NCT03844425

Brief Summary

Vacuum-formed retainers are clear or transparent retainers, that hold the teeth in the new position after active orthodontic treatment. These custom made appliances are becoming popular these days due to the aesthetics value among patients. Vacuum-formed retainers can be made through a process that softens the clear plastic and vacuumed to follow the shape of the dental model before it cools off and hardens again. These dental models can be made from conventional method or through a 3D reconstruction process. Recently, it was found that there is no difference in terms of stability of the teeth and oral health related quality of life of the patients wearing vacuum-formed retainers constructed on either types of models. Physically, the surface roughness of the retainers appear different because the conventional models and 3D printed models are constructed in a different manner. Our interest is to determine whether the difference in surface roughness would affect microbial colonisation which can eventually affect the oral health. So this study aims to find the association between microbial colonisation and surface roughness of vacuum-formed retainers constructed on conventional models and also 3D reconstructed models.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
36

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Dec 2019

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

February 14, 2019

Completed
4 days until next milestone

First Posted

Study publicly available on registry

February 18, 2019

Completed
10 months until next milestone

Study Start

First participant enrolled

December 2, 2019

Completed
1.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 10, 2021

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

April 10, 2021

Completed
Last Updated

May 26, 2021

Status Verified

May 1, 2021

Enrollment Period

1.4 years

First QC Date

February 14, 2019

Last Update Submit

May 23, 2021

Conditions

Keywords

Orthodontic RetainersPrinting, Three-DimensionalColony Count, Microbial

Outcome Measures

Primary Outcomes (1)

  • Microbial Colonisation On Vacuum-Formed Retainers

    Microbial colony count on the vacuum-formed retainers constructed on conventional models \& 3D reconstructed models. The vacuum-formed retainers that are collected from the patients will be placed in BHI media and then undergo the process of sonication, which will produce the bacteria suspension. This bacteria suspension will then be cultured in an agar plate with BHI media and incubated for 18 - 24 hours. The total colony per count will then be counted and recorded.

    6 months

Secondary Outcomes (1)

  • Surface Roughness Of Vacuum-Formed Retainers

    6 months

Other Outcomes (1)

  • Patient's Compliance In Wearing Vacuum-Formed Retainers

    6 months

Study Arms (3)

Conventional Vacuum-Formed Retainers

ACTIVE COMPARATOR

Vacuum-formed retainers constructed on conventional stone models.

Device: Conventional VFR

Vacuum-Formed Retainers From SLA

EXPERIMENTAL

Vacuum-formed retainers constructed on 3D reconstructed models using stereolitography (SLA) technique.

Device: VFR from SLA

Vacuum-Formed Retainers From FDM

EXPERIMENTAL

Vacuum-formed retainers constructed on 3D reconstructed models using fused deposition modeling technique (FDM).

Device: VFR from FDM

Interventions

Conventional retainers

Conventional Vacuum-Formed Retainers

SLA has better finishing compared to FDM but it is more expensive.

Vacuum-Formed Retainers From SLA

FDM has poorer finishing compared to SLA but it is cheaper.

Vacuum-Formed Retainers From FDM

Eligibility Criteria

Sexall
Healthy VolunteersYes
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • i. Fixed appliance on upper and lower arches ii. About to debond iii. Planned for vacuum-formed retainers for retention iv. Non smoking patients v. No systemic disease

You may not qualify if:

  • i. Undergoing sectional fixed appliance / single arch treatment ii. Indicated for double retention regime with bonded retainers iii. Patient with smoking habit iv. Any systemic disease that may affect the salivary flow v. History of use of antimicrobial mouthwash less than 1 month prior to debond

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Postgraduate Orthodontic Clinic, Faculty Of Dentistry, University Of Malaya

Kuala Lumpur, 50603, Malaysia

Location

Related Publications (18)

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    PMID: 18460676BACKGROUND
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    PMID: 28459285BACKGROUND
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    PMID: 24373661BACKGROUND
  • Hibino K, Wong RW, Hagg U, Samaranayake LP. The effects of orthodontic appliances on Candida in the human mouth. Int J Paediatr Dent. 2009 Sep;19(5):301-8. doi: 10.1111/j.1365-263X.2009.00988.x. Epub 2009 Apr 16.

    PMID: 19486368BACKGROUND
  • Hichens L, Rowland H, Williams A, Hollinghurst S, Ewings P, Clark S, Ireland A, Sandy J. Cost-effectiveness and patient satisfaction: Hawley and vacuum-formed retainers. Eur J Orthod. 2007 Aug;29(4):372-8. doi: 10.1093/ejo/cjm039.

    PMID: 17702797BACKGROUND
  • Kasparova M, Grafova L, Dvorak P, Dostalova T, Prochazka A, Eliasova H, Prusa J, Kakawand S. Possibility of reconstruction of dental plaster cast from 3D digital study models. Biomed Eng Online. 2013 May 31;12:49. doi: 10.1186/1475-925X-12-49.

    PMID: 23721330BACKGROUND
  • Keating AP, Knox J, Bibb R, Zhurov AI. A comparison of plaster, digital and reconstructed study model accuracy. J Orthod. 2008 Sep;35(3):191-201; discussion 175. doi: 10.1179/146531207225022626.

    PMID: 18809782BACKGROUND
  • Kim GB, Lee S, Kim H, Yang DH, Kim YH, Kyung YS, Kim CS, Choi SH, Kim BJ, Ha H, Kwon SU, Kim N. Three-Dimensional Printing: Basic Principles and Applications in Medicine and Radiology. Korean J Radiol. 2016 Mar-Apr;17(2):182-97. doi: 10.3348/kjr.2016.17.2.182. Epub 2016 Mar 2.

    PMID: 26957903BACKGROUND
  • Low B, Lee W, Seneviratne CJ, Samaranayake LP, Hagg U. Ultrastructure and morphology of biofilms on thermoplastic orthodontic appliances in 'fast' and 'slow' plaque formers. Eur J Orthod. 2011 Oct;33(5):577-83. doi: 10.1093/ejo/cjq126. Epub 2010 Dec 27.

    PMID: 21187528BACKGROUND
  • Mamai-Homata E, Koletsi-Kounari H, Margaritis V. Gender differences in oral health status and behavior of Greek dental students: A meta-analysis of 1981, 2000, and 2010 data. J Int Soc Prev Community Dent. 2016 Jan-Feb;6(1):60-8. doi: 10.4103/2231-0762.175411.

    PMID: 27011935BACKGROUND
  • Marsh PD. The role of microbiology in models of dental caries. Adv Dent Res. 1995 Nov;9(3):244-54; discussion 255-69. doi: 10.1177/08959374950090030901.

    PMID: 8615947BACKGROUND
  • Quirynen M, Marechal M, Busscher HJ, Weerkamp AH, Darius PL, van Steenberghe D. The influence of surface free energy and surface roughness on early plaque formation. An in vivo study in man. J Clin Periodontol. 1990 Mar;17(3):138-44. doi: 10.1111/j.1600-051x.1990.tb01077.x.

    PMID: 2319000BACKGROUND
  • Thickett E, Power S. A randomized clinical trial of thermoplastic retainer wear. Eur J Orthod. 2010 Feb;32(1):1-5. doi: 10.1093/ejo/cjp061. Epub 2009 Oct 14.

    PMID: 19828592BACKGROUND
  • Turkoz C, Canigur Bavbek N, Kale Varlik S, Akca G. Influence of thermoplastic retainers on Streptococcus mutans and Lactobacillus adhesion. Am J Orthod Dentofacial Orthop. 2012 May;141(5):598-603. doi: 10.1016/j.ajodo.2011.11.021.

    PMID: 22554754BACKGROUND
  • Wan Hassan WN, Yusoff Y, Mardi NA. Comparison of reconstructed rapid prototyping models produced by 3-dimensional printing and conventional stone models with different degrees of crowding. Am J Orthod Dentofacial Orthop. 2017 Jan;151(1):209-218. doi: 10.1016/j.ajodo.2016.08.019.

    PMID: 28024776BACKGROUND
  • Yitschaky O, Katorza A, Zini A, Yitschaky M, Zadik Y. Acrylic orthodontic retainer is not a risk factor for focal Candida colonization in young healthy patients: a pilot study. Oral Surg Oral Med Oral Pathol Oral Radiol. 2016 Jan;121(1):39-42. doi: 10.1016/j.oooo.2015.10.001. Epub 2015 Oct 22.

    PMID: 26679358BACKGROUND
  • Belayutham S, Wan Hassan WN, Razak FA, Mohd Tahir NNZ. Microbial adherence on vacuum-formed retainers with different surface roughness as constructed from conventional stone models and 3D printed models: a randomized controlled clinical trial. Clin Oral Investig. 2023 Jun;27(6):3245-3259. doi: 10.1007/s00784-023-04940-4. Epub 2023 Mar 22.

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
INVESTIGATOR
Masking Details
Investigator will be masked with the randomization sequance \& allocation.
Purpose
SCREENING
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Associate Professor, Department Of Paediatric Dentistry & Orthodontics, Faculty Of Dentistry

Study Record Dates

First Submitted

February 14, 2019

First Posted

February 18, 2019

Study Start

December 2, 2019

Primary Completion

April 10, 2021

Study Completion

April 10, 2021

Last Updated

May 26, 2021

Record last verified: 2021-05

Data Sharing

IPD Sharing
Will not share

Locations