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Not yet recruitingNCT06561945Updated Oct 21, 2024

Accuracy of Dental Movements Using Clear Aligners Treatment: a Single-center Prospective Observational Study

An observational study in Malocclusion, sponsored by IRCCS Ospedale San Raffaele. Not yet recruiting. Open to participants aged 18 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-10-21.

Sponsored by IRCCS Ospedale San Raffaele · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
100
Ages
18 Years to 65 Years
Sex
All
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Study summary

The aim of the present prospective observational study is to evaluate the accuracy of dental movements in the three planes of space, assessing the correspondence between the virtual planned movements and the clinical outcomes achieved using thermoformed or 3D printed orthodontic aligners. The study will include patients who are candidates for aligner orthodontics treatment. After having acquired the standard initial diagnostic data (clinical examination, intra- and extra-oral photographs, intra- and extra-oral scans, orthopantomography and lateral-lateral teleradiography of the skull), the digital impressions of the arches will be used to plan the dental movements necessary for correction of malocclusion.

The aligners will then be designed using orthodontic CAD software and realized using a thermoformed and direct 3D printing process.

All patients will be treated following current recommendations relating to the orthodontic treatments in question. After delivery of the aligners, during each check-up, intra-oral and extra-oral scans will be acquired to evaluate the actual position of the teeth and, using special software will be compare the virtually designed position with tooth with the clinical outcomes. Any discrepancies will be recorded and statistically analyzed.There are no additional invasive procedures. Intra- and extra-oral scans will be acquired regularly to monitor the extent of tooth movement over time.

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Conditions studied

  • Malocclusion

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Keywords

  • clear aligner
  • malocclusion
  • direct print aligner
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In context

Malocclusion

469 studies on the registry are indexed under Malocclusion; 91 are open to participants now.

This study's planned enrollment of 100 is above the median of 62 across 79 observational studies indexed under Malocclusion.

Browse Malocclusion studies →

Lead sponsor

IRCCS Ospedale San Raffaele is the lead sponsor of 36 studies on the registry; 28 are open to participants now.

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

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Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

The study population will be selected from patients aged 18 years and older who require orthodontic treatment with clear aligners. One hundred patients will be enrolled, without distinction based on gender.

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

  1. Age between 18 and 65 years
  2. Good general health
  3. Presence of a dental/skeletal malocclusion
  4. Permanent dentition with second molars completely erupted in the arch
  5. Correct tooth shape, with sufficient height of the clinical crowns
  6. Good compliance during treatment

Exclusion criteria

Exclusion Criteria:

  1. Systemic diseases or pharmacological therapy with drugs that can affect orthodontic movement
  2. Orofacial malformations or syndromes
  3. Periodontal disease
  4. Smoke
  5. Pregnancy
  6. Signs and/or symptoms of temporomandibular disorders
  7. Absence of teeth (except for third molars)
  8. Dental Implants
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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
100 participants (estimated)
Patient registry
No

Groups and cohorts

  • orthodontic patients

    Patients who need orthodontic treatment.

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What researchers measure

Primary outcomes

  1. Evaluate accuracy aligners of on transversal dental linear movements

    Correspondence between virtual planned linear movements (in millimetres) and clinical outcomes achieved using aligners evaluated on the transversal plane. Post-treatment digital models and final virtual treatment plan models will be exported as STL files and subsequently imported into Geomagic Qualify ®software, to compare final teeth positions

    Time frame: 18 months

  2. Evaluate accuracy aligners of on vertical dental linear movements

    Correspondence between virtual planned linear movements (in millimetres) and clinical outcomes achieved using aligners evaluated on the vertical plane. Post-treatment digital models and final virtual treatment plan models will be exported as STL files and subsequently imported into Geomagic Qualify ®software, to compare final teeth positions

    Time frame: 18 months

  3. Evaluate accuracy aligners of on sagittal dental linear movements

    Correspondence between virtual planned linear movements (in millimetres) and clinical outcomes achieved using aligners evaluated on the sagittal plane. Post-treatment digital models and final virtual treatment plan models will be exported as STL files and subsequently imported into Geomagic Qualify ®software, to compare final teeth positions

    Time frame: 18 months

Secondary outcomes

  1. Evaluate accuracy of 3d printed aligners on transversal dental angular movements

    Correspondence between virtual planned angular movements (in degrees) and clinical outcomes achieved using aligners evaluated on the transversal plane. Post-treatment digital models and final virtual treatment plan models will be exported as STL files and subsequently imported into Geomagic Qualify ®software, to compare final teeth positions

    Time frame: 18 months

  2. Evaluate accuracy of 3d printed aligners on sagittal dental angular movements

    Correspondence between virtual planned angular movements (in degrees) and clinical outcomes achieved using aligners evaluated on the sagittal plane. Post-treatment digital models and final virtual treatment plan models will be exported as STL files and subsequently imported into Geomagic Qualify ®software, to compare final teeth positions

    Time frame: 18 months

  3. Evaluate accuracy of 3d printed aligners on vertical dental angular movements

    Correspondence between virtual planned angular movements (in degrees) and clinical outcomes achieved using aligners evaluated on the vertical plane. Post-treatment digital models and final virtual treatment plan models will be exported as STL files and subsequently imported into Geomagic Qualify ®software, to compare final teeth positions

    Time frame: 18 months

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Study locations

No study locations are listed for this record.

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References and documents

Publications

  • Ferlias N, Dalstra M, Cornelis MA, Cattaneo PM. In Vitro Comparison of Different Invisalign(R) and 3Shape(R) Attachment Shapes to Control Premolar Rotation. Front Bioeng Biotechnol. 2022 Mar 16;10:840622. doi: 10.3389/fbioe.2022.840622. eCollection 2022. PubMed 35372304 ↗
  • Grunheid T, Loh C, Larson BE. How accurate is Invisalign in nonextraction cases? Are predicted tooth positions achieved? Angle Orthod. 2017 Nov;87(6):809-815. doi: 10.2319/022717-147.1. Epub 2017 Jul 7. PubMed 28686090 ↗
  • Houle JP, Piedade L, Todescan R Jr, Pinheiro FH. The predictability of transverse changes with Invisalign. Angle Orthod. 2017 Jan;87(1):19-24. doi: 10.2319/122115-875.1. Epub 2016 Jun 15. PubMed 27304231 ↗
  • Kravitz ND, Kusnoto B, BeGole E, Obrez A, Agran B. How well does Invisalign work? A prospective clinical study evaluating the efficacy of tooth movement with Invisalign. Am J Orthod Dentofacial Orthop. 2009 Jan;135(1):27-35. doi: 10.1016/j.ajodo.2007.05.018. PubMed 19121497 ↗
  • Papadimitriou A, Mousoulea S, Gkantidis N, Kloukos D. Clinical effectiveness of Invisalign(R) orthodontic treatment: a systematic review. Prog Orthod. 2018 Sep 28;19(1):37. doi: 10.1186/s40510-018-0235-z. PubMed 30264270 ↗

Individual participant data

Plan to share: No

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Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Nov 2024; primary completion for Sep 2027, 34 months later.

Of 33 observational studies under Malocclusion, half reached primary completion within 23 months of starting (the median), counting those still running; a quarter within 12 and three quarters within 38. This study's planned 34 months is above that.

How these figures are worked out, and which studies are left out of them.

Registered
Jul 14, 2024
First posted
Aug 20, 2024
StartEst.
Nov 1, 2024
Primary completionEst.
Sep 1, 2027
CompletionEst.
Sep 1, 2028
Last update
Oct 21, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Oct 21, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT06561945
Lead sponsor
IRCCS Ospedale San Raffaele
Responsible party
Giorgio Gastaldi (Associate Professor, IRCCS Ospedale San Raffaele) — Principal investigator
First posted
Aug 20, 2024
Start date
Nov 1, 2024 (estimated)
Primary completion
Sep 1, 2027 (estimated)
Completion
Sep 1, 2028 (estimated)
Last update
Oct 21, 2024

Study contacts

Andrea Boggio, dds,phd
Contact
a.boggio@docenti.unisr.it
00393339019030
Giorgio Gastaldi, MD, DDS
principal investigator · Vita-Salute San Raffaele University Milan

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Oct 2024. You cannot join it, but the record below documents what was studied.

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