Retention
Conditions
Keywords
Retention, Stability, Periodontal indices, Fixed retainer, PEEK
Brief summary
A randomized clinical trial is set out to compare the effectiveness of two types of fixed retainer (multistranded stainless steel and PEEK types) in maintaining the stability of lower anterior teeth with less failure rate.
Detailed description
It is a multicenter randomized clinical trial with two arms parallel group. The patients will be randomly divided into two groups, group one: multistranded stainless steel fixed retainer will be used while, and group two PEEK fixed retainer will be used. An intra-oral scan, intra-oral swap and periodontal indices will be taken before starting the treatment (T0), after one month (T1), after 3 months (T2), and after 6 months (T3). Patient perception concerning the fixed retainer will be taken for the patients.
Interventions
DEVICEMultistranded stainless steel fixed retainer
Multistranded stainless steel fixed retainer is used for orthodontic patient after completion of orthodontic treatment to achieve stability of alignment.
DEVICEPolyether-Ether-Ketone (PEEK) fixed retainer
Polyether-Ether-Ketone (PEEK) fixed retainer is used for orthodontic patient after completion of orthodontic treatment to achieve stability of alignment.
Sponsors
University of Baghdad
Esraa Salman Jasim
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
12 Years to 32 Years
Healthy volunteers
Yes
Inclusion criteria
* Age: 17-32 years. * Patients with a score of 0-0.5 on Little's irregularity index in the lower arch. * Patients treated with the pre-adjusted orthodontic appliance (both Extraction and non-extraction cases). * Patients who have healthy periodontal condition
Exclusion criteria
* Patients treated with rapid maxillary expansion or surgically assisted rapid maxillary expansion. * Patients with a cleft lip / and or palate. * Patients with a deep overbite and traumatic parafunctional habits such as bruxism and clenching. * Patients with carious, restored, fractured, or missing lower anterior teeth. * Patients with medical health problems that may influence gingival health like uncontrolled type II diabetic patient, patients with hormonal disturbances or systemic drug administration that effect on oral health. * Smokers
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Stability of lower anterior teeth | T0 is the stating of retention, T1 after one month, T2 after 3 months and T3 after 6 month | The effectiveness of PEEK retainers as compared to a dead-soft multi-stranded stainless-steel wire in maintaining alignment of the lower anterior teeth in terms of Little's irregularity index. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Failure rate | T0 is the stating of retention, T1 after one month, T2 after 3 months and T3 after 6 month | how many times the retainer needed to be replaced or repaired |
| Periodontal health status | T0 is the stating of retention, T1 after one month, T2 after 3 months and T3 after 6 month | The effect of fixed retainer on the periodontal health is measured by oral hygiene indices |
| Patient satisfaction | At T1 after one month and T3 after 6 month | Patient satisfaction concerning esthetics, speech and comfort is obtain by questionnaire. |
| Biohostability | T0 is the stating of retention, T1 after one month, T2 after 3 months and T3 after 6 month | studying the microbial colonization on the retainer wire by using oral swap of fixed retainer and measure total bacterial count (Aerobic and Facultative Anaerobic) on Blood agar, Total streptococcus count and total lactobacillus count on selective media |
Countries
Iraq
Contacts
Primary ContactEsraa Jasim
Backup ContactAmmar Salim
Outcome results
None listed