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Clinical Trial Details — Status: Active, not recruiting

Administrative data

NCT number NCT05398328
Other study ID # 2107-57-006-20-1
Secondary ID
Status Active, not recruiting
Phase Phase 3
First received
Last updated
Start date November 1, 2021
Est. completion date March 1, 2026

Study information

Verified date December 2023
Source University of Rijeka
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The study will monitor changes induced by orthodontic treatment and in the retention period, two years after the end of orthodontic treatment. The alignment of teeth, hygiene and gingiva will be assessed. Efficiency of two types of fixed appliances in active phase will be compared - esthetic and metal. Efficiency of two types of retention appliances in retention phase will be compared - fixed and removable. The benefits of orthodontic treatment to be studied are aesthetic concerns, dental self-confidence, self-esteem, social contacts, psychological influences, and chewing limitation. The stability of personality traits, body image and perfectionism will also be analyzed, as well as the extent to which these dimensions modify the reporting of psychosocial effects of malocclusion treatment.


Description:

The aim is to analyze: 1. the extent to which the type of device (metal / aesthetic) affects changes in quality of life (QoL) 2. whether the change in QoL is influenced by personality traits during therapy 3. long-term change in QoL and personality traits (before therapy, during, at the end and in retention for 2 years) 4. whether long-term QoL change is influenced by personality traits 5. dependence of relapse (incidence and intensity) on the type of retention appliance 6. change in QoL and personality trait depending on relapse 7. whether the change in QoL due to relapse is influenced by personality traits


Recruitment information / eligibility

Status Active, not recruiting
Enrollment 120
Est. completion date March 1, 2026
Est. primary completion date January 1, 2026
Accepts healthy volunteers No
Gender All
Age group 13 Years to 18 Years
Eligibility Inclusion Criteria: - malocclusion with moderate or great need for orthodontic treatment (Index of Orthodontic Treatment Need grades >=3) Exclusion Criteria: - neurodevelopmental disorders, intellectual disability, oligodontia, congenital craniofacial anomalies, orofacial clefts

Study Design


Related Conditions & MeSH terms


Intervention

Device:
active metal appliance
fixed metal labial orthodontic appliance MBT 0.022'' slot
active esthetic appliance
fixed ceramic labial orthodontic appliance MBT 0.022'' slot
Combination Product:
retention fixed appliance
fixed lingual metal retention appliance
retention removable appliance
removable clear termoplastic retention appliance

Locations

Country Name City State
Croatia University of Rijeka, Faculty of Dental Medicine Rijeka

Sponsors (1)

Lead Sponsor Collaborator
University of Rijeka

Country where clinical trial is conducted

Croatia, 

Outcome

Type Measure Description Time frame Safety issue
Primary irregularity of teeth Little Irregularity Index - sum of displacement of contact points of frontal teeth (range 0-10 mm), higher score mean worse outcome 48 months (start, 3 months, 1 year, 2 years, 1 year retention, 2 years retention)
Primary patient reported impacts of malocclusion Malocclusion Impact Questionnaire with 17 aspects, each on 3-point scale (summary score on scale 0-51), higher score mean worse outcome 48 months (start, 3 months, 1 year, 2 years, 1 year retention, 2 years retention)
Primary big five personality traits Big Five Inventory with 44 statements, each on 5-point scale, grouped into 5 traits: (extroversion (range 8-40), agreeableness (range 9-45), openness (range 10-50), conscientiousness (range 9-45) and neuroticism (range 8-40). higher score mean worse outcome 48 months (start, end of treatment, 1 year retention, 2 years retention)
Secondary normative orthodontic treatment need clinically assessed by using Index of Orthodontic Treatment Need - Dental Health Component with 5 grades, range 1=no/minor need - 5=very great need 48 months (start, end of treatment, 1 year retention, 2 years retention)
Secondary esthetic treatment need assessed by using Index of Orthodontic Treatment Need - Aesthetic Component with 10 grades, range 1=no need - 10=very great need 48 months (start, end of treatment, 1 year retention, 2 years retention)
Secondary retainer failure number of railures of retainer in retention phase, nigher number indicates worse outcome 24 months
Secondary limitations of jaw function Jaw Function Limitation Scale with 6 items on 11-point scale (0=no limitation-10=extreme limitation), average score, higher score indicates worse outcome 48 months (start, 3 months, 1 year, 2 years, 1 year retention, 2 years retention)
Secondary self-esteem Rosenberg Self-Esteem Scale with 10 items on 5-point scale (1=not at all-5=very much), summary score on scale 5-50, higher score indicates better outcome 48 months (start, 3 months, 1 year, 2 years, 1 year retention, 2 years retention)
Secondary body image 4 items on 5-point scale (1=not at all-5=very much), total score 4-20, higher score indicates better outcome 48 months (start, end of treatment, 1 year retention, 2 years retention)
Secondary perfectionism 35 items on 5-point scale (1=completely disagree-5=completely agree), range 29 - 145, higher score indicates better outcome 48 months (start, end of treatment, 1 year retention, 2 years retention)
Secondary psychosocial imapcts of dental esthetics 23 items on 5-point scale (0=not at all-4=very much), grouped in 4 dimensions - aesthetic concern (range 0-12), dental self-confidence (range 0-24), social influence (range 0-32), psychological influence (range 0-24)), higher score means worse outcome for psychological influence, social influence and aesthetic concern, while in dental self-confidence higher score indicates better outcome 48 months (start, 3 months, 1 year, 2 years, 1 year retention, 2 years retention)
Secondary wite spot lesions of enamel number of teeth with enamel defects, scale 0-32, higher number means worse outcome 48 months (start, 3 months, 2 years, 1 year retention, 2 years retention)
Secondary oral hygiene Silness-Loe index and Williams modification for subjects in orthodontic treatment on a scale from 0=no biofilm to 3=a continuous line greater than 1mm, mean of all measurement site is used, range 0-3, higher score means worse outcome 48 months (start, 3 months, 2 years, 1 year retention, 2 years retention)
Secondary extent of gingivitis Full Mouth Bleeding Score on a scale 0-100%, higher percentage means worse outcome 48 months (start, 3 months, 2 years, 1 year retention, 2 years retention)
Secondary gingival enlargement Seymour index (thickness (scale 0=normal-2=thickening >=3mm) + proportion of tooth crown coverage (scale 0=normal-3=papilla involving .2/3 of adjacent tooth crown half) on frontal teeth vestibular and oral in both jaws; scale 0-100), higher score means worse outcome 48 months (start, 3 months, 2 years, 1 year retention, 2 years retention)
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