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CompletedNCT05458583Updated Jul 26, 2022

The Periodontal Status and Failure Rates With Different Retainer Bonding Techniques Using One-step Adhesive

An interventional study of Baseline periodontal measurements (T0) and Periodontal measurements (T1) in Periodontal Inflammation, sponsored by Pamukkale University. Completed at 1 site in Turkey. Per ClinicalTrials.gov, last updated 2022-07-26.

Sponsored by Pamukkale University · Not applicable, Interventional, and Other

From the registry’s dates

  • Registered 1 year 4 months after the study started (first participant enrolled Feb 2021, registered Jun 2022).
Phase
Not applicable
Study type
Interventional
Enrollment
100
Allocation
Randomized
Sex
All
01

Study summary

The aim of this study was to evaluate fixed retainers, bonded with either direct or indirect techniques using one- or two-step adhesives, in terms of periodontal status and failure rates.

02

Conditions studied

  • Periodontal Inflammation

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Keywords

  • failure rate
  • periodontal status
  • retainer
03

In context

Inflammation

3,439 studies on the registry are indexed under Inflammation; 629 are open to participants now.

This study's enrollment of 100 is above the median of 50 across 2,437 interventional studies indexed under Inflammation.

Browse Inflammation studies →

Lead sponsor

Pamukkale University is the lead sponsor of 331 studies on the registry; 61 are open to participants now.

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

04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Good treatment outcomes
  • good oral hygiene
  • No systemic or periodontal problems
  • No extraction or missing anterior teeth and restorations

Exclusion criteria

Exclusion Criteria:

  • Patients unwilling to wear a fixed retainer
05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Investigator, Outcomes assessor)
Enrollment
100 participants (actual)

Study arms

  • Other
    Direct bonding with conventional adhesive

    The fixed retainer was applied with direct bonding technique using two-step (conventional) adhesive

    Procedure: Baseline periodontal measurements (T0) · Procedure: Periodontal measurements (T1) · Procedure: Periodontal measurements (T2) · Procedure: Retainer failure rates

  • Other
    Direct bonding with one-step adhesive

    The fixed retainer was applied with direct bonding technique using one-step adhesive

    Procedure: Baseline periodontal measurements (T0) · Procedure: Periodontal measurements (T1) · Procedure: Periodontal measurements (T2) · Procedure: Retainer failure rates

  • Other
    Indirect bonding with conventional adhesive

    The fixed retainer was applied with indirect bonding technique using two-step (conventional) adhesive

    Procedure: Baseline periodontal measurements (T0) · Procedure: Periodontal measurements (T1) · Procedure: Periodontal measurements (T2) · Procedure: Retainer failure rates

  • Other
    Indirect bonding with one-step adhesive

    The fixed retainer was applied with indirect bonding technique using one-step adhesive

    Procedure: Baseline periodontal measurements (T0) · Procedure: Periodontal measurements (T1) · Procedure: Periodontal measurements (T2) · Procedure: Retainer failure rates

Interventions

  • ProcedureBaseline periodontal measurements (T0)

    Periodontal measurements including plaque index, gingival index and calculus index were recorded at the bonding session.

  • ProcedurePeriodontal measurements (T1)

    Periodontal measurements including plaque index, gingival index and calculus index were recorded at the 6 months after bonding.

  • ProcedurePeriodontal measurements (T2)

    Periodontal measurements including plaque index, gingival index and calculus index were recorded at the 12 months after bonding.

  • ProcedureRetainer failure rates

    A retainer with at least one composite pad detachment was considered to be a failure during 1-year follow-up.

06

What researchers measure

Primary outcomes

  1. Plaque index measurements

    Plaque index was scored by a specialized periodontist on the mesiolingual, lingual, and distolingual sides of each tooth at the bonding session based on the following scale: 0 (no plaque), 1 (a film of plaque adhering to the free gingival margin and adjacent area of the tooth), 2 (moderate accumulation of soft deposits within the gingival pocket, or on the tooth and gingival margin which can be seen with the naked eye) and 3 (abundance of soft matter within the gingival pocket and/or on the tooth and gingival margin). All measurements were performed using acrylic stents to ensure reproducible placement of the periodontal probe (PCP 15 UNC, Hu-Friedy, Chicago, IL).

    Time frame: at the bonding session

  2. Plaque index measurements

    Plaque index (PI) was scored by a specialized periodontist on the mesiolingual, lingual, and distolingual sides of each tooth at 6 months after bonding based on the following scale: 0 (no plaque), 1 (a film of plaque adhering to the free gingival margin and adjacent area of the tooth), 2 (moderate accumulation of soft deposits within the gingival pocket, or on the tooth and gingival margin which can be seen with the naked eye) and 3 (abundance of soft matter within the gingival pocket and/or on the tooth and gingival margin). All measurements were performed using acrylic stents to ensure reproducible placement of the periodontal probe (PCP 15 UNC, Hu-Friedy, Chicago, IL).

    Time frame: 6 months (T1) after bonding

  3. Plaque index measurements

    Plaque index was scored by a specialized periodontist on the mesiolingual, lingual, and distolingual sides of each tooth at 12 months after bonding based on the following scale: 0 (no plaque), 1 (a film of plaque adhering to the free gingival margin and adjacent area of the tooth), 2 (moderate accumulation of soft deposits within the gingival pocket, or on the tooth and gingival margin which can be seen with the naked eye) and 3 (abundance of soft matter within the gingival pocket and/or on the tooth and gingival margin). All measurements were performed using acrylic stents to ensure reproducible placement of the periodontal probe (PCP 15 UNC, Hu-Friedy, Chicago, IL).

    Time frame: 12 months (T2) after bonding

  4. Gingival index measurements

    Gingival index was scored by a specialized periodontist on the mesiolingual, lingual, and distolingual sides of each tooth at bonding session based on the following scale: 0 (absence of inflammation), 1 (mild inflammation), 2 (moderate inflammation) and 3 (severe inflammation). All measurements were performed using acrylic stents to ensure reproducible placement of the periodontal probe (PCP 15 UNC, Hu-Friedy, Chicago, IL).

    Time frame: at the bonding session

  5. Gingival index measurements

    Gingival index was scored by a specialized periodontist on the mesiolingual, lingual, and distolingual sides of each tooth at 6 months after bonding based on the following scale: 0 (absence of inflammation), 1 (mild inflammation), 2 (moderate inflammation) and 3 (severe inflammation). All measurements were performed using acrylic stents to ensure reproducible placement of the periodontal probe (PCP 15 UNC, Hu-Friedy, Chicago, IL).

    Time frame: 6 months (T1) after bonding

  6. Gingival index measurements

    Gingival index was scored by a specialized periodontist on the mesiolingual, lingual, and distolingual sides of each tooth at 12 months after bonding based on the following scale: 0 (absence of inflammation), 1 (mild inflammation), 2 (moderate inflammation) and 3 (severe inflammation). All measurements were performed using acrylic stents to ensure reproducible placement of the periodontal probe (PCP 15 UNC, Hu-Friedy, Chicago, IL).

    Time frame: 12 months (T2) after bonding

  7. Calculus index measurements

    Calculus index was scored by a specialized periodontist on the mesiolingual, lingual, and distolingual sides of each tooth at bonding session based on the following scale: 0 (no calculus present), 1 (supragingival calculus covering not more than one third of the exposed tooth surface), 2 (supragingival calculus covering more than one third but not more than two thirds of the exposed tooth surface or the presence of individual flecks of subgingival calculus around the cervical portion of the tooth or both) and 3 (supragingival calculus covering more than two thirds of the exposed tooth surface or a continuous heavy band of subgingival calculus around the cervical portion of the tooth or both). All measurements were performed using acrylic stents to ensure reproducible placement of the periodontal probe (PCP 15 UNC, Hu-Friedy, Chicago, IL).

    Time frame: at bonding session

  8. Calculus index measurements

    Calculus index was scored by a specialized periodontist on the mesiolingual, lingual, and distolingual sides of each tooth at 6 months after bonding based on the following scale: 0 (no calculus present), 1 (supragingival calculus covering not more than one third of the exposed tooth surface), 2 (supragingival calculus covering more than one third but not more than two thirds of the exposed tooth surface or the presence of individual flecks of subgingival calculus around the cervical portion of the tooth or both) and 3 (supragingival calculus covering more than two thirds of the exposed tooth surface or a continuous heavy band of subgingival calculus around the cervical portion of the tooth or both). All measurements were performed using acrylic stents to ensure reproducible placement of the periodontal probe (PCP 15 UNC, Hu-Friedy, Chicago, IL)

    Time frame: 6 months after bonding

  9. Calculus index measurements

    Calculus index was scored by a specialized periodontist on the mesiolingual, lingual, and distolingual sides of each tooth at 12 months after bonding based on the following scale: 0 (no calculus present), 1 (supragingival calculus covering not more than one third of the exposed tooth surface), 2 (supragingival calculus covering more than one third but not more than two thirds of the exposed tooth surface or the presence of individual flecks of subgingival calculus around the cervical portion of the tooth or both) and 3 (supragingival calculus covering more than two thirds of the exposed tooth surface or a continuous heavy band of subgingival calculus around the cervical portion of the tooth or both). All measurements were performed using acrylic stents to ensure reproducible placement of the periodontal probe (PCP 15 UNC, Hu-Friedy, Chicago, IL)

    Time frame: 12 months after bonding

Secondary outcomes

  1. Failure rate

    A retainer with at least one composite pad detachment was considered to be a failure during a 1-year follow-up period. When there was no wire breakage or deformation, the tooth surfaces were cleaned and bonding was completed using a direct technique.

    Time frame: during 1-year follow-up

07

Study locations

1 site
  • Pamukkale University Faculty of Dentistry Department of Orthodontics
    Denizli, 20160, Turkey
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 26, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05458583
Lead sponsor
Pamukkale University
Responsible party
Serpil Cokakoglu (Assistant Professor, Pamukkale University) — Principal investigator
First posted
Jul 14, 2022
Start date
Feb 3, 2021
Primary completion
Mar 4, 2021
Completion
Mar 1, 2022
Last update
Jul 26, 2022

Oversight

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

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