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CTRI Number  CTRI/2024/04/065191 [Registered on: 04/04/2024] Trial Registered Prospectively
Last Modified On: 26/03/2024
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cohort Study 
Study Design  Single Arm Study 
Public Title of Study   This study aims to assess how well we can predict and control tooth movements with invisible aligner treatment. This includes checking how accurately these aligners can shift the teeth into desired position. 
Scientific Title of Study   Association between quantum of linear tooth movement and percentage accuracy in clear aligner therapy - A Retrospective Cohort Evaluation. 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr. Chandani Shah 
Designation  PhD Scholar 
Affiliation  Manav Rachna International Institute of Research and Studies 
Address  Room no. 3, Department of Orthodontics and Dentofacial Orthopaedics, Manav Rachna Dental College, School of Dental Sciences, Manav Rachna International Institute of Research and Studies.

Faridabad
HARYANA
121004
India 
Phone  9930811742  
Fax    
Email  dr.chandanishah07@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr. Puneet Batra 
Designation  Principal, Professor and HOD 
Affiliation  Manav Rachna International Institute of Research and Studies. 
Address  Room no. 3, Department of Orthodontics and Dentofacial Orthopaedics, Manav Rachna Dental College, School of Dental Sciences, Manav Rachna International Institute of Research and Studies.

Faridabad
HARYANA
121004
India 
Phone  9810335961  
Fax    
Email  drpuneetbatra@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr. Chandani Shah 
Designation  PhD Scholar 
Affiliation  Manav Rachna International Institute of Research and Studies. 
Address  Room no. 3, Department of Orthodontics and Dentofacial Orthopaedics, Manav Rachna Dental College, School of Dental Sciences, Manav Rachna International Institute of Research and Studies.

Faridabad
HARYANA
121004
India 
Phone  9930811742  
Fax    
Email  dr.chandanishah07@gmail.com  
 
Source of Monetary or Material Support  
NIL 
 
Primary Sponsor  
Name  Dr Chandani Shah 
Address  Room no. 3, Department of Orthodontics and Dentofacial Orthopaedics, Manav Rachna Dental College, School of Dental Sciences, Manav Rachna International Institute of Research and Studies. 
Type of Sponsor  Other [Self sponsored] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Chandani Shah  Manav Rachna International Institute of Research and Studies.  Room no. 3, Department of Orthodontics and Dentofacial Orthopaedics, Manav Rachna Dental College, School of Dental Sciences, Manav Rachna International Institute of Research and Studies.
Faridabad
HARYANA 
9930811742

dr.chandanishah07@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Manav Rachna Dental College  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K089||Disorder of teeth and supporting structures, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  NIL  NIL 
Comparator Agent  NIL  NIL 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  32.00 Year(s)
Gender  Both 
Details  Complete dentition
No supernumerary teeth
No tooth shape anomalies
Good oral hygiene with Healthy periodontium.
Minimum 20 Aligner sets have been worn with a mid treatment Intraoral scan done at 20th Aligner. 
 
ExclusionCriteria 
Details  Tooth movement less than 0.1mm at the end of stage 20
Systemic pathologies
Tooth/Bone related disorders (root resorption)
Ongoing pharmacological treatment affecting orthodontic movement(e.g.bisphosphonates)
Active periodontal disease
Smokers 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
The mean accuracy of tooth movement with aligners is expected to range from 40% to 60%, comparing between predicted and actual achieved results for linear tooth movements.
The study would help establish the relationship between the quantum of tooth movement and the percentage accuracy of tooth movement. 
The teeth positions would be assessed at baseline and after 27 weeks. 
 
Secondary Outcome  
Outcome  TimePoints 
Correlation between quantum of tooth movement and percentage accuracy of tooth movement of maxillary and mandibular anterior teeth.  20 SETS OF ALIGNERS WORN 10 DAY EACH 
 
Target Sample Size   Total Sample Size="450"
Sample Size from India="450" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   31/05/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="7"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

The retrospective cohort study primarily aims to evaluate and assess the predictability of clear aligners with respect to linear movements in all 3 planes of space. The study also aims to compare the digitally planned tooth movement and the tooth movement clinically achieved at 1st refinement stage. The study further aims to establish correlation between quantum of tooth movement and its percentage accuracy. 450 maxillary and mandibular anterior teeth (approximately 70 teeth in each set) treated using Flash aligner system would be retrospectively selected. Once the model preparation is completed, the pretreatment models would be digitally segmented for isolating individual tooth as separate objects. It would then be compared with unsegmented treatment plan models with Compare 8.1 software (GeoDigm). The following tooth movement (maxillary and mandibular anterior teeth) would be assessed and percentage accuracy would be calculated: Buccal and Lingual movement; Occlusal and Gingival movement; and Mesial and Distal movement. Data gathered would be assembled on a excel sheet and will be processed using appropriate statistical tests on Statistical package for Social Sciences (SPSS) software. Normality of numerical data would be assessed. The normality of data would decide the statistical tests. Considering the above parameters, the mean accuracy of tooth movement of clear aligners is expected to range from 40% to 60%, comparing between predicted and clinically achieved results for linear tooth movements in the current study.

 
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