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MalocclusionNCT03606551

EXD-959 Orthodontic Brackets and EXD-961 Related Instruments Trial

An observational study of Malocclusion, run by 3M at 5 sites in United States.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

The purpose of this study is to assess the performance of the EXD-959 self-ligating ceramic bracket system using EXD 961 instruments in the treatment of orthodontic malocclusion. Read more about this study

Who is it for?
Ages 11 years and olderHealthy volunteers can take part
Conditions the study is for
Malocclusion
What is being tested?
EXD-959 Bracket System
How many people
78 participants
Where
5 sitesUnited States
Study dates
21 Jun 2018to 30 Apr 2022
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 11 years and older
  • All sexes
  • Healthy volunteers accepted
  • Child, Adult, Older adult

Study population: A total of 78 male and female subjects whose permanent teeth are erupted and who will be/are undergoing orthodontic treatment at the study offices that are participating in this trial.

Who may be able to join

  • Able to understand and willing to voluntarily sign the consent/assent form(s);
  • Willing and able to return to the study facility for scheduled visits and recalls;
  • Have permanent dentition including first molars, premolars, canines, and incisors erupted;
  • Teeth have sound, non-carious buccal enamel, free from white-spot lesions; and,
  • Have good oral hygiene as determined by the orthodontist/dental hygienist.
  • For intercept patients only:
  • Currently have brackets on their teeth; and,
  • Have begun treatment with rectangular archwires; or, who are in their finishing stage of orthodontic treatment (i.e. they have 3 to 4 months of treatment remaining).

Who cannot join

  • Currently participating in another clinical study.
  • Difficulty being compliant with study visits, such as those planning or having extensive travel commitments or who lack transportation.
  • Have mental, emotional, or developmental disabilities.
  • Have a complex/surgical case.
  • Have a deep overbite that would result in their maxillary incisor teeth occluding with the ceramic brackets on the mandibular teeth that cannot be avoided.
  • Need essential dental care, i.e., for broken teeth, grossly carious or abscessed teeth.
Show all 9Show fewer
  • Have dental prostheses/implants that will interfere with projected teeth movement.
  • Have known allergies to product ingredients (e.g. methacrylate resin materials, nickel, chromium).
  • Have a medical or oral condition that, in the investigator's judgement, may compromise the subject's safety or interfere with the conduct and outcome of the study.

Trial locations and contacts

5 sites in 1 country.

5 sites in 1 country

United States5 sites
  • McComb Orthodontics

    Culver City, California, 90291

  • Simply Smiles

    McKinney, Texas, 75050

  • Minnesota Orthodontics

    Northfield, Minnesota, 55057

  • Alvetro Orthodontics

    Sidney, Ohio, 45635

  • Shults Orthodontics

    Wellington, Florida, 33414

Other trials in United States

About this study

Official title: EXD-959 Esthetic Ceramic Self-ligating Orthodontic Brackets and EXD-961 Related Instruments Trial: A Multicenter Case Series Study of the Performance o the EXD-959 Ceramic Bracket System in New and Intercept Orthodontic Patients

The purpose of this study is to assess the performance of the EXD-959 self-ligating ceramic bracket system using EXD 961 instruments in the treatment of orthodontic malocclusion. The information gained in this study and other studies will be used to evaluate the clinical performance of the bracket system during orthodontic treatment and to substantiate marketing claims for the bracket system, open/close instrument and de-bonding instrument.

Read the detailed description

This prospective case-series study will evaluate the performance of the EXD-959 ceramic bracket system at baseline (BL), 4, and 6 months post-baseline, and at the time that each subject has their study brackets debonded (approx. 4 to 24 months). Bond failures and adverse events will be tracked throughout the entire study. A total of 78 study subjects will be enrolled in this study (30 new and 48 intercept cases). The patients will be recruited from a total of 6 participating study sites.

Self-Ligating (SL) Practitioners: The sponsor will recruit 4 orthodontist-investigators who have experience using and currently use self-ligating style orthodontic brackets.

Ligating (L) Practitioners: The sponsor will recruit 2 orthodontist-investigators who do NOT currently use self-ligating style orthodontic brackets in their practices. These will be practitioners who currently use brackets that require that either metal or elastomeric ties are used to secure the archwire into the bracket-slots.

Five new and 8 intercept subjects, who meet the inclusion/exclusion criteria and consent/assent to participate, will be enrolled at each study site (n = 13 per site).

  • New patient subjects who are just initiating full orthodontic treatment will have their premolars, canines, and incisors bonded with the EXD-959 brackets, using the related EXD-961 instruments, according to the manufacturer's IFU. Their remaining teeth will be bonded with the brackets of the orthodontist's choice. Three of the 5 new patients recruited may be patients that the orthodontist will choose to initiate treatment with the EXD-959 study brackets being applied to the upper teeth only. Having this option will allow the investigators to recruit subjects with deeper over-bites where their standard of care would be to apply esthetic brackets on the upper teeth and metal brackets on the lower teeth.
  • Intercept patient subjects: Eight subjects will be recruited from patients who are currently undergoing orthodontic treatment. Their existing treatment will be intercepted. They will have the brackets currently on their upper and lower premolars, canines, and incisors debonded and replaced with the EXD-959 study brackets, preferably using the related EXD-961 instruments, according the manufacturer's IFU. Three of 8 new intercept patients recruited may have treatment initiated on upper teeth only.
  • In order to evaluate rotation correction, torque control, bracket and bracket- door durability, and debonding experiences two types of intercept patients will be targeted:
  • Intercept - progress: this group will include a minimum of three patients at each study site who have moved into rectangular wires; and in whom, the orthodontist- investigator believes they will be able to evaluate rotation corrections. For example, rotation correction of the upper central incisor which will test the width of the bracket's holding points in situations that have wide teeth and greater inter-bracket distance.
  • Intercept-finishing: this group will include a minimum of three patients per study site who are estimated to be within 4 months of completing their orthodontic treatment; and in whom, the orthodontist-investigator believes they will be able to evaluate both torque control and debonding experiences.

As long as they recruit a minimum of 3 subjects in each intercept category, each orthodontist-investigator can then determine the total number of subjects recruited in each of the progress- and finishing-intercept groups in order to reach a total of 8 subjects. For example, at one site they might recruit 3 progress and 5 finishing subjects, while another site might recruit 4 progress and 4 finishing subjects.

In both SL and L practitioners the EXD-959 bracket system will be used in conjunction with the archwires prescribed by the treating orthodontists according to their respective treatment philosophies.

The study patients, treating orthodontists, and orthodontic staff who interact with the study subjects, the EXD brackets, and the EXD instruments will provide feedback related to specific attributes of the product at defined time-points, using the study documents provided by the study sponsor.

Conditions
Malocclusion
Being tested
EXD-959 Bracket System
Keywords
Self-ligating, Orthodontic, Esthetic
Medical subject headings
Malocclusion

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • EXD-959 Bracket SystemDevice

    EXD-959 Ceramic Self-ligating Brackets are a new type of esthetic ceramic bracket developed by 3M™ Oral Care Solutions. The brackets have a sliding door and are composed of alumina (aluminum oxide) and small amounts of related oxide compounds (glass powder) to give them a clear appearance. A nickel-titanium wire serves as part of the door mechanism and is attached to the bracket using 3M ESPE™ Scotchbond™ Universal Adhesive. The brackets are classified as a Class II medical device. A FDA 510(k) submission of EXD-959 was submitted the first quarter of 2018.

Study groups in NCT03606551
Study groupRoleWhat they receive
New Orthodontic PatientsNew patient subjects who are just initiating full orthodontic treatment will have their premolars, canines, and incisors bonded with the EXD-959 Bracket System, using the related EXD-961 instruments, according to the manufacturer's IFU. Their remaining teeth will be bonded with the brackets of the orthodontist's choice. Three of the 5 new patients recruited may be patients that the orthodontist will choose to initiate treatment with the EXD-959 study brackets being applied to the upper teeth only. Having this option will allow the investigators to recruit subjects with deeper over-bites where their standard of care would be to apply esthetic brackets on the upper teeth and metal brackets on the lower teeth.
Receives: Device: EXD-959 Bracket System
Intercept Orthodontic Patients-ProgressThis group will include a minimum of three, and up to 5 patients at each study site who have moved into rectangular wires; and in whom, the orthodontist- investigator believes they will be able to evaluate rotation corrections using the EXD-959 Bracket System. For example, rotation correction of the upper central incisor which will test the width of the bracket's holding points in situations that have wide teeth and greater inter-bracket distance.
Receives: Device: EXD-959 Bracket System
Intercept Orthodontic Patients-FinishingThis group will include a minimum of three, and up to 5 patients per study site who are estimated to be within 4 months of completing their orthodontic treatment; and in whom, the orthodontist-investigator believes they will be able to evaluate both torque control and debonding experiences using the EXD-959 Bracket System.
Receives: Device: EXD-959 Bracket System

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Performance and functionality of the EXD-959 Bracket System and Related EXD-961 instruments in correcting dental malocclusions.

    Validate that the EXD-959 Bracket System and Related EXD-961 instruments meet the user needs based on sponsor solicited feedback from dental professionals using, and patients wearing, these new orthodontic brackets.

    Measured: The primary time-frame will be based on the Visit 4 data (12-16-wk post-baseline).

Secondary outcomes (7)
  1. Orthodontists' ability to correct rotated teeth in dental patients as assessed using a questionnaire with a 7-point Likert scale

    Orthodontist-Investigators' subjective assessment of their ability to correct or straighten rotated teeth using the study brackets.

    Measured: The primary time-frame will be based on the Visit 4 data (12-16-wk post-baseline).

  2. Torque control assessed using a questionnaire with a 7-point Likert scale

    Orthodontist-Investigators' subjective assessment of their ability to achieve the desired crown-root inclination when using the study brackets. Re: Torque Control: Clinicians will complete a 7-point Likert Scale that asks them, "How satisfied are you with your ability to achieve your desired finishing goals using the study brackets?." (Orthodontists will know the meaning of torque control as it relates to the clinicians ability to use the brackets to torque the roots of teeth into an ideal location in addition to correcting the crookedness of the tooth crowns. There is a 7-point range on the scale where: #1 = Highly Satisfied and #6 = Very Dissatisfied and #7 = Not Applicable (N/A). The lower values are the better scores as they indicate how satisfied the clinicians are with their ability to achieve their desired results using the study brackets.

    Measured: The primary time-frame will be based on the Visit 4 data (12-16-wk post-baseline).

  3. Study subjects' assessment of bracket comfort assessed using a a questionnaire with a 7-point Likert scale scale

    Study subjects' subjective assessment of how comfortable the brackets feel to them. Intercept patients will complete this questionnaire for their existing brackets. Once those brackets are removed and the study bracket are placed they will be asked to complete the same questionnaire. Re: Bracket Comfort: Subjects will complete a 7-point Likert Scale that asks them, "How comfortable do the surfaces of your new braces (brackets) feel to you? There is a 7-point range on the scale where: #1 = Very Comfortable and #7 = Very Uncomfortable. The lower values are the better scores as they indicate comfort. Paired differences between bracket type will be summarized and tested for significant differences.

    Measured: The primary time-frame will be based on the Visit 4 data (12-16-wk post-baseline).

  4. Bond strength; assessed using the percent of total brackets that unintentionally debond, as captured on a bond failure tracking form.

    Bond failure rates will be computed as a percentage of individual bracket failures relative to all the teeth bonded with brackets. In addition, a 95% confidence interval of the overall bond failure rate will be computed using the Wilson Score method.

    Measured: The primary time-frame will be based on the Visit 4 data (12-16-wk post-baseline).

  5. Study subjects' assessment of bracket esthetics by using a questionnaire and a 7-point Likert scale.

    All patient-subjects will be asked to complete a form with a 7-point Likert Scale related to how they think the brackets look on their teeth. Intercept patients will complete this questionnaire for their existing brackets. Once those brackets are removed and the study bracket are placed they will be asked to complete the same questionnaire. Re: Bracket Esthetics: Subjects will complete a 7-point Likert Scale that asks them, "How well do you think your braces blend in with your teeth? There is a 7-point range on the scale where: #1 = Very Good and #7 = Very Bad. The lower values are the better scores as they indicate good esthetics. Paired differences between bracket type will be summarized and tested for significant differences. Esthetic rating differences of more than a 2-point decrease (on a 7-point Likert scale), via the individual rating at the 12-16 week visit relative to bonding, will be deemed significant.

    Measured: The primary time-frame will be based on the Visit 4 data (12-16-wk post-baseline).

  6. Bracket and door durability assessed using the percent of total brackets that break, or where the door breaks, as captured on a bracket issue tracking form.

    Sites will record all problems with any study brackets, including any issues with the bracket doors.

    Measured: The primary time-frame will be based on the Visit 4 data (12-16-wk post-baseline).

  7. Ease of Removal of study brackets when treatment is completed; assessed using a questionnaire and 7-point Likert Scale

    Orthodontist-Investigators' and/or dental assistants' subjective assessment of how easily the brackets come off of the teeth when the patient's treatment has been completed. Re: Debondng of Brackets: Clinicians will complete a 7-point Likert Scale that asks them, "Rate the ease of debonding the study brackets." There is a 7-point range on the scale where: #1 = Very Easy and #7 = Very Difficult. The lower values are the better scores as they indicate how easy it is to remove the brackets after treatment has been completed.

    Measured: The primary time-frame will be based on the Visit 4 data (12-16-wk post-baseline).

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted31 Jul 2018
  2. Study start21 Jun 2018
  3. Primary completion30 Dec 2021 (estimated)
  4. Study completion30 Apr 2022 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Case only
Time perspective
Prospective
Enrolment
78 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03606551
Sponsor's protocol ID
EM-11-050006
Status last verified
Feb 2021
First submitted
2 Jul 2018
Last updated
21 Feb 2021
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

An observational study of Malocclusion, run by 3M at 5 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 8 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 21 Feb 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 5 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Performance and functionality of the EXD-959 Bracket System and Related EXD-961 instruments in correcting dental malocclusions. (time frame: The primary time-frame will be based on the Visit 4 data (12-16-wk post-baseline).). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 21 Feb 2021.

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