Three-dimensionally Printed Hyrax Versus Conventional Hyrax for Maxillary Arch Expansion in Adolescents

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age12-17
SponsorAin Shams University

About this trial

This clinical trial aims to compare the skeletal and dental effects of conventional Hyrax expanders and 3D-printed Hyrax expanders in adolescent patients with maxillary transverse deficiency. Using cone-beam computed tomography (CBCT) and digital models, the study evaluates the precision, customization, and treatment outcomes of both appliance types to inform evidence-based orthodontic treatment planning.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Patients aged between 12 to 17 years.

Skeletal age ranges from CVMS 3 to CVMS 5.

Skeletal maxillary transverse deficiency with/without crossbite.

Cooperative and able to attend follow-up visits.

Disqualifiers

Previous orthodontic treatment.

Craniofacial syndromes, or cleft lip and/or palate.

Patients with vertical growth pattern.

Very bad oral hygiene and active periodontal disease.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Three dimensionally printed hyrax expander

    Device

    Group A : A 3D-printed Hyrax expander designed for rapid maxillary expansion in orthodontic treatment. The device is manufactured using additive manufacturing technology for a customized fit.

  • Conventionally Fabricated Hyrax Expander

    Device

    Group B: A conventionally fabricated Hyrax expander used for rapid maxillary expansion . The device is made using traditional laboratory techniques.

Treatment groups

22 Participants
are divided into 2 treatment groups
Group A: Group A: 3D-Printed Hyrax ExpanderExperimental treatment 1 intervention
Group B: Group B: Conventionally Fabricated Hyrax ExpanderActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Amount of mid-palatal suture opening.

The amount of suture separation measured in millimeters in the axial plane through CBCT X-ray

Time frame
Three weeks

Secondary outcomes

1

Amount of dental expansion

Dental expansion will be measured as changes in inter-canine width and intermolar width (in millimeters) on digital dental models.

Time frame
Three weeks
2

The amount of tipping of maxillary molars and premolars.

Buccolingual tipping of maxillary molars and premolars will be quantified as angular changes measured on CBCT by comparing pre-expansion and post-expansion images.

Time frame
Three weeks
3

Change of buccal alveolar bone thickness.

Changes in buccal alveolar bone thickness in millimeters will be measured on pre-expansion and post-expansion CBCT scans.

Time frame
Three weeks
4

Pain assessment

Evaluating the pain experienced during the active expansion phase using the Visual Analogue Scale (VAS; 0-100 mm), where 0 mm represents no pain and 100 mm represents the worst imaginable pain; the higher the value in the VAS scale, the more severe the pain.

Time frame
Three weeks

Other outcomes

Sponsors and contacts

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