrome Cobalt fixed retainers

Evaluate the effectiveness of CAD/CAM 3D printed Chrome Cobalt fixed retainers a in term of post-treatment stability of mandibular anterior teeth over a 6-month period by using Little's Irregularity Index. Post-treatment changes in millimeters will be defined as change in labial segment alignment.

Time frame
from 1st day of retainer insertion to the last of initial (first ) 6 months of retention

Secondary outcomes

1

Retainer survival

Time frame
from 1st day of retainer insertion to the last of initial (first ) 6 months of retention
2

Patient satisfaction

the patient experience with the new retainer will be evaluated through the Visual Analogue Scale regarding comfort/satisfaction with the Fixed retainers. There will be five questions relating to how comfortable he/she finds the retainers and how they affect the daily life. Each question must be answered by number from 0 to 100; The left side represents 0 = complete satisfaction/comfort The right side represents 100 = complete discomfort/unsatisfaction

Time frame
after 3 months of retainer insertion to the last of initial (first ) 6 months of retention
3

inter-canine width

the distance between cusp tips of right and left mandibular canines in millimeters.

Time frame
from 1st day of retainer insertion to the last of initial (first ) 6 months of retention
4

The pattern of wire failure

The pattern of failure will be recorded: the wire-composite interface; the enamel-composite interface; wire fracture; or complete detachment from all teeth

Time frame
from 1st day of retainer insertion to the last of initial (first ) 6 months of retention

Other outcomes

Sponsors and contacts

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This trial is not recruiting at the moment. You can still explore other options: