How Often Should We See Our Orthodontic Patients
The Effect of Different Appointment Intervals on Treatment Time in Patients Receiving Orthodontic Treatment With Fixed Appliances
1 other identifier
interventional
100
1 country
1
Brief Summary
Fixed orthodontic braces are routinely used to straighten teeth and correct the bite of individuals. Once the braces are fit, the patient is recalled every few weeks to adjust or tighten the brace. Although convention states that the patient returns every 6-8 weeks to have the brace adjusted, there is no consensus or evidence to support a specific timeframe. Indeed some orthodontist see their patients as frequently as every 4 weeks and others as long as every 10 weeks. The aim of this investigation is to determine whether the amount of time between brace adjustment appointments has an effect on the overall treatment time. Knowing which appointment interval will lead to the shortest overall treatment time will be of benefit to patients as prolonged orthodontic treatment may be associated with an increased incidence of adverse effects associated with orthodontic treatment. Patients who are to be treated with fixed orthodontic braces at will be invited to take part in the study. Consenting subjects will be randomly allocated into one of four groups. The first will be seen to adjust their brace every 4 weeks, the second group every 6 weeks, the third group every 8 weeks and the fourth group every 10 weeks. The primary outcome measure is the total treatment time. The mean treatment time of each of the four groups will be compared to establish whether or not treatment appointment intervals affects treatment time. Secondary outcome measures will include difference in number of appointments required throughout the course of treatment between groups, differences in treatment outcomes, differences in patient compliance.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Sep 2016
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
September 1, 2016
CompletedFirst Submitted
Initial submission to the registry
September 27, 2016
CompletedFirst Posted
Study publicly available on registry
September 28, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2021
CompletedStudy Completion
Last participant's last visit for all outcomes
August 1, 2022
CompletedSeptember 2, 2021
September 1, 2020
5.3 years
September 27, 2016
September 1, 2021
Conditions
Outcome Measures
Primary Outcomes (1)
Total Treatment Time
Time between fitting braces and removing braces
2 years
Secondary Outcomes (3)
Number of appointments needed
2 years
Patient compliance survey
2 years
Treatment Outcome
2 years
Study Arms (4)
4 week interval
EXPERIMENTALPatients will be seen every 4 weeks to adjust their orthodontic braces
6 week interval
EXPERIMENTALPatients will be seen every 6 weeks to adjust their orthodontic braces
8 week interval
EXPERIMENTALPatients will be seen every 8 weeks to adjust their orthodontic braces
10 week interval
EXPERIMENTALPatients will be seen every 10 weeks to adjust their orthodontic braces
Interventions
Eligibility Criteria
You may qualify if:
- Children who are to be treated with upper and lower fixed orthodontic appliances
- Aged between 10 and 18 years old at start of treatment
- Consent to participating in trial
You may not qualify if:
- Patients requiring functional orthodontic appliances
- Presence of unerupted impacted teeth
- Presence of deciduous teeth
- Hypodontia excluding absent third molars
- Any craniofacial anomalies
- Medical contraindications
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Grosvenor House Orthodontic Practice
Royal Tunbridge Wells, Kent, TN1 2DU, United Kingdom
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 27, 2016
First Posted
September 28, 2016
Study Start
September 1, 2016
Primary Completion
December 1, 2021
Study Completion
August 1, 2022
Last Updated
September 2, 2021
Record last verified: 2020-09