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Active, not recruitingNCT07522216Updated Apr 13, 2026

Effect of Clear Aligner Wear Protocol on External Root Resorption

An interventional study of Differnt orthodontic clear aligner wearing protocols (7-day versus 14-day wearing protocols in Clear Aligner Therapy, sponsored by Jordan University of Science and Technology. Active, not recruiting at 1 site in Jordan. Open to participants aged 18 Years to 30 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-04-13.

Sponsored by Jordan University of Science and Technology · Not applicable, Interventional, and Diagnostic

From the registry’s dates

  • Registered 11 months after the study started (first participant enrolled Feb 2025, registered Jan 2026).
Phase
Not applicable
Study type
Interventional
Enrollment
52
Allocation
Randomized
Ages
18 Years to 30 Years
Sex
All
01

Study summary

The aim of this two-arm randomized clinical trial was to compare the effect of 7-day and 14-day orthodontic clear aligner wear protocols on external apical root resorption (EARR) and pain perception

Read the detailed description

Fifty adult patients (21 Male and 29 female with a mean age of 23.7 ± 1.8) presented at the postgraduate orthodontic clinics at Jordan University of Science and Technology (JUST) were randomly allocated into a 7-day or 14-day aligner change protocol. Each patient underwent a standardized series of digital periapical radiographs (three upper and three lower). Baseline radiographs (T0) were taken before the initiation of treatment, and follow-up radiographs (T1) were collected after six months of aligner therapy.

EARR was measured from a line drawn at the cemento-enamel junction (CEJ) to the tooth's apex before treatment (T₀), and after treatment (T1), the difference in length was calculated and graded using the Malmgren Index. Pain perception was assessed using a verbal rating scale (VRS) at six-time intervals (24 hours, first week, second week, first month, third month and sixth month). Statistical analyses were used to compare pre- and post-treatment changes within and between the groups. Multiple linear regression was used to identify predictors of EARR.

02

Conditions studied

  • Clear Aligner Therapy

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Keywords

  • Root resorption
  • Aligner wearing protocol
03

In context

Root Resorption

43 studies on the registry are indexed under Root Resorption; 9 are open to participants now.

This study's enrollment of 52 is above the median of 29 across 36 interventional studies indexed under Root Resorption.

Browse Root Resorption studies →

Lead sponsor

Jordan University of Science and Technology is the lead sponsor of 89 studies on the registry; 7 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 30 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

  • Participants with complete permanent dentition except wisdom teeth
  • Participants presented with mild to moderate malocclusion (Average degree of crowding).
  • Participants with good oral hygiene and absence of periodontal disease.
  • No history of trauma or prior orthodontic treatment.

Exclusion criteria

Exclusion Criteria:

  • Participants with thin or petite roots.
  • Participants with pre-existing root resorption
  • Participants with endodontically treated incisors or canines.
  • Participants with history of trauma to incisors teeth
  • Participants with previous orthodontic treatment.
  • Participants with periapical pathology, ankylosisor cystic lesions.
  • Participants with medical conditions that may affecting pain or inflammatory responses.
05

Study design

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

Study arms

  • Active comparator
    7-day aligner wearing protocol

    Other: Differnt orthodontic clear aligner wearing protocols (7-day versus 14-day wearing protocols

  • Active comparator
    14-day aligner wearing protocol

    Other: Differnt orthodontic clear aligner wearing protocols (7-day versus 14-day wearing protocols

Interventions

  • OtherDiffernt orthodontic clear aligner wearing protocols (7-day versus 14-day wearing protocols

    One group should change the orthodontic clear aligner every week (7 days) and the second group every two weeks (14 days)

06

What researchers measure

Primary outcomes

  1. Root resorption

    Peri-apical radiographs will be taken before and after the treatment, tooth root length will be measured before and after treatment from the radiographs

    Time frame: 6 months

Secondary outcomes

  1. Pain perception

    Pain perception will be measured in the two groups

    Time frame: After 24 hours, 1 week, 2 weeks, 1 month, 3 months and 6 months

07

Study locations

1 site
  • postgraduate orthodontic clinics at JUST
    Irbid, 22110, Jordan
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 13, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07522216
Lead sponsor
Jordan University of Science and Technology
Responsible party
Sponsor
First posted
Apr 13, 2026
Start date
Feb 2, 2025
Primary completion
Apr 1, 2026
Completion
May 15, 2026 (estimated)
Last update
Apr 13, 2026

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 Apr 2026. You cannot join it, but the record below documents what was studied.

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