Trial Outcomes & Findings for Primer Aligner Study (NCT NCT02550938)

NCT ID: NCT02550938

Last Updated: 2021-02-03

Results Overview

Total treatment time was measured in days. The less days a subject was in treatment, the better.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

253 participants

Primary outcome timeframe

Approximately 1 year

Results posted on

2021-02-03

Participant Flow

Participant milestones

Participant milestones
Measure
7 Aligner Cohort Weartime 1
Seven Aligner cohort will change aligners at a designated interval Invisalign is the intervention. Invisalign: The Invisalign® System consists of a series of clear plastic aligners that are intended to replace conventional wire and bracket technology for many orthodontic cases. Each custom manufactured aligner exerts gentle, continuous forces to move teeth incrementally from their original state to a final, treated state. Each aligner is worn for a defined period of time , then replaced by the next in the series until the final position is achieved. For years, orthodontists and dentists have used removable appliances for orthodontic treatment. Today, with the application of computer technology and custom manufacturing, Invisalign treats a broader range of cases with greater precision.
7 Aligner Cohort Weartime 2
Seven Aligner cohort will change aligners at a modified interval Invisalign is the intervention. Invisalign: The Invisalign® System consists of a series of clear plastic aligners that are intended to replace conventional wire and bracket technology for many orthodontic cases. Each custom manufactured aligner exerts gentle, continuous forces to move teeth incrementally from their original state to a final, treated state. Each aligner is worn for a defined period of time , then replaced by the next in the series until the final position is achieved. For years, orthodontists and dentists have used removable appliances for orthodontic treatment. Today, with the application of computer technology and custom manufacturing, Invisalign treats a broader range of cases with greater precision.
12 Aligner Cohort Weartime 1
Twelve Aligner cohort will change aligners at a designated interval Invisalign is the intervention. Invisalign: The Invisalign® System consists of a series of clear plastic aligners that are intended to replace conventional wire and bracket technology for many orthodontic cases. Each custom manufactured aligner exerts gentle, continuous forces to move teeth incrementally from their original state to a final, treated state. Each aligner is worn for a defined period of time , then replaced by the next in the series until the final position is achieved. For years, orthodontists and dentists have used removable appliances for orthodontic treatment. Today, with the application of computer technology and custom manufacturing, Invisalign treats a broader range of cases with greater precision.
12 Aligner Cohort Weartime 2
Twelve Aligner cohort will change aligners at a modified interval Invisalign is the intervention. Invisalign: The Invisalign® System consists of a series of clear plastic aligners that are intended to replace conventional wire and bracket technology for many orthodontic cases. Each custom manufactured aligner exerts gentle, continuous forces to move teeth incrementally from their original state to a final, treated state. Each aligner is worn for a defined period of time , then replaced by the next in the series until the final position is achieved. For years, orthodontists and dentists have used removable appliances for orthodontic treatment. Today, with the application of computer technology and custom manufacturing, Invisalign treats a broader range of cases with greater precision.
Overall Study
STARTED
44
85
43
81
Overall Study
COMPLETED
36
78
31
70
Overall Study
NOT COMPLETED
8
7
12
11

Reasons for withdrawal

Reasons for withdrawal
Measure
7 Aligner Cohort Weartime 1
Seven Aligner cohort will change aligners at a designated interval Invisalign is the intervention. Invisalign: The Invisalign® System consists of a series of clear plastic aligners that are intended to replace conventional wire and bracket technology for many orthodontic cases. Each custom manufactured aligner exerts gentle, continuous forces to move teeth incrementally from their original state to a final, treated state. Each aligner is worn for a defined period of time , then replaced by the next in the series until the final position is achieved. For years, orthodontists and dentists have used removable appliances for orthodontic treatment. Today, with the application of computer technology and custom manufacturing, Invisalign treats a broader range of cases with greater precision.
7 Aligner Cohort Weartime 2
Seven Aligner cohort will change aligners at a modified interval Invisalign is the intervention. Invisalign: The Invisalign® System consists of a series of clear plastic aligners that are intended to replace conventional wire and bracket technology for many orthodontic cases. Each custom manufactured aligner exerts gentle, continuous forces to move teeth incrementally from their original state to a final, treated state. Each aligner is worn for a defined period of time , then replaced by the next in the series until the final position is achieved. For years, orthodontists and dentists have used removable appliances for orthodontic treatment. Today, with the application of computer technology and custom manufacturing, Invisalign treats a broader range of cases with greater precision.
12 Aligner Cohort Weartime 1
Twelve Aligner cohort will change aligners at a designated interval Invisalign is the intervention. Invisalign: The Invisalign® System consists of a series of clear plastic aligners that are intended to replace conventional wire and bracket technology for many orthodontic cases. Each custom manufactured aligner exerts gentle, continuous forces to move teeth incrementally from their original state to a final, treated state. Each aligner is worn for a defined period of time , then replaced by the next in the series until the final position is achieved. For years, orthodontists and dentists have used removable appliances for orthodontic treatment. Today, with the application of computer technology and custom manufacturing, Invisalign treats a broader range of cases with greater precision.
12 Aligner Cohort Weartime 2
Twelve Aligner cohort will change aligners at a modified interval Invisalign is the intervention. Invisalign: The Invisalign® System consists of a series of clear plastic aligners that are intended to replace conventional wire and bracket technology for many orthodontic cases. Each custom manufactured aligner exerts gentle, continuous forces to move teeth incrementally from their original state to a final, treated state. Each aligner is worn for a defined period of time , then replaced by the next in the series until the final position is achieved. For years, orthodontists and dentists have used removable appliances for orthodontic treatment. Today, with the application of computer technology and custom manufacturing, Invisalign treats a broader range of cases with greater precision.
Overall Study
Lost to Follow-up
8
7
12
11

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
7 Aligner Cohort Weartime 1
n=36 Participants
Seven Aligner cohort will change aligners at a designated interval Invisalign is the intervention. Invisalign: The Invisalign® System consists of a series of clear plastic aligners that are intended to replace conventional wire and bracket technology for many orthodontic cases. Each custom manufactured aligner exerts gentle, continuous forces to move teeth incrementally from their original state to a final, treated state. Each aligner is worn for a defined period of time , then replaced by the next in the series until the final position is achieved. For years, orthodontists and dentists have used removable appliances for orthodontic treatment. Today, with the application of computer technology and custom manufacturing, Invisalign treats a broader range of cases with greater precision.
7 Aligner Cohort Weartime 2
n=78 Participants
Seven Aligner cohort will change aligners at a modified interval Invisalign is the intervention. Invisalign: The Invisalign® System consists of a series of clear plastic aligners that are intended to replace conventional wire and bracket technology for many orthodontic cases. Each custom manufactured aligner exerts gentle, continuous forces to move teeth incrementally from their original state to a final, treated state. Each aligner is worn for a defined period of time , then replaced by the next in the series until the final position is achieved. For years, orthodontists and dentists have used removable appliances for orthodontic treatment. Today, with the application of computer technology and custom manufacturing, Invisalign treats a broader range of cases with greater precision.
12 Aligner Cohort Weartime 1
n=31 Participants
Twelve Aligner cohort will change aligners at a designated interval Invisalign is the intervention. Invisalign: The Invisalign® System consists of a series of clear plastic aligners that are intended to replace conventional wire and bracket technology for many orthodontic cases. Each custom manufactured aligner exerts gentle, continuous forces to move teeth incrementally from their original state to a final, treated state. Each aligner is worn for a defined period of time , then replaced by the next in the series until the final position is achieved. For years, orthodontists and dentists have used removable appliances for orthodontic treatment. Today, with the application of computer technology and custom manufacturing, Invisalign treats a broader range of cases with greater precision.
12 Aligner Cohort Weartime 2
n=70 Participants
Twelve Aligner cohort will change aligners at a modified interval Invisalign is the intervention. Invisalign: The Invisalign® System consists of a series of clear plastic aligners that are intended to replace conventional wire and bracket technology for many orthodontic cases. Each custom manufactured aligner exerts gentle, continuous forces to move teeth incrementally from their original state to a final, treated state. Each aligner is worn for a defined period of time , then replaced by the next in the series until the final position is achieved. For years, orthodontists and dentists have used removable appliances for orthodontic treatment. Today, with the application of computer technology and custom manufacturing, Invisalign treats a broader range of cases with greater precision.
Total
n=215 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=36 Participants
0 Participants
n=78 Participants
0 Participants
n=31 Participants
0 Participants
n=70 Participants
0 Participants
n=215 Participants
Age, Categorical
Between 18 and 65 years
35 Participants
n=36 Participants
78 Participants
n=78 Participants
30 Participants
n=31 Participants
66 Participants
n=70 Participants
209 Participants
n=215 Participants
Age, Categorical
>=65 years
1 Participants
n=36 Participants
0 Participants
n=78 Participants
1 Participants
n=31 Participants
4 Participants
n=70 Participants
6 Participants
n=215 Participants
Sex: Female, Male
Female
27 Participants
n=36 Participants
55 Participants
n=78 Participants
27 Participants
n=31 Participants
45 Participants
n=70 Participants
154 Participants
n=215 Participants
Sex: Female, Male
Male
9 Participants
n=36 Participants
23 Participants
n=78 Participants
4 Participants
n=31 Participants
25 Participants
n=70 Participants
61 Participants
n=215 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Region of Enrollment
United States
20 participants
n=36 Participants
50 participants
n=78 Participants
20 participants
n=31 Participants
36 participants
n=70 Participants
126 participants
n=215 Participants
Region of Enrollment
United Kingdom
16 participants
n=36 Participants
28 participants
n=78 Participants
11 participants
n=31 Participants
34 participants
n=70 Participants
89 participants
n=215 Participants

PRIMARY outcome

Timeframe: Approximately 1 year

Total treatment time was measured in days. The less days a subject was in treatment, the better.

Outcome measures

Outcome measures
Measure
12 Aligner Cohort Weartime 1
n=31 Participants
Twelve Aligner cohort will change aligners at a designated interval Invisalign is the intervention. Invisalign: The Invisalign® System consists of a series of clear plastic aligners that are intended to replace conventional wire and bracket technology for many orthodontic cases. Each custom manufactured aligner exerts gentle, continuous forces to move teeth incrementally from their original state to a final, treated state. Each aligner is worn for a defined period of time , then replaced by the next in the series until the final position is achieved. For years, orthodontists and dentists have used removable appliances for orthodontic treatment. Today, with the application of computer technology and custom manufacturing, Invisalign treats a broader range of cases with greater precision.
7 Aligner Cohort Weartime 1
n=36 Participants
Seven Aligner cohort will change aligners at a designated interval Invisalign is the intervention. Invisalign: The Invisalign® System consists of a series of clear plastic aligners that are intended to replace conventional wire and bracket technology for many orthodontic cases. Each custom manufactured aligner exerts gentle, continuous forces to move teeth incrementally from their original state to a final, treated state. Each aligner is worn for a defined period of time , then replaced by the next in the series until the final position is achieved. For years, orthodontists and dentists have used removable appliances for orthodontic treatment. Today, with the application of computer technology and custom manufacturing, Invisalign treats a broader range of cases with greater precision.
7 Aligner Cohort Weartime 2
n=78 Participants
Seven Aligner cohort will change aligners at a modified interval Invisalign is the intervention. Invisalign: The Invisalign® System consists of a series of clear plastic aligners that are intended to replace conventional wire and bracket technology for many orthodontic cases. Each custom manufactured aligner exerts gentle, continuous forces to move teeth incrementally from their original state to a final, treated state. Each aligner is worn for a defined period of time , then replaced by the next in the series until the final position is achieved. For years, orthodontists and dentists have used removable appliances for orthodontic treatment. Today, with the application of computer technology and custom manufacturing, Invisalign treats a broader range of cases with greater precision.
12 Aligner Cohort Weartime 2
n=70 Participants
Twelve Aligner cohort will change aligners at a modified interval Invisalign is the intervention. Invisalign: The Invisalign® System consists of a series of clear plastic aligners that are intended to replace conventional wire and bracket technology for many orthodontic cases. Each custom manufactured aligner exerts gentle, continuous forces to move teeth incrementally from their original state to a final, treated state. Each aligner is worn for a defined period of time , then replaced by the next in the series until the final position is achieved. For years, orthodontists and dentists have used removable appliances for orthodontic treatment. Today, with the application of computer technology and custom manufacturing, Invisalign treats a broader range of cases with greater precision.
Total Treatment Time
326.9355 days
Standard Deviation 151.414
197.4167 days
Standard Deviation 102.0774
225.7 days
Standard Deviation 108.463
294.1111 days
Standard Deviation 181.7863

PRIMARY outcome

Timeframe: Approximately 1 year

Rate of Refinement was how often subjects in each cohort required additional aligners in (in addition to their originally prescribed aligners) to treat the malocclusion. For example, if a subject was originally prescribed 20 aligners for treatment, but then needed 10 more aligners, the 10 extra aligners would be considered the "refinement." The Rate of Refinement for each cohort was measured as the total number of additional aligners required to complete orthodontic treatment divided by the total number of aligners that were initially prescribed to complete treatment, multiplied by 100. The smaller the rate of refinement (%), the better.

Outcome measures

Outcome measures
Measure
12 Aligner Cohort Weartime 1
n=31 Participants
Twelve Aligner cohort will change aligners at a designated interval Invisalign is the intervention. Invisalign: The Invisalign® System consists of a series of clear plastic aligners that are intended to replace conventional wire and bracket technology for many orthodontic cases. Each custom manufactured aligner exerts gentle, continuous forces to move teeth incrementally from their original state to a final, treated state. Each aligner is worn for a defined period of time , then replaced by the next in the series until the final position is achieved. For years, orthodontists and dentists have used removable appliances for orthodontic treatment. Today, with the application of computer technology and custom manufacturing, Invisalign treats a broader range of cases with greater precision.
7 Aligner Cohort Weartime 1
n=36 Participants
Seven Aligner cohort will change aligners at a designated interval Invisalign is the intervention. Invisalign: The Invisalign® System consists of a series of clear plastic aligners that are intended to replace conventional wire and bracket technology for many orthodontic cases. Each custom manufactured aligner exerts gentle, continuous forces to move teeth incrementally from their original state to a final, treated state. Each aligner is worn for a defined period of time , then replaced by the next in the series until the final position is achieved. For years, orthodontists and dentists have used removable appliances for orthodontic treatment. Today, with the application of computer technology and custom manufacturing, Invisalign treats a broader range of cases with greater precision.
7 Aligner Cohort Weartime 2
n=78 Participants
Seven Aligner cohort will change aligners at a modified interval Invisalign is the intervention. Invisalign: The Invisalign® System consists of a series of clear plastic aligners that are intended to replace conventional wire and bracket technology for many orthodontic cases. Each custom manufactured aligner exerts gentle, continuous forces to move teeth incrementally from their original state to a final, treated state. Each aligner is worn for a defined period of time , then replaced by the next in the series until the final position is achieved. For years, orthodontists and dentists have used removable appliances for orthodontic treatment. Today, with the application of computer technology and custom manufacturing, Invisalign treats a broader range of cases with greater precision.
12 Aligner Cohort Weartime 2
n=70 Participants
Twelve Aligner cohort will change aligners at a modified interval Invisalign is the intervention. Invisalign: The Invisalign® System consists of a series of clear plastic aligners that are intended to replace conventional wire and bracket technology for many orthodontic cases. Each custom manufactured aligner exerts gentle, continuous forces to move teeth incrementally from their original state to a final, treated state. Each aligner is worn for a defined period of time , then replaced by the next in the series until the final position is achieved. For years, orthodontists and dentists have used removable appliances for orthodontic treatment. Today, with the application of computer technology and custom manufacturing, Invisalign treats a broader range of cases with greater precision.
Rate of Refinement
0.419355 percentage of refinement
Standard Deviation 0.50161
0.25 percentage of refinement
Standard Deviation 0.439155
0.263158 percentage of refinement
Standard Deviation 0.446258
0.527778 percentage of refinement
Standard Deviation 0.506309

OTHER_PRE_SPECIFIED outcome

Timeframe: Approximately 1 year

(Observational, not used in data analysis). Subjects filled out a Quality of Life Survey with a scale rating of 1 (very difficult) to 5 (very easy) on how easy the product was to use and their orthodontic experience to date. A higher score on the scale meant a better outcome.

Outcome measures

Outcome measures
Measure
12 Aligner Cohort Weartime 1
n=31 Participants
Twelve Aligner cohort will change aligners at a designated interval Invisalign is the intervention. Invisalign: The Invisalign® System consists of a series of clear plastic aligners that are intended to replace conventional wire and bracket technology for many orthodontic cases. Each custom manufactured aligner exerts gentle, continuous forces to move teeth incrementally from their original state to a final, treated state. Each aligner is worn for a defined period of time , then replaced by the next in the series until the final position is achieved. For years, orthodontists and dentists have used removable appliances for orthodontic treatment. Today, with the application of computer technology and custom manufacturing, Invisalign treats a broader range of cases with greater precision.
7 Aligner Cohort Weartime 1
n=36 Participants
Seven Aligner cohort will change aligners at a designated interval Invisalign is the intervention. Invisalign: The Invisalign® System consists of a series of clear plastic aligners that are intended to replace conventional wire and bracket technology for many orthodontic cases. Each custom manufactured aligner exerts gentle, continuous forces to move teeth incrementally from their original state to a final, treated state. Each aligner is worn for a defined period of time , then replaced by the next in the series until the final position is achieved. For years, orthodontists and dentists have used removable appliances for orthodontic treatment. Today, with the application of computer technology and custom manufacturing, Invisalign treats a broader range of cases with greater precision.
7 Aligner Cohort Weartime 2
n=78 Participants
Seven Aligner cohort will change aligners at a modified interval Invisalign is the intervention. Invisalign: The Invisalign® System consists of a series of clear plastic aligners that are intended to replace conventional wire and bracket technology for many orthodontic cases. Each custom manufactured aligner exerts gentle, continuous forces to move teeth incrementally from their original state to a final, treated state. Each aligner is worn for a defined period of time , then replaced by the next in the series until the final position is achieved. For years, orthodontists and dentists have used removable appliances for orthodontic treatment. Today, with the application of computer technology and custom manufacturing, Invisalign treats a broader range of cases with greater precision.
12 Aligner Cohort Weartime 2
n=70 Participants
Twelve Aligner cohort will change aligners at a modified interval Invisalign is the intervention. Invisalign: The Invisalign® System consists of a series of clear plastic aligners that are intended to replace conventional wire and bracket technology for many orthodontic cases. Each custom manufactured aligner exerts gentle, continuous forces to move teeth incrementally from their original state to a final, treated state. Each aligner is worn for a defined period of time , then replaced by the next in the series until the final position is achieved. For years, orthodontists and dentists have used removable appliances for orthodontic treatment. Today, with the application of computer technology and custom manufacturing, Invisalign treats a broader range of cases with greater precision.
Subject Satisfaction.
4.632 score on a scale
Standard Error 4.499
3.499 score on a scale
Standard Error 2.473797384
3.156 score on a scale
Standard Error 3.409
4.499 score on a scale
Standard Error 3.499

OTHER_PRE_SPECIFIED outcome

Timeframe: Approximately 1 year

(Observational, not used in data analysis). Doctors filled out a Doctor Survey with a scale rating of 1 (very difficult) to 5 (very easy) on how easy the product was to use and their satisfaction with the product. A higher score on the scale meant a better outcome.

Outcome measures

Outcome measures
Measure
12 Aligner Cohort Weartime 1
n=31 Participants
Twelve Aligner cohort will change aligners at a designated interval Invisalign is the intervention. Invisalign: The Invisalign® System consists of a series of clear plastic aligners that are intended to replace conventional wire and bracket technology for many orthodontic cases. Each custom manufactured aligner exerts gentle, continuous forces to move teeth incrementally from their original state to a final, treated state. Each aligner is worn for a defined period of time , then replaced by the next in the series until the final position is achieved. For years, orthodontists and dentists have used removable appliances for orthodontic treatment. Today, with the application of computer technology and custom manufacturing, Invisalign treats a broader range of cases with greater precision.
7 Aligner Cohort Weartime 1
n=36 Participants
Seven Aligner cohort will change aligners at a designated interval Invisalign is the intervention. Invisalign: The Invisalign® System consists of a series of clear plastic aligners that are intended to replace conventional wire and bracket technology for many orthodontic cases. Each custom manufactured aligner exerts gentle, continuous forces to move teeth incrementally from their original state to a final, treated state. Each aligner is worn for a defined period of time , then replaced by the next in the series until the final position is achieved. For years, orthodontists and dentists have used removable appliances for orthodontic treatment. Today, with the application of computer technology and custom manufacturing, Invisalign treats a broader range of cases with greater precision.
7 Aligner Cohort Weartime 2
n=78 Participants
Seven Aligner cohort will change aligners at a modified interval Invisalign is the intervention. Invisalign: The Invisalign® System consists of a series of clear plastic aligners that are intended to replace conventional wire and bracket technology for many orthodontic cases. Each custom manufactured aligner exerts gentle, continuous forces to move teeth incrementally from their original state to a final, treated state. Each aligner is worn for a defined period of time , then replaced by the next in the series until the final position is achieved. For years, orthodontists and dentists have used removable appliances for orthodontic treatment. Today, with the application of computer technology and custom manufacturing, Invisalign treats a broader range of cases with greater precision.
12 Aligner Cohort Weartime 2
n=70 Participants
Twelve Aligner cohort will change aligners at a modified interval Invisalign is the intervention. Invisalign: The Invisalign® System consists of a series of clear plastic aligners that are intended to replace conventional wire and bracket technology for many orthodontic cases. Each custom manufactured aligner exerts gentle, continuous forces to move teeth incrementally from their original state to a final, treated state. Each aligner is worn for a defined period of time , then replaced by the next in the series until the final position is achieved. For years, orthodontists and dentists have used removable appliances for orthodontic treatment. Today, with the application of computer technology and custom manufacturing, Invisalign treats a broader range of cases with greater precision.
Doctor Survey Results.
3.139 score on a scale
Standard Deviation 3.1760840
3.139 score on a scale
Standard Deviation 1.4702645
2.899 score on a scale
Standard Deviation 1.330019318
4.499 score on a scale
Standard Deviation 1.7756956

Adverse Events

7 Aligner Cohort Weartime 1

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

7 Aligner Cohort Weartime 2

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

12 Aligner Cohort Weartime 1

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

12 Aligner Cohort Weartime 2

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Allison Mossing, Sr. Clinical Research Associate

Align Technology, Inc.

Phone: 4084701046

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: GT60