ClinicalTrials.gg
Active, not recruitingNCT06882395Updated Mar 21, 2025

Impact of Aligner Replacement Protocols on Predictability of Planned Dental Movements: Evaluation of Double Aligner

An interventional study of Group 1: FLX aligners for 10 days and Group 3: FLX aligners for 7 days, followed by new FLX aligners for 3 days. in Malocclusion, Clear Aligner Appliance and Orthodontics, sponsored by Neodent. Active, not recruiting at 1 site in Brazil. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-03-21.

Sponsored by Neodent (part of Institut Straumann AG) · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 4 months after the study started (first participant enrolled Nov 2024, registered Mar 2025).

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Phase
Not applicable
Study type
Interventional
Enrollment
114
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 16 studies in Malocclusion with a site in Brazil — 1 open to participants now, 3 under way, none of them phase 3. Malocclusion · Brazil.

Enrollment
Largest of 14
114 · median 36
Started
2024
with 1 other
No phase
12 of 16
1 open now
Registered
15th of 16
by date
Lead sponsor
2 of 16
Neodent

Among the 16 studies in Malocclusion with a site in Brazil, this one has the largest enrollment of the 14 interventional ones that give a count, is one of 2 that started in 2024, is one of 12 with no phase, and was the 15th registered.

Malocclusion

323 studies on the registry are indexed under Malocclusion; 84 are open to participants now.

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Open to participants now

1 of the 16 studies in Malocclusion with a site in Brazil is open now. Recruiting first, the newest first:

A study can be open while its sites in Brazil have not opened yet or have stopped. Only those recruiting at a site in Brazil →

Who these studies take

Of the 41 Malocclusion studies recruiting now, 8 (20%) set no upper age limit and 33 (80%) stop at 75 or younger; 32 take children under 18; 18 take healthy volunteers.

This study: 18 Years and older · all sexes · healthy volunteers too.

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02

Study summary

The study will evaluate the impact of replacing aligners after 7 days with new aligners made of different materials on the predictability of planned dental movements. Three groups of participants will follow different aligner protocols, and the planned movements will be compared with the achieved ones. The study aims to provide relevant data for clinical practices with orthodontic aligners and assess participants' satisfaction with the treatment.

Read the detailed description

This prospective clinical trial aims to determine whether replacing an aligner after 7 days with a new aligner of a different material affects the predictability of planned dental movements. A total of 114 adult patients undergoing orthodontic treatment with aligners-requiring bilateral tooth movements (extrusion, intrusion, rotation, tipping, or mesiodistal translation)-will be recruited and randomized into three groups with distinct aligner exchange protocols.

Group 1: 10 days of exclusive FLX aligner use. Group 2: 7 days of FLX aligner use followed by 3 days of FLX35 use. Group 3: 7 days of FLX aligner use followed by 3 days of a new FLX aligner. Within each group, patients will be further categorized into subgroups based on horizontal, vertical, and rotational movements. Digital study models, radiographs, and standardized clinical photographs will be used to compare planned versus achieved tooth movements. The primary outcome is the predictability of movement, defined as the difference and percentage of planned versus actual movement. Secondary outcomes include participant satisfaction measured via the OHIP-14 questionnaire. Data will be analyzed using descriptive statistics and paired tests appropriate for the split-mouth design. The study is conducted in accordance with the Declaration of Helsinki, and all treatment costs will be covered by the sponsor, NeoDent (JJGC Industria e Comercio de Materiais Dentarios S.A.).

03

Conditions studied

  • Malocclusion
  • Clear Aligner Appliance
  • Orthodontics
  • Tooth Movement

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Keywords

  • Orthodontics
  • Tooth
  • Movement
  • Removable
  • Appliances
04

Who can participate

Ages eligible
18 Years and older
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

  • Adults aged 18 years or older, with full permanent dentition.
  • Interested in orthodontic treatment with aligners.
  • Planned movements include extrusion, intrusion, rotation, tipping, or mesiodistal translation.
  • Signed .

Exclusion criteria

Exclusion Criteria:

  • to aligner use, including allergies to polyurethane or PETG.
  • Poor oral hygiene or active periodontal disease.
  • Malocclusions involving multiple missing teeth or short clinical crowns.
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
114 participants (actual)

Study arms

  • Active comparator
    Arm 1: FLX aligner 10 days

    Participants use the FLX aligner exclusively for 10 days.

    Device: Group 1: FLX aligners for 10 days

  • Experimental
    Arm 2: FLX for 10 days + FLX35 for 3 days

    Participants use the FLX aligner for 7 days, followed by the FLX35 aligner for 3 days.

    Device: Group 2: FLX aligners worn for 7 days, followed by FLX35 aligners for 3 days.

  • Experimental
    FLX aligner for 7 days + FLX for 3 days

    FLX aligner for 7 days, followed by the FLX aligner for 3 days

    Device: Group 3: FLX aligners for 7 days, followed by new FLX aligners for 3 days.

Interventions

  • DeviceGroup 1: FLX aligners for 10 days

    FLX aligners worn for 10 days

  • DeviceGroup 3: FLX aligners for 7 days, followed by new FLX aligners for 3 days.

    Group 3: FLX aligners worn for 7 days, followed by new FLX aligners for 3 days.

  • DeviceGroup 2: FLX aligners worn for 7 days, followed by FLX35 aligners for 3 days.

    Group 2: FLX aligners for 7 days, followed by FLX35 aligners for 3 days.

06

What researchers measure

Primary outcomes

  1. Tooth movement and predictability achieved by different aligner materials, evaluated through radiographs and intraoral scanning

    Digital study models (obtained using an intraoral scanner), along with standardized digital panoramic and periapical radiographs, will be collected at three key stages: before treatment initiation (for diagnosis and planning), during treatment, and immediately after treatment completion (for assessing the results). This follows the standard clinical practice in orthodontic treatment. The intraoral scans will be analyzed in conjunction with the planned movement models generated by the orthodontic treatment planning software. To evaluate treatment efficacy, tooth tracking will be performed using Geomagic Control X. This analysis will compare the planned tooth movement (reported in mm) with the actual movement achieved (reported in mm). The planned movement aligns with the expected total. Therefore, the percentage (%) of orthodontic movement successfully completed will be calculated based on the measurements.

    Time frame: 7 days

07

Study locations

1 site
  • Private orthodontic clinic
    Curitba, Paraná 81270-200, Brazil
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

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

Started Nov 2024 (actual). Primary completion is estimated for Feb 2027, 27 months after the start.

Of 163 interventional studies with no phase under Malocclusion, half reached primary completion within 19 months of starting (the median), counting those still running; a quarter within 10 and three quarters within 32. This study's planned 27 months is above that.

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

Registered
Mar 7, 2025
First posted
Mar 18, 2025
StartActual
Nov 6, 2024
Primary completionEst.
Feb 2027
CompletionEst.
Jul 2027
Last update
Mar 21, 2025
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 Mar 21, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06882395
Lead sponsor
Neodent
Responsible party
Sponsor
First posted
Mar 18, 2025
Start date
Nov 6, 2024
Primary completion
Feb 2027 (estimated)
Completion
Jul 2027 (estimated)
Last update
Mar 21, 2025

Oversight

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

Not currently enrolling

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

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Discussion

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