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Status unknownNCT03653078Updated Aug 31, 2018

Root Proximity During Mini-Screw Insertion Using a Digital Three-Dimensional Printed Guide

An interventional study of Three dimensional printed digital guide in Orthodontic Appliance Complication, sponsored by Cairo University. Status unknown. Open to participants aged 14 Years to 45 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2018-08-31.

Sponsored by Cairo University · Not applicable, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Aug 2018), so the status shown — last known as Not yet recruiting — may be out of date.
Phase
Not applicable
Study type
Interventional
Enrollment
30
Allocation
Randomized
Ages
14 Years to 45 Years
Sex
All
01

Study summary

Although mini screw insertion is considered as a simple and non-invasive technique, it's a critical procedure which requires precision and accuracy. The placement of mini-screw poses a challenge to the orthodontist, particularly if the space available for mini-screws is limited.4 The proximity to the vital structures surrounding the proposed mini-screw position necessitates the precise knowledge of the anatomy of the insertion area.5 The incidence of mini-screw to tooth contact in the placement of inter-radicular region was 27%.6 Although failure of mini screw is considered a multi-factorial concern, many studies reported the proximity of a mini-screw to tooth structures is a major risk factor for failure, especially in the inter-radicular inserted mini-screws. guided insertion was believed to give more favorable results. Above all, the recent technology of the scanning and three-dimensional printing could pave the way to construct a simple accurate guide. Additionally all previous studies assessed the insertion accuracy using CBCT post-operatively, that can't be applied on human subjects for ethical reasons. Thus a non-invasive method for assessment of mini-screw insertion should be implemented.

Read the detailed description

PICOs P: Adult orthodontic patients need mini screws in maxillary arch bilaterally for anchorage I: Three dimensional printed digital guide for mini screw insertion C: Conventional free hand insertion technique

  • O: Primary outcome: Root proximity

Secondary outcomes:

  • Patient discomfort during insertion 17
  • Insertion accuracy
  • Angular deviation
  • Linear deviation
  • Failure 18 S: Split Mouth Randomized clinical Trial
02

Conditions studied

  • Orthodontic Appliance Complication

Keywords

  • Surgical guide
  • Surgical stent
  • orthodontic mini screw
  • temporary anchorage device
03

In context

Lead sponsor

Cairo University is the lead sponsor of 4,780 studies on the registry; 1,427 are open to participants now.

Of its 36 completed or terminated interventional studies of FDA-regulated products, 5 (14%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
14 Years to 45 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Orthodontic patients with Angle's Class I bimaxillary protrusion • Patients having average mandibular plane angle

Exclusion criteria

Exclusion Criteria:

  • Mixed dentition patients

    • Smoker patients
    • Patients with Increased lower facial height
    • Patients with missing posterior teeth
    • Bleeding disorders or anticoagulant therapy
    • Patients with cleft lip \& palate
    • Patients with facial asymmetry
    • Patients with transverse maxillary deficiency
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
30 participants (estimated)

Study arms

  • Experimental
    Three dimensional printed digital guide

    one mini-screw will be inserted in the buccal interradicular space between upper second premolar and first molar using Three dimensional printed digital guide, which is a device deisgned and printed through CAD/CAM technology, it's a printed plate fit on the teeth and buccal mucosa with a channel for mini- screw insertion, mini-screw will be inserted through the plate's channel

    Device: Three dimensional printed digital guide

  • No intervention
    Conventional free hand insertion

    one mini-screw will be inserted in the buccal interradicular space between upper second premolar and first molar using conventional free hand insertion of mini-screw, which is a technique using the guiding anatomy for mini-screw insertion using the driver and the operator's skill.

Interventions

  • DeviceThree dimensional printed digital guide

    A CAD/CAM printed plate with a channel for mini-screw insertion

    Also known as: surgical guide, surgical stent

06

What researchers measure

Primary outcomes

  1. Root proximity

    Distance between inserted mini screw and the adjacent roots in microns

    Time frame: immediately after mini-screw insertion (T0)

Secondary outcomes

  1. Patient discomfort:

    Likert scale, it is scale divided into five points to measure the degree of patient discomfort maximum value(5) strongly discomfort, discomfort, neutral, little discomfort, and minimum value (0)no discomfort

    Time frame: immediately after mini-screw insertion (T0)

07

Study locations

No study locations are listed for this record.

08

References and documents

Publications

  • Bae MJ, Kim JY, Park JT, Cha JY, Kim HJ, Yu HS, Hwang CJ. Accuracy of miniscrew surgical guides assessed from cone-beam computed tomography and digital models. Am J Orthod Dentofacial Orthop. 2013 Jun;143(6):893-901. doi: 10.1016/j.ajodo.2013.02.018. PubMed 23726340 ↗
  • Suzuki EY, Suzuki B. Accuracy of miniscrew implant placement with a 3-dimensional surgical guide. J Oral Maxillofac Surg. 2008 Jun;66(6):1245-52. doi: 10.1016/j.joms.2007.08.047. PubMed 18486791 ↗

Individual participant data

Plan to share: Undecided

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 31, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03653078
Lead sponsor
Cairo University
Responsible party
Hadir Aboshady (Principle investigator, Cairo University) — Principal investigator
First posted
Aug 31, 2018
Start date
Nov 15, 2018 (estimated)
Primary completion
Dec 15, 2019 (estimated)
Completion
Jan 15, 2020 (estimated)
Last update
Aug 31, 2018

Study contacts

Hadir Abo shady, MD
Contact
hadiraboshady@gmail.com
00201001937931
Mai Abo El fotouh, PHD
Contact
maihamdi@gmail.com
01001884499

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Aug 2018. You cannot join it, but the record below documents what was studied.

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