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Malocclusion, Angle Class IINCT05853211

Therapeutic Effects of Class II Elastics on Aligners in Different Vertical Skeletal Patterns

An observational study of Malocclusion, Angle Class II, run by Central Hospital, Nancy, France at 1 site in France.

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 The sponsor has not verified this record for over two years, so it may be out of date.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 objective is to compare the dento-alveolar therapeutic effects of wearing class II inter-arch traction elastics on aligners versus multi-brackets in an adult population. The principal hypothesis is no significant difference in therapeutic effects of using inter-arch elastics on aligners versus multi-brackets. Read more about this study

Who is it for?
Ages 13 years and olderHealthy volunteers can take part
Conditions the study is for
Malocclusion, Angle Class II
What is being tested?
Aligner and inter-arch elastics
How many people
80 participants
Where
1 siteFrance
Study dates
30 Sep 2024to 1 Oct 2024
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 13 years and older
  • All sexes
  • Healthy volunteers accepted
  • Child, Adult, Older adult

Study population: Adult with class II malocclusion treated with class II elastics

Who may be able to join

  • CVM stage 5 on lateral teleradiography (end of growth)
  • Angle Class II
  • Treatments with rubber bands for inter-arch traction
  • End of treatment in class I

Who cannot join

  • Incomplete data
  • Treatment with extractions, mini-screws, mini-plate or ortho-surgical treatment
  • Dental agenesis (excluding wisdom teeth)
  • Cranial-facial syndromes

Trial locations and contacts

1 site in 1 country.

France1 site
  • DEON

    Nancy, Lorraine, 54000

    Lou DEON, Student, +33685327891, loudeon@yahoo.fr

Other trials in France

About this study

Official title: Therapeutic Effects of Class II Elastics on Aligners in Different Vertical Skeletal Patterns in Adult Patients: Retrospective Study.

The objective is to compare the dento-alveolar therapeutic effects of wearing class II inter-arch traction elastics on aligners versus multi-brackets in an adult population. The principal hypothesis is no significant difference in therapeutic effects of using inter-arch elastics on aligners versus multi-brackets.

Read the detailed description

It is a non-interventional research involving the human person, research on existing data and / samples in the field of dentofacial orthopedics. This study analyzes the effects of rubber bands when combined with aligners in adult patients. This is a comparative retrospective study of radiographs and casts before and after orthodontic treatment. The patients studied are in Angle class II and adults. Two groups are analysed: patients treated with fixed (vestibular multi-attachment) and removable (Invisalign-type aligners) appliances.

Being tested
Aligner and inter-arch elastics
Keywords
aligner, inter-arch elastic, orthodontic, class II malocclusion, adult, clear aligner, orthodontic appliance, Invisalign, class II elastics, angle class II malocclusion
Medical subject headings
Malocclusion, Angle Class II, Overbite

What participants receive

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

  • Aligner and inter-arch elasticsCombination product

    Correction of class II malocclusion by class II elastics on clear aligners

Study groups in NCT05853211
Study groupRoleWhat they receive
Clear alignerPatient with class II malocclusion, treated with class II elastics on aligners
Receives: Combination Product: Aligner and inter-arch elastics
Fixed appliancePatient with class II malocclusion, treated with class II elastics on fixed appliance

What is being measured

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

  1. Change in IMPA Mandibular incisor angle (degrees)

    Angle between the mandibular plane and the lower incisor axis: position of the lower incisor in relation to the mandible

    Measured: First : just before the beginning of treatment; Second : just after the end of orthodontic treatment. An average of 18 months.

Secondary outcomes (24)
  1. Sex

    Sex

    Measured: 1 month

  2. Duration of treatment

    Treatment time duration in month

    Measured: 24 months

  3. Change in interproximal dental size

    Interproximal size in mm

    Measured: First : just before the beginning of treatment; Second : just after the end of orthodontic treatment. An average of 18 months

  4. Change in skeletal sagittal pattern ANB angle

    Cephalometric measurements : angle between A, Na (nasion) and B in degrees

    Measured: First : just before the beginning of treatment; Second : just after the end of orthodontic treatment. An average of 18 months

  5. Change in skeletal sagittal pattern Ao-Bo

    Cephalometric measurements : mesure in mm between Ao and Bo

    Measured: First : just before the beginning of treatment; Second : just after the end of orthodontic treatment. An average of 18 months

  6. Change in skeletal vertical pattern : FMA

    Cephalometric measurements : angle in degrees between franckfort plan and mandibular plan.

    Measured: First : just before the beginning of treatment; Second : just after the end of orthodontic treatment. An average of 18 months

  7. Change in skeletal vertical pattern : Sn Gogn

    Cephalometric measurements : angle in degrees between SN and GoGn

    Measured: First : just before the beginning of treatment; Second : just after the end of orthodontic treatment. An average of 18 months

  8. Change in faciale anterior height

    Cephalometric measurements of faciale anterior height

    Measured: First : just before the beginning of treatment; Second : just after the end of orthodontic treatment. An average of 18 months

  9. Change in faciale posterior height

    Cephalometric measurements of faciale posterior height

    Measured: First : just before the beginning of treatment; Second : just after the end of orthodontic treatment. An average of 18 months

  10. Change in index Faciale height

    Cephalometric measurements, index HFP (faciale posterior heigth)/ HFA (faciale anterior height)

    Measured: First : just before the beginning of treatment; Second : just after the end of orthodontic treatment. An average of 18 months

  11. Change in nterincisal angle

    Cephalometric measurements : measurement between manxillary and mandibular incisors.

    Measured: First : just before the beginning of treatment; Second : just after the end of orthodontic treatment. An average of 18 months

  12. Change in plan of occlusion

    Cephalometric measurements : angle between SN and Op

    Measured: First : just before the beginning of treatment; Second : just after the end of orthodontic treatment. An average of 18 months

  13. Age at the beginning of treatment

    Age

    Measured: 1 month

  14. Age at the end of treatment

    Age

    Measured: 24 months

  15. Change in von Spee curve

    Measurements on impressions : it is the average of the distance between the highest point of the deepest cusp and the occlusal plane.

    Measured: First : just before the beginning of treatment; Second : just after the end of orthodontic treatment. An average of 18 months

  16. Change in overall crowding

    Measurements on impressions : comparison of the sum of the mesiodistal diameters of 35 to 45 and the arch perimeter from the mesial face of 36 to the mesial face of 46.

    Measured: First : just before the beginning of treatment; Second : just after the end of orthodontic treatment. An average of 18 months

  17. Change in overjet

    Measurements on impressions : in mm

    Measured: First : just before the beginning of treatment; Second : just after the end of orthodontic treatment. An average of 18 months

  18. Change in overbite

    Measurements on impressions : in mm

    Measured: First : just before the beginning of treatment; Second : just after the end of orthodontic treatment. An average of 18 months

  19. Change in arch length

    Measurements on impressions : distance between inter incisal point and mesiale face of 6.

    Measured: First : just before the beginning of treatment; Second : just after the end of orthodontic treatment. An average of 18 months

  20. CHange in class II quantity

    Measurements on impressions : inter canine and inter molar relations

    Measured: First : just before the beginning of treatment; Second : just after the end of orthodontic treatment. An average of 18 months

  21. Change in space required

    Measurements on impressions : sum of all mesiodistal diameter.

    Measured: First : just before the beginning of treatment; Second : just after the end of orthodontic treatment. An average of 18 months

  22. Change in inter canine distance

    Measurements on impressions : distance between the canine in mm

    Measured: First : just before the beginning of treatment; Second : just after the end of orthodontic treatment. An average of 18 months

  23. Change in inter premolar distance

    Measurements on impressions : distance between the premolars

    Measured: First : just before the beginning of treatment; Second : just after the end of orthodontic treatment. An average of 18 months

  24. Change in inter molar distance

    Measurements on impressions : distance between the molars

    Measured: First : just before the beginning of treatment; Second : just after the end of orthodontic treatment. An average of 18 months

Timeline

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

  1. First posted10 May 2023
  2. Study start30 Sep 2024 (estimated)
  3. Primary completion1 Oct 2024 (estimated)
  4. Study completion1 Oct 2024 (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
Other
Time perspective
Retrospective
Enrolment
80 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05853211
Sponsor's protocol ID
2023PI022
Status last verified
Jul 2024
First submitted
13 Apr 2023
Last updated
23 Jul 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Janson G, Sathler R, Fernandes TM, Branco NC, Freitas MR. Correction of Class II malocclusion with Class II elastics: a systematic review. Am J Orthod Dentofacial Orthop. 2013 Mar;143(3):383-92. doi: 10.1016/j.ajodo.2012.10.015.

    PubMed 23452973
  • Robertson L, Kaur H, Fagundes NCF, Romanyk D, Major P, Flores Mir C. Effectiveness of clear aligner therapy for orthodontic treatment: A systematic review. Orthod Craniofac Res. 2020 May;23(2):133-142. doi: 10.1111/ocr.12353. Epub 2019 Nov 13.

    PubMed 31651082
  • Zheng M, Liu R, Ni Z, Yu Z. Efficiency, effectiveness and treatment stability of clear aligners: A systematic review and meta-analysis. Orthod Craniofac Res. 2017 Aug;20(3):127-133. doi: 10.1111/ocr.12177. Epub 2017 May 26.

    PubMed 28547915
  • Lombardo L, Colonna A, Carlucci A, Oliverio T, Siciliani G. Class II subdivision correction with clear aligners using intermaxilary elastics. Prog Orthod. 2018 Sep 1;19(1):32. doi: 10.1186/s40510-018-0221-5.

    PubMed 30171391
  • Dianiskova S, Rongo R, Buono R, Franchi L, Michelotti A, D'Anto V. Treatment of mild Class II malocclusion in growing patients with clear aligners versus fixed multibracket therapy: A retrospective study. Orthod Craniofac Res. 2022 Feb;25(1):96-102. doi: 10.1111/ocr.12500. Epub 2021 May 31.

    PubMed 34013659
  • Duncan LO, Piedade L, Lekic M, Cunha RS, Wiltshire WA. Changes in mandibular incisor position and arch form resulting from Invisalign correction of the crowded dentition treated nonextraction. Angle Orthod. 2016 Jul;86(4):577-83. doi: 10.2319/042415-280.1. Epub 2015 Dec 4.

    PubMed 26636248
  • Amm E, El Amm C, Vaden J. Effect of Class II elastics on different mandibular arch preparation stabilized with aligners and stainless-steel wires: A FEM study. Orthod Craniofac Res. 2022 Nov;25(4):520-529. doi: 10.1111/ocr.12564. Epub 2022 Jan 27.

    PubMed 35015923
  • Rongo R, Dianiskova S, Spiezia A, Bucci R, Michelotti A, D'Anto V. Class II Malocclusion in Adult Patients: What Are the Effects of the Intermaxillary Elastics with Clear Aligners? A Retrospective Single Center One-Group Longitudinal Study. J Clin Med. 2022 Dec 9;11(24):7333. doi: 10.3390/jcm11247333.

    PubMed 36555949
  • Deregibus A, Tallone L, Rossini G, Parrini S, Piancino M, Castroflorio T. Morphometric analysis of dental arch form changes in class II patients treated with clear aligners. J Orofac Orthop. 2020 Jul;81(4):229-238. doi: 10.1007/s00056-020-00224-8. Epub 2020 Apr 14.

    PubMed 32291482
  • Liu X, Cheng Y, Qin W, Fang S, Wang W, Ma Y, Jin Z. Effects of upper-molar distalization using clear aligners in combination with Class II elastics: a three-dimensional finite element analysis. BMC Oral Health. 2022 Dec 1;22(1):546. doi: 10.1186/s12903-022-02526-2.

    PubMed 36456944
  • Baccetti T, Franchi L, McNamara JA Jr. An improved version of the cervical vertebral maturation (CVM) method for the assessment of mandibular growth. Angle Orthod. 2002 Aug;72(4):316-23. doi: 10.1043/0003-3219(2002)0722.0.CO;2.

    PubMed 12169031
  • Marshall SD, Caspersen M, Hardinger RR, Franciscus RG, Aquilino SA, Southard TE. Development of the curve of Spee. Am J Orthod Dentofacial Orthop. 2008 Sep;134(3):344-52. doi: 10.1016/j.ajodo.2006.10.037.

    PubMed 18774080
  • Fawaz P, Amm E, Khoury E. The curve of Spee and its levelling in different vertical skeletal patterns: A 3D set-up study. Int Orthod. 2021 Dec;19(4):659-668. doi: 10.1016/j.ortho.2021.08.003. Epub 2021 Aug 31.

    PubMed 34479824
  • Adel SM, Vaid NR, El-Harouni N, Kassem H, Zaher AR. Digital model superimpositions: are different software algorithms equally accurate in quantifying linear tooth movements? BMC Oral Health. 2022 Mar 31;22(1):103. doi: 10.1186/s12903-022-02129-x.

    PubMed 35361187

Questions about this trial

What is this clinical trial studying?

An observational study of Malocclusion, Angle Class II, run by Central Hospital, Nancy, France at 1 site in France.

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 4 inclusion and 4 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 23 Jul 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in France. 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?

Contact Bart VANDE VANNET, Phd (+32496284339, bart.vande-vannet@univ-lorraine.fr), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in IMPA Mandibular incisor angle (degrees) (time frame: First : just before the beginning of treatment; Second : just after the end of orthodontic treatment. An average of 18 months.). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05853211, which also lists 14 linked publications.

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 23 Jul 2024.

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