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The efficacy of contemporary expander appliances compared with conventional expander plates.

Efficacy of novel maxillary expansion device compared with rapid maxillary expansion appliances: a randomised clinical controlled trial in participants aged 9-14.

Status
Not yet recruiting
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12625000239460
Enrollment
50
Registered
2025-04-02
Start date
2025-04-03
Completion date
2025-05-31
Last updated
2025-09-08

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

A 2-arm randomised clinically controlled trial to determine if there is a difference in palatal volume and surface area between conventional expander appliance and appliances fabricated by a clear aligner company. The study intervention includes the placement of rapid palatal expander appliances or clear aligner expander appliances. The rapid maxillary expanders are adjusted at home by the participant using a key which expands the device; the clear aligner expanders are removed and replaced at home with sequentially expanded appliances. The palate is then scanned and the palatal volume measured digitally. The palatal volume is used to determine if there are any significant differences in expansion of the palatal between the appliances..

Interventions

Clear aligner expanders are removed and replaced at home with sequentially expanded appliances, oral hygiene practices are not altered when using clear aligners. The intervention will be delivered by orthodontists and orthodontic registrars. The duration of the intervention is 273 days +/- 3 days from the first visit after enrolment and will take place at Sydney Dental Hospital Orthodontic Department Clear aligner appliances will not seat if the participant has not adhered to the treatment plan.

Clear aligner expanders are removed and replaced at home with sequentially expanded appliances, oral hygiene practices are not altered when using clear aligners. The intervention will be delivered by orthodontists and orthodontic registrars. The duration of the intervention is 273 days +/- 3 days from the first visit after enrolment and will take place at Sydney Dental Hospital Orthodontic Department Clear aligner appliances will not seat if the participant has not adhered to the treatment plan. Participants will be given a self-compliance survey at each visit following the first visit.

Sponsors

ZHEJIANG YINCHILI MEDICAL TECHNOLOGY CO LTD (Shanghai Smartee Denti-Technology Co., Ltd)
Lead SponsorCommercial sector/Industry

Study design

Allocation
Randomised controlled trial
Primary purpose
Treatment
Masking
Blinded (masking used) (Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
All
Age
9 Years to 13 Years
Healthy volunteers
No

Inclusion criteria

1. Active and pre-pubertal growth (Cervical maturation stage CS 2-3.) 2. Erupted maxillary first premolars and permanent first molars. 3. Evidence of dental maxillary transverse discrepancy: a. Md excess >2mm. b. Unilateral or bilateral transverse crossbite. c. Medially tipped maxillary clinical crowns. 4. Willingness to provide informed consent (parent/guardian) and comply with the study requirements.

Exclusion criteria

1. Syndromic individuals (including cleft lip and palate (CLP)) 2. Deciduous first molars, severe crowding, hypodontia. 3. Temporomandibular joint disorder signs and symptoms 4. Previous Orthodontic treatment 5. Circumstances/conditions which may interfere with the participant’s ability to give informed consent.

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026