Self-ligating brackets and elastomeric rings - a comparison of orthodontic ligation techniques on patient oral hygiene and microbial colonisation

ISRCTN ISRCTN56613406
DOI https://doi.org/10.1186/ISRCTN56613406
Secondary identifying numbers N0236169540
Submission date
29/09/2006
Registration date
29/09/2006
Last edited
18/05/2017
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Oral Health
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Miss Tasnim Hassan
Scientific

Orthodontic Department
Blackshaw Road
Tooting
London
SW17 0QT
United Kingdom

Phone +44 (0)20 8672 1255/1257
Email tasnim1000@yahoo.co.uk

Study information

Study designRandomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Other
Study typeTreatment
Scientific titleSelf-ligating brackets and elastomeric rings - a comparison of orthodontic ligation techniques on patient oral hygiene and microbial colonisation
Study objectivesThe aim of this research is to investigate and compare two methods of orthodontic bracket ligation (typing of the arch wire to the orthodontic brackets) and their effects on patient oral hygiene and microbial colonization. The two fixed appliances under investigation will be 3M conventional MBT Siamese brackets and £M self-ligating 'Smart Click' brackets.
Ethics approval(s)Not provided at time of registration
Health condition(s) or problem(s) studiedOral Health
InterventionFollowing consent, patients undergoing routine orthodontic treatment will be randomly allocated to one of two groups:
1. Treatment with conventional pre-adjusted edgewise brackets secured by elastic ties (victory series)
2. Treatment with ‘smart click’ pre-adjusted self-ligating brackets which do not require tying

Both systems would be of the same prescription and the same archwires would be used. All patients will receive instruction in oral hygiene from a hygienist within the department before the start of treatment. Following extraction of the teeth, upper and lower fixed appliances will be placed with an initial aligning archwire of 014 Nickel Titanium. Patients will be reviewed every 4 weeks for treatment.

The oral hygiene will be assessed and plaque and saliva samples will be taken (using non-invasive methods) before placement of the appliance, and then 3, 6 and 12 months following the placement of the appliances. At 6 months the rate of oral clearance of food will also be measured. All methods of assessment are non-invasive.

The oral hygiene will be assessed by:
1. Measuring the amount of dental plaque present on the outside surface of each tooth
2. Assessing the presence or absence of gingival (gum) swelling/inflammation and bleeding

The oral clearance of food will be measured once by asking the patient to eat a digestive biscuit for 1 minute, following which time the patient will be asked to produce a sample of saliva by spitting into a container. This will be collected by a qualified dentist.

All samples will then be analysed in the microbiology department at Guy's Hospital.
Intervention typeOther
Primary outcome measure1. Patient oral hygiene as measured by plaque, and gingival indices
2. Microbiological profile of plaque bacteria
3. Salivary sugar levels to reflect the oral clearance of foods
Secondary outcome measuresNot provided at time of registration
Overall study start date01/08/2005
Completion date31/01/2007

Eligibility

Participant type(s)Patient
Age groupNot Specified
SexNot Specified
Target number of participantsNot provided at time of registration
Key inclusion criteriaPatients recruited from the treatment waiting lists who present with a crowded dentition that requires the extraction of premolar teeth and fixed appliance therapy
Key exclusion criteriaNot provided at time of registration
Date of first enrolment01/08/2005
Date of final enrolment31/01/2007

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

Orthodontic Department
London
SW17 0QT
United Kingdom

Sponsor information

Record Provided by the NHSTCT Register - 2006 Update - Department of Health (UK)
Government

The Department of Health
Richmond House
79 Whitehall
London
SW1A 2NL
United Kingdom

Phone +44 (0)20 7307 2622
Email dhmail@doh.gsi.org.uk
Website http://www.dh.gov.uk/Home/fs/en

Funders

Funder type

Government

St George's Healthcare NHS Trust (UK)

No information available

NHS R&D Support Funding (UK)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Editorial Notes

18/05/2017: No publications found in PubMed, verifying study status with principal investigator.