Evaluation of a new adhesive system for orthodontic braces for a 6-month period

ISRCTN ISRCTN26731749
DOI https://doi.org/10.1186/ISRCTN26731749
Secondary identifying numbers OMÜ KAEK 2018/416
Submission date
04/10/2020
Registration date
07/10/2020
Last edited
23/06/2023
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Oral Health
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Background and study aims
Bracket failure (bracket detachment from the tooth) hinders the smooth progress of orthodontic treatment. Thus, a bracket failure rate that is as low as possible is of utmost importance for the clinician as well as for the patient. Recently, a new adhesive system was introduced. This system reduces the steps during bracket placement. Thus, the aim of this study is to evaluate the clinical performance (i.e. bracket failure as well as chair time) of this newly introduced adhesive pre-coated bracket system (PS) compared with a conventional bracket system (CS).

Who can participate?
Patients undergoing orthodontic treatment without tooth extraction

What does the study involve?
Participants receive orthodontic treatment where the mouth is divided into four segments that are randomly assigned to either the PS or CS bracket system. Bracket failure is measured over 6 months.

What are the possible benefits and risks of participating?
The risks of this study are the same as the risks of any routine non-extraction orthodontic treatment. No extra risks are present. The study will give insight concerning the chair time, i.e. the amount of time a patient spends in the chair for treatment, of these systems. Chair time is of great importance, particularly during the COVID-19 pandemic. Furthermore, this study will provide data on whether or not this system (PS) is as reliable as CS.

Where is the study run from?
Ondokuz Mayıs University (Turkey)

When is the study starting and how long is it expected to run for?
June 2018 to June 2019

Who is funding the study?
Investigator initiated and funded

Who is the main contact?
Dr Selma Elekdag-Türk
s.elekdag@omu.edu.tr

Contact information

Prof Selma Elekdag-Turk
Scientific

Ondokuz Mayıs University
Faculty of Dentistry
Department of Orthodontics
Samsun
55200
Türkiye

ORCiD logoORCID ID 0000-0002-2799-6501
Phone +90 (0)5446403424
Email s.elekdag@omu.edu.tr

Study information

Study designSingle-center randomized study
Primary study designInterventional
Secondary study designNon randomised study
Study setting(s)Other
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details to request a participant information sheet
Scientific titleEvaluation of the flash-free adhesive system for a 6-month period: a split-mouth trial
Study objectivesThe aim of this study was the evaluation of the following parameters:
1. The comparison of the bond failure and survival rates of the APC FF Adhesive Coated Appliance System (3M Unitek) with an OC system (Transbond XT Light Cure Adhesive Paste; 3M Unitek) for a 6-month period.
2. Comparison of the bond failure and survival rates of the upper and lower arches.
3. Comparison of the bond failure and survival rates for incisor, canine and premolar teeth.
4. Comparison of bracket failure and survival rates with respect to gender.
5. Comparison of the ARI scores upon bracket failure.
6. Comparison of the chair time required for each bonding procedure.
The null hypothesis was that there would be no difference in the aforementioned parameters.
Ethics approval(s)Approved 13/09/2018, Research Ethics Committee at the University of Ondokuz Mayıs (Former Dental School Building, Ondokuz Mayıs University, 55200 Atakum/Samsun, Turkey; +90 (0)362 312 19 19/2782; omutaek@gmail.com), ref: OMÜ KAEK 2018/416
Health condition(s) or problem(s) studiedOrthodontic malocclusion
InterventionPatients willing to participate in this study receive orthodontic treatment with a split-mouth design, i.e. the mouth is divided into four experimental segments that are randomly assigned to either the pre-coated bracket system (PS) or a conventional bracket system (CS). The observation period for his study is 6 months.
Intervention typeDevice
Pharmaceutical study type(s)Not Applicable
PhaseNot Applicable
Drug / device / biological / vaccine name(s)Adhesive pre-coated bracket system, operator-coated conventional bracket system
Primary outcome measureBracket failure, i.e. bracket detachment from the tooth, is visually observed. Bracket failure can occur at any timepoint during the observation period. Bracket failure was recorded at the routine monthly controls of the patients.
Secondary outcome measuresType of failure: the bracket may have detached from the tooth intact with adhesive or without adhesive. Furthermore, the bracket may have fractured. These types of failures can occur at any timepoint during the observation period. These types of failures were recorded at the routine monthly controls of the patients.
Overall study start date08/06/2018
Completion date18/06/2019

Eligibility

Participant type(s)Patient
Age groupMixed
SexBoth
Target number of participants30
Total final enrolment30
Key inclusion criteria1. Willingness to participate in this research project
2. Fully erupted maxillary and mandibular teeth with intact buccal enamel
3. Angle Class I and mild Class II malocclusions
4. Non-extraction patients
5. Normal overbite (1-2 mm)
6. Absence of severe rotations. Severe rotations would have prevented bracket placement or correct bracket placement at the first appointment
7. Absence of pretreatment of teeth with any chemical agents
8. Good oral hygiene, i.e. no bleeding upon probing
Key exclusion criteria1. Patients with skeletal problems
2. Patients with missing teeth
3. Patients with systemic disease
4. Patients with a previous history of orthodontic treatment
Date of first enrolment17/09/2018
Date of final enrolment18/12/2018

Locations

Countries of recruitment

  • Türkiye

Study participating centre

Ondokuz Mayıs University
Faculty of Dentistry
Department of Orthodontics
Samsun
55210
Türkiye

Sponsor information

Ondokuz Mayıs University
University/education

Körfez, 19 Mayıs Ünv.
Samsun
55200
Türkiye

Phone +90 (0)3623121919
Email samsunkaek@omu.edu.tr
Website https://samsunkaek.omu.edu.tr/
ROR logo "ROR" https://ror.org/028k5qw24

Funders

Funder type

Other

Investigator initiated and funded

No information available

Results and Publications

Intention to publish date01/11/2020
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination planPlanned publication in a peer-reviewed journal. All additional documents are available upon request from Dr Selma Elekdağ-Türk. Furthermore, the study protocol and statistical analyses will be available upon the publication of this manuscript.
IPD sharing planThe datasets generated during and/or analysed during the current study are/will be available upon request from Prof. Dr Tamer Türk (turkset@superonline.com, tamert@omu.edu.tr) and Prof. Dr Selma Elekdag-Türk (elekdagturk@yahoo.com).

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article 22/06/2023 23/06/2023 Yes No

Editorial Notes

23/06/2023: Publication reference added.
07/10/2020: Trial's existence confirmed by Ondokuz Mayıs University.