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CompletedNCT04347018Updated Oct 4, 2024Results posted

BRIUS Vs FFA Efficiency

An interventional study of BRIUS in Dental Malocclusion, Angle Class II and Angle Class I, sponsored by State University of New York at Buffalo. Completed at 1 site in United States. Open to participants aged 10 Years to 17 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-10-04.

Sponsored by State University of New York at Buffalo · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
13
Allocation
Randomized
Ages
10 Years to 17 Years
Sex
All
01

Study summary

The purpose of this study is to compare the Full Fixed Preadjusted appliances (regular braces) when to the BRIUS system.

Read the detailed description

This is a randomized controlled trial which aims to identify the effectiveness of alignment in the BRIUS group when compared to the full fixed appliance group.

The secondary aim of the study is to identify any difference in discomfort experienced by the patients when undergoing treatment using the two appliances

The investigators also aim to quantify the extent of tooth movement that is achieved through each appliance within a given time frame

02

Conditions studied

  • Dental Malocclusion
  • Angle Class II
  • Angle Class I
  • Crowding, Tooth
03

In context

Malocclusion

323 studies on the registry are indexed under Malocclusion; 85 are open to participants now.

This study's enrollment of 13 is below the median of 37 across 242 interventional studies indexed under Malocclusion.

Browse Malocclusion studies →

Lead sponsor

State University of New York at Buffalo is the lead sponsor of 294 studies on the registry; 63 are open to participants now.

Of its 19 completed or terminated interventional studies of FDA-regulated products, 15 (79%) have results posted.

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

04

Who can participate

Ages eligible
10 Years to 17 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • 10 to 18 years old
  • Angle Class I and Cl II (up to half cusp) molar and canine relationship.
  • Fully erupted permanent dentition (excluding third molars).
  • Crowding of 7 mm or less.
  • Must be able to maintain good oral hygiene assessed by the orthodontist during their visits.

Exclusion criteria

Exclusion Criteria:

  • Previous history of orthodontic treatment or orthognathic surgery
  • Subjects who require extractions or orthognathic surgery
  • Multiple missed appointments
  • Deteriorating oral hygiene and craniofacial syndromes or disorders
  • Severe gag reflex resulting from the use of intra-oral scanners
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
13 participants (actual)

Study arms

  • Experimental
    BRIUS

    BRIUS orthodontic appliance (wire) will be used to treat the patients. BRIUS appliance will be engaged to regular orthodontic brackets intra-orally to initiate orthodontic treatment at the University at Buffalo Orthodontic Clinic.

    Device: BRIUS

  • Active comparator
    Preadjusted edgewise full fixed appliance

    regular full fixed orthodontic appliance (FFA) appliances will be used to treat patients. These are regular orthodontic brackets with standard orthodontic wires used to treat patients at the University at Buffalo Department of Orthodontics

    Device: BRIUS

Interventions

  • DeviceBRIUS

    This is a device that is designed based on movements planned virtually on a computer program. Then all the planned movements are embedded into the wire causing the wire to have the necessary bends to move every tooth into its pre-planned final position. This causes the pre-activated wire to consistently express a low force over a long period of time onto all the teeth. This allows the teeth to move into the final position and treatment progresses towards completion

06

What researchers measure

Primary outcomes

  1. Overall 3D Movement

    absoluate measurement of extent of movement of teeth

    Time frame: 18 weeks

  2. Little's Irregularity Index

    Little's irregularity index. The index measures the alignment discrepancy in the five contact points of the lower anterior region in millimeteres. The minimum score is zero and the maximum is 10 or above. The greater the score the worse the outcome

    Time frame: 18 weeks

  3. Discomfort

    Online survey will evaluate discomfort arising from the orthodontic brackets between patients in the two groups. A visual analog scale from 0-10 millimeter will be applied. The greater the score the worse the discomfort level.

    Time frame: 18 weeks

07

Results

Posted Oct 4, 2024

Participant flow

Participant flow — Overall Study
MilestoneBRIUSPreadjusted Edgewise Full Fixed Appliance
Started76
Completed76
Not completed00

Outcome measures

PrimaryOverall 3D Movement

absoluate measurement of extent of movement of teeth

Time frame:
18 weeks
Reported as:
Median · mm
Overall 3D Movement
mmBRIUSPreadjusted Edgewise Full Fixed Appliance
Overall 3D Movement1.46 (0.16 to 2)1.41 (0.15 to 2.56)
PrimaryLittle's Irregularity Index

Little's irregularity index. The index measures the alignment discrepancy in the five contact points of the lower anterior region in millimeteres. The minimum score is zero and the maximum is 10 or above. The greater the score the worse the outcome

Time frame:
18 weeks
Reported as:
Mean · Millimeter
Little's Irregularity Index
MillimeterBRIUSPreadjusted Edgewise Full Fixed Appliance
Little's Irregularity Index5.38 ± 3.045.04 ± 1.61
PrimaryDiscomfort

Online survey will evaluate discomfort arising from the orthodontic brackets between patients in the two groups. A visual analog scale from 0-10 millimeter will be applied. The greater the score the worse the discomfort level.

Time frame:
18 weeks
Reported as:
Mean · units on a scale - millimeter
Discomfort
units on a scale - millimeterBRIUSPreadjusted Edgewise Full Fixed Appliance
Discomfort1.57 (0 to 7)38.67 (21 to 59)

Adverse events

Collected over 18 weeks. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
BRIUS0/7 (0%)0/7 (0%)0/7 (0%)
Preadjusted Edgewise Full Fixed Appliance0/6 (0%)0/6 (0%)0/6 (0%)

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)BRIUSPreadjusted Edgewise Full Fixed ApplianceTotal
<=18 years7613
Between 18 and 65 years000
>=65 years000
Sex: Female, Male
Sex: Female, Male(Participants)BRIUSPreadjusted Edgewise Full Fixed ApplianceTotal
Female235
Male538
Race and Ethnicity Not Collected
Race and Ethnicity Not Collected(Participants)BRIUSPreadjusted Edgewise Full Fixed ApplianceTotal
Count of participants——0
08

Study locations

1 site
  • Department of Orthodontics, School of Dental Medicine, SUNY at Buffalo
    Buffalo, New York 14214, United States
09

References and documents

Publications

  • S.M.R. Peikar, J.S. Wratten Jr, Teeth repositioning systems and methods, Google Patents, 2019.
  • Ioshida M, Munoz BA, Rios H, Cevidanes L, Aristizabal JF, Rey D, Kim-Berman H, Yatabe M, Benavides E, Alvarez MA, Volk S, Ruellas AC. Accuracy and reliability of mandibular digital model registration with use of the mucogingival junction as the reference. Oral Surg Oral Med Oral Pathol Oral Radiol. 2019 Apr;127(4):351-360. doi: 10.1016/j.oooo.2018.10.003. Epub 2018 Oct 16. PubMed 30472195 ↗
  • Grauer D, Proffit WR. Accuracy in tooth positioning with a fully customized lingual orthodontic appliance. Am J Orthod Dentofacial Orthop. 2011 Sep;140(3):433-43. doi: 10.1016/j.ajodo.2011.01.020. PubMed 21889089 ↗
  • Scott P, DiBiase AT, Sherriff M, Cobourne MT. Alignment efficiency of Damon3 self-ligating and conventional orthodontic bracket systems: a randomized clinical trial. Am J Orthod Dentofacial Orthop. 2008 Oct;134(4):470.e1-8. doi: 10.1016/j.ajodo.2008.04.018. PubMed 18929262 ↗
  • Wu AK, McGrath C, Wong RW, Wiechmann D, Rabie AB. A comparison of pain experienced by patients treated with labial and lingual orthodontic appliances. Eur J Orthod. 2010 Aug;32(4):403-7. doi: 10.1093/ejo/cjp117. Epub 2009 Dec 16. PubMed 20018798 ↗
  • Wu A, McGrath C, Wong RW, Wiechmann D, Rabie AB. Comparison of oral impacts experienced by patients treated with labial or customized lingual fixed orthodontic appliances. Am J Orthod Dentofacial Orthop. 2011 Jun;139(6):784-90. doi: 10.1016/j.ajodo.2009.07.027. PubMed 21640885 ↗
  • Talaat S, Kaboudan A, Bourauel C, Ragy N, Kula K, Ghoneima A. Validity and reliability of three-dimensional palatal superimposition of digital dental models. Eur J Orthod. 2017 Aug 1;39(4):365-370. doi: 10.1093/ejo/cjx008. PubMed 28339627 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 4, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT04347018
Responsible party
Mohammed H Al-Zainal (Orthodontic Resident, State University of New York at Buffalo) — Principal investigator
First posted
Apr 15, 2020
Start date
Jul 6, 2020
Primary completion
Jun 17, 2022
Completion
Jun 17, 2022
Results posted
Oct 4, 2024
Last update
Oct 4, 2024

Study contacts

Mohammed h alzainal, BDS
principal investigator · Orthodontic resident

Oversight

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

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This study is completed, as verified in Sep 2024. You cannot join it, but the record below documents what was studied.

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