Trial Outcomes & Findings for Vacuum-formed Retainer Versus Bonded Retainer to Prevent Relapse After Orthodontic Treatment (NCT NCT03070444)

NCT ID: NCT03070444

Last Updated: 2022-08-09

Results Overview

Analyses of changes in tooth position on dental casts Little's Irregularity Index (in mm) 0=no crowding/irregularity, higher scores= more crowding/irregularity (worse outcome)

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

104 participants

Primary outcome timeframe

Changes in tooth position (Little's Irregularity Index) were analysed 5 years (T4) after debonding (T1)

Results posted on

2022-08-09

Participant Flow

Participant milestones

Participant milestones
Measure
Group A: CTC Retainer + Essix Retainer
The CTC is bonded directly after debonding. The Essix retainer maxilla is handed out to the patient the same day after removal of fixed appliances. Alginate impressions are taken at the follow-up visits. Questionnaires are completed at the follow-up visits. CTC retainer: The CTC retainer consists of 0.8 hard Remanium® wire (Dentaurum, Germany) and is bonded with Tetric Flow (Ivoclar Vivadent, Liechtenstein) to the lower canines directly after debonding. Essix retainer maxilla: The Essix retainer is made of 1 mm Essix C+® Plastic (Dentsply, USA) and is handed out to the patient the same day after removal of fixed appliances. Alginate impression: Alginate impressions are taken to made the cuspid-to-cuspid and Essix retainers, respectively. Dental casts are obtained at the debond appointment and at the follow-up visits after 6, 18 and 60 months. Questionnaire: A questionnaire is completed at the follow-up visits.
Group B: Essix Retainer + Essix Retainer
The Essix retainer maxilla and Essix retainer mandible are handed out to the patient the same day after removal of fixed appliances. Alginate impressions are taken at the follow-up visits. Questionnaires are completed at the follow-up visits. Essix retainer maxilla: The Essix retainer is made of 1 mm Essix C+® Plastic (Dentsply, USA) and is handed out to the patient the same day after removal of fixed appliances. Essix retainer mandible: The Essix retainer is made of 1 mm Essix C+® Plastic (Dentsply, USA) and is handed out to the patient the same day after removal of fixed appliances. Alginate impression: Alginate impressions are taken to made the cuspid-to-cuspid and Essix retainers, respectively. Dental casts are obtained at the debond appointment and at the follow-up visits after 6, 18 and 60 months. Questionnaire: A questionnaire is completed at the follow-up visits.
Overall Study
STARTED
52
52
Overall Study
COMPLETED
39
35
Overall Study
NOT COMPLETED
13
17

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Vacuum-formed Retainer Versus Bonded Retainer to Prevent Relapse After Orthodontic Treatment

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Group A: CTC Retainer + Essix Retainer
n=52 Participants
The CTC is bonded directly after debonding. The Essix retainer maxilla is handed out to the patient the same day after removal of fixed appliances. Alginate impressions are taken at the follow-up visits. Questionnaires are completed at the follow-up visits. CTC retainer: The CTC retainer consists of 0.8 hard Remanium® wire (Dentaurum, Germany) and is bonded with Tetric Flow (Ivoclar Vivadent, Liechtenstein) to the lower canines directly after debonding. Essix retainer maxilla: The Essix retainer is made of 1 mm Essix C+® Plastic (Dentsply, USA) and is handed out to the patient the same day after removal of fixed appliances. Alginate impression: Alginate impressions are taken to made the cuspid-to-cuspid and Essix retainers, respectively. Dental casts are obtained at the debond appointment and at the follow-up visits after 6, 18 and 60 months. Questionnaire: A questionnaire is completed at the follow-up visits.
Group B: Essix Retainer + Essix Retainer
n=52 Participants
The Essix retainer maxilla and Essix retainer mandible are handed out to the patient the same day after removal of fixed appliances. Alginate impressions are taken at the follow-up visits. Questionnaires are completed at the follow-up visits. Essix retainer maxilla: The Essix retainer is made of 1 mm Essix C+® Plastic (Dentsply, USA) and is handed out to the patient the same day after removal of fixed appliances. Essix retainer mandible: The Essix retainer is made of 1 mm Essix C+® Plastic (Dentsply, USA) and is handed out to the patient the same day after removal of fixed appliances. Alginate impression: Alginate impressions are taken to made the cuspid-to-cuspid and Essix retainers, respectively. Dental casts are obtained at the debond appointment and at the follow-up visits after 6, 18 and 60 months. Questionnaire: A questionnaire is completed at the follow-up visits.
Total
n=104 Participants
Total of all reporting groups
Age, Continuous
17.1 years
STANDARD_DEVIATION 1.9 • n=5 Participants
17.1 years
STANDARD_DEVIATION 2.4 • n=7 Participants
17.1 years
STANDARD_DEVIATION 2.2 • n=5 Participants
Sex: Female, Male
Female
26 Participants
n=5 Participants
26 Participants
n=7 Participants
52 Participants
n=5 Participants
Sex: Female, Male
Male
26 Participants
n=5 Participants
26 Participants
n=7 Participants
52 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
52 Participants
n=5 Participants
52 Participants
n=7 Participants
104 Participants
n=5 Participants
Region of Enrollment
Sweden
52 participants
n=5 Participants
52 participants
n=7 Participants
104 participants
n=5 Participants

PRIMARY outcome

Timeframe: Changes in tooth position (Little's Irregularity Index) were analysed 5 years (T4) after debonding (T1)

Population: Dental casts were analysed. As data were not normal distributed, median values are reported.

Analyses of changes in tooth position on dental casts Little's Irregularity Index (in mm) 0=no crowding/irregularity, higher scores= more crowding/irregularity (worse outcome)

Outcome measures

Outcome measures
Measure
Group A: CTC Retainer + Essix Retainer
n=39 Participants
The CTC is bonded directly after debonding. The Essix retainer maxilla is handed out to the patient the same day after removal of fixed appliances. Alginate impressions are taken at the follow-up visits. Questionnaires are completed at the follow-up visits. CTC retainer: The CTC retainer consists of 0.8 hard Remanium® wire (Dentaurum, Germany) and is bonded with Tetric Flow (Ivoclar Vivadent, Liechtenstein) to the lower canines directly after debonding. Essix retainer maxilla: The Essix retainer is made of 1 mm Essix C+® Plastic (Dentsply, USA) and is handed out to the patient the same day after removal of fixed appliances. Alginate impression: Alginate impressions are taken to made the cuspid-to-cuspid and Essix retainers, respectively. Dental casts are obtained at the debond appointment and at the follow-up visits after 6, 18 and 60 months. Questionnaire: A questionnaire is completed at the follow-up visits.
Group B: Essix Retainer + Essix Retainer
n=35 Participants
The Essix retainer maxilla and Essix retainer mandible are handed out to the patient the same day after removal of fixed appliances. Alginate impressions are taken at the follow-up visits. Questionnaires are completed at the follow-up visits. Essix retainer maxilla: The Essix retainer is made of 1 mm Essix C+® Plastic (Dentsply, USA) and is handed out to the patient the same day after removal of fixed appliances. Essix retainer mandible: The Essix retainer is made of 1 mm Essix C+® Plastic (Dentsply, USA) and is handed out to the patient the same day after removal of fixed appliances. Alginate impression: Alginate impressions are taken to made the cuspid-to-cuspid and Essix retainers, respectively. Dental casts are obtained at the debond appointment and at the follow-up visits after 6, 18 and 60 months. Questionnaire: A questionnaire is completed at the follow-up visits.
Changes in Tooth Position
0.05 millimeters
Interval -0.4 to 0.73
0.62 millimeters
Interval -0.08 to 1.49

SECONDARY outcome

Timeframe: T4 (5 years follow up)

Population: Adolescent patients at debond (baseline), adults after 5 years

Analyses of patients' perception by validated self-report questionnaires to evaluate experiences of the retention techniques VAS (visual analog scale, 0-100) 0= low satisfaction 100= high satisfaction

Outcome measures

Outcome measures
Measure
Group A: CTC Retainer + Essix Retainer
n=39 Participants
The CTC is bonded directly after debonding. The Essix retainer maxilla is handed out to the patient the same day after removal of fixed appliances. Alginate impressions are taken at the follow-up visits. Questionnaires are completed at the follow-up visits. CTC retainer: The CTC retainer consists of 0.8 hard Remanium® wire (Dentaurum, Germany) and is bonded with Tetric Flow (Ivoclar Vivadent, Liechtenstein) to the lower canines directly after debonding. Essix retainer maxilla: The Essix retainer is made of 1 mm Essix C+® Plastic (Dentsply, USA) and is handed out to the patient the same day after removal of fixed appliances. Alginate impression: Alginate impressions are taken to made the cuspid-to-cuspid and Essix retainers, respectively. Dental casts are obtained at the debond appointment and at the follow-up visits after 6, 18 and 60 months. Questionnaire: A questionnaire is completed at the follow-up visits.
Group B: Essix Retainer + Essix Retainer
n=35 Participants
The Essix retainer maxilla and Essix retainer mandible are handed out to the patient the same day after removal of fixed appliances. Alginate impressions are taken at the follow-up visits. Questionnaires are completed at the follow-up visits. Essix retainer maxilla: The Essix retainer is made of 1 mm Essix C+® Plastic (Dentsply, USA) and is handed out to the patient the same day after removal of fixed appliances. Essix retainer mandible: The Essix retainer is made of 1 mm Essix C+® Plastic (Dentsply, USA) and is handed out to the patient the same day after removal of fixed appliances. Alginate impression: Alginate impressions are taken to made the cuspid-to-cuspid and Essix retainers, respectively. Dental casts are obtained at the debond appointment and at the follow-up visits after 6, 18 and 60 months. Questionnaire: A questionnaire is completed at the follow-up visits.
Patients' Perception
93 score on a scale
Interval 79.0 to 98.0
92 score on a scale
Interval 69.0 to 96.0

Adverse Events

Group A: CTC Retainer + Essix Retainer

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

Group B: Essix Retainer + Essix Retainer

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

Anke Krämer

Folktandvården Gävleborg AB

Phone: +4625155680

Results disclosure agreements

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