Relapse and Failure Rates Between CAD/CAM and Conventional Fixed Retainers
Primary Purpose
Relapse
Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Computer Aided Design/ Computer Aided Manufacturing Retainers
Lab-based Retainers
Chairside Retainers
Sponsored by

About this trial
This is an interventional treatment trial for Relapse
Eligibility Criteria
Inclusion Criteria: completion of comprehensive orthodontic treatment class I molar and canine relationships indication for a fixed retainer on the mandibular anterior teeth. no extractions done as part of their treatment. Treatment with preadjusted edgewise appliance. Exclusion Criteria: refusal to participate refusal to have fixed retainers poor oral hygiene non-compliance
Sites / Locations
- Saint Louis University
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm Type
Experimental
Active Comparator
Active Comparator
Arm Label
CAD/CAM group
Lab group
Chairside group
Arm Description
Outcomes
Primary Outcome Measures
Change in intercanine width (ICW)
ICW was measured on the Meshlab software using the 3D ruler measurement tool. Pre-treatment, post-treatment, and post-retention measures were recorded and any change in the ICW was considered relapse.
Change in Little's Irregularity Index (LII)
ICW was measured on the Meshlab software using the 3D ruler measurement tool. Pre-treatment, post-treatment, and post-retention measures were recorded and any change in the LII was considered relapse.
Secondary Outcome Measures
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT05915273
Brief Title
Relapse and Failure Rates Between CAD/CAM and Conventional Fixed Retainers
Official Title
Relapse and Failure Rates Between CAD/CAM and Conventional Fixed Retainers: A 2-year Follow-up of a Randomized Controlled Clinical Trial
Study Type
Interventional
2. Study Status
Record Verification Date
June 2023
Overall Recruitment Status
Completed
Study Start Date
September 1, 2019 (Actual)
Primary Completion Date
September 1, 2022 (Actual)
Study Completion Date
September 30, 2022 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor-Investigator
Name of the Sponsor
Nourhan M.Aly
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
5. Study Description
Brief Summary
The aim of this study was to compare the differences in relapse and failure rates in patients treated with fixed retainers (FRs) using Computer-Aided Design/Computer-Aided Manufacturing technology, lab-based technique, and chairside method.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Relapse
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
43 (Actual)
8. Arms, Groups, and Interventions
Arm Title
CAD/CAM group
Arm Type
Experimental
Arm Title
Lab group
Arm Type
Active Comparator
Arm Title
Chairside group
Arm Type
Active Comparator
Intervention Type
Other
Intervention Name(s)
Computer Aided Design/ Computer Aided Manufacturing Retainers
Other Intervention Name(s)
CAD/CAM
Intervention Description
Custom-bent fixed retainer wires from an in-office CAD/CAM system with FixR software and the BenderI machine (YOAT Corporation, Lynwood, WA). Dentaflex wires- round, 0.5mm in diameter, three-stranded Stainless Steel (Dentaurum GmbH & Co., Ispringen, Germany)- were used for the CAD/CAM group
Intervention Type
Other
Intervention Name(s)
Lab-based Retainers
Intervention Description
The lab group used the same type of wire as the CAD/CAM group but was manually bent by a lab technician
Intervention Type
Other
Intervention Name(s)
Chairside Retainers
Intervention Description
The chairside group used three-stranded Stainless Steel, 0.974mm x 0.402 mm, flexible Ortho-FlexTech wires (Reliance, Itasca, IL)
Primary Outcome Measure Information:
Title
Change in intercanine width (ICW)
Description
ICW was measured on the Meshlab software using the 3D ruler measurement tool. Pre-treatment, post-treatment, and post-retention measures were recorded and any change in the ICW was considered relapse.
Time Frame
2 years
Title
Change in Little's Irregularity Index (LII)
Description
ICW was measured on the Meshlab software using the 3D ruler measurement tool. Pre-treatment, post-treatment, and post-retention measures were recorded and any change in the LII was considered relapse.
Time Frame
2 years
10. Eligibility
Sex
All
Minimum Age & Unit of Time
13 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
completion of comprehensive orthodontic treatment
class I molar and canine relationships
indication for a fixed retainer on the mandibular anterior teeth.
no extractions done as part of their treatment.
Treatment with preadjusted edgewise appliance.
Exclusion Criteria:
refusal to participate
refusal to have fixed retainers
poor oral hygiene
non-compliance
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Giau Tran
Organizational Affiliation
Department of Orthodontics, Saint Louis University, Saint Louis, MO, USA.
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Ryan Rucker
Organizational Affiliation
Department of Orthodontics, Saint Louis University, Saint Louis, MO, USA.
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Patrick Foley, PhD
Organizational Affiliation
Department of Orthodontics, Saint Louis University, Saint Louis, MO, USA.
Official's Role
Study Chair
First Name & Middle Initial & Last Name & Degree
Brent Bankhead
Organizational Affiliation
Department of Orthodontics, Saint Louis University, Saint Louis, MO, USA.
Official's Role
Study Chair
First Name & Middle Initial & Last Name & Degree
Samar M Adel, PhD
Organizational Affiliation
Alexandria University
Official's Role
Study Director
First Name & Middle Initial & Last Name & Degree
Ki B Kim
Organizational Affiliation
Department of Orthodontics, Saint Louis University, Saint Louis, MO, USA.
Official's Role
Study Director
Facility Information:
Facility Name
Saint Louis University
City
Saint Louis
State/Province
Missouri
ZIP/Postal Code
63104
Country
United States
12. IPD Sharing Statement
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Relapse and Failure Rates Between CAD/CAM and Conventional Fixed Retainers
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