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Enrolling by invitationNCT07350343Updated Apr 15, 2026

The Predictability of Directly Printed Versus Thermoformed Clear Aligners

An interventional study of Direct-printed aligner (Graphy) and Thermoformed aligner in Class I Malocclusion, Crowded Teeth and Spacing of Anterior Teeth, sponsored by University of Baghdad. Enrolling by invitation at 1 site in Iraq. Open to participants aged 16 Years to 40 Years. Per ClinicalTrials.gov, last updated 2026-04-15.

Sponsored by University of Baghdad · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
36
Allocation
Randomized
Ages
16 Years to 40 Years
Sex
All
01

Study summary

The study is randomized controlled trial ...The null hypothesis suggests that there is no significant difference between actual and predicted dental movement in patients treated using direct printed aligners produced with Graphy™ Tera Harz TA-28 resin as compared to those treated with thermoformed clear aligners.

Read the detailed description

the patients will be randomly assigned to one of two study groups which either direct printed or thermoformed clear aligner. All patients would be given the same instructions: aligners had to be worn for at least 22 hours per day, except during meals and oral hygiene activities, and should be changed every 10 days.Teeth positions would be planned according to esthetic and functional principles, starting with the 3D T0 digital model and aligning and leveling dental arches following orthodontic aligner biomechanical principles. Each aligner had a planned movement speed of 0.2 mm linear displacement, 2° long-axis rotation, and a vestibulo-lingual inclination of 2.5°.

02

Conditions studied

  • Class I Malocclusion
  • Crowded Teeth
  • Spacing of Anterior Teeth
  • Rotation

Keywords

  • direct printed graphy... thermoform
03

In context

Malocclusion, Angle Class I

35 studies on the registry are indexed under Malocclusion, Angle Class I; 10 are open to participants now.

This study's planned enrollment of 36 is above the median of 32 across 31 interventional studies indexed under Malocclusion, Angle Class I.

Browse Malocclusion, Angle Class I studies →

Lead sponsor

University of Baghdad is the lead sponsor of 170 studies on the registry; 69 are open to participants now.

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

04

Who can participate

Ages eligible
16 Years to 40 Years
Sexes eligible
All
Accepts healthy volunteers
No

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

  • Patients with mild to moderate malocclusion that can be treated by less than 40 steps of aligner treatment, including those with dental rotation of \< 30°, diastema or crowding of \< 8 mm.
  • Patients aged ≥ 16 years with fully erupted permanent teeth (regardless of the third molar).
  • No supernumerary teeth, no enamel malformation.
  • No tooth shape anomalies

Exclusion criteria

Exclusion Criteria:

  • Systemic pathologies such as uncontrolled diabetes or heart diseases
  • active or past periodontal disease
  • previous orthodontic treatment
  • temporomandibular joint disorders
  • ongoing pharmacological treatment could influence orthodontic treatment.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
36 participants (estimated)

Study arms

  • Experimental
    Direct-printed aligner (Graphy)

    Patients will be treated with direct-printed Graphy aligners until dental levelling alignment; space closure is finished.

    Device: Direct-printed aligner (Graphy)

  • Active comparator
    Thermoformed aligner

    Patients will be treated with thermoformed aligners until dental alignment, levelling, space closure is finished.

    Device: Thermoformed aligner

Interventions

  • DeviceDirect-printed aligner (Graphy)

    intraoral scanner would be used to scan patient teeth then aligner fabrication by direct printing then the patient will be treated with direct-printed aligners(graphy) until dental levelling alignment; space closure is finished. All patients would be given the same instructions: aligners had to be worn for at least 22 hours per day, except during meals and oral hygiene activities, and should be changed every 10 days.

  • DeviceThermoformed aligner

    An intraoral scanner would be used to scan patient teeth then aligner fabrication by thermoforming then the Patients will be treated with thermoformed aligners until dental alignment, levelling, space closure is finished. All patients would be given the same instructions: aligners had to be worn for at least 22 hours per day, except during meals and oral hygiene activities, and should be changed every 10 days.

06

What researchers measure

Primary outcomes

  1. predictability of tooth movement

    The primary outcome will be calculated as the percentage difference between the final and initial positions for each individual tooth movement assessed and will be expressed as a continuous numerical variable representing tooth movement predictability (%).

    Time frame: 12 months

Secondary outcomes

  1. predictability within different types

    1\. The secondary outcome will be assessed by comparing the predictability within different types of tooth movement of the same group.

    Time frame: 12 months

  2. Colour change of clear aligners

    UV-Visible spectrophotometer for samples from both groups before and after intraoral aging.

    Time frame: 12 months

  3. Degree of Conversion

    Assessment of the Degree of Conversion of direct printed Tera Harz TA-28 resin using Fourier-transform infrared (FTIR) spectroscopy for the liquid resin before curing and for samples after curing and post-processing.

    Time frame: 12 months

  4. shape memory effect

    Assessment of the shape memory effect of direct printed Tera Harz TA-28 aligners, the bending test would be used to investigate and directly visualize the shape recovery property.

    Time frame: 12 months

07

Study locations

1 site
  • The sample will be recruited from multicentre clinics (Private dental clinic, Orthodontic Department at Karbala Governmental Specialized Dental Centre, Orthodontic Department, College of Dentistry University of Baghdad).
    Karbala, Iraq
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 15, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07350343
Responsible party
Hussin Anwar (Dentist.. PhD student, University of Baghdad) — Principal investigator
First posted
Jan 20, 2026
Start date
Feb 15, 2026
Primary completion
Apr 1, 2027 (estimated)
Completion
Jun 1, 2027 (estimated)
Last update
Apr 15, 2026

Study contacts

hussin anwar
principal investigator · University of Baghdad

Oversight

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

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