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Not yet recruitingNCT076034273D-BIOALIGNUpdated May 22, 2026

Development of Biofunctional 3D-Printed Orthodontic Aligners With Antimicrobial and Remineralizing Properties

An interventional study of Modified 3D-Printed Orthodontic Aligner Resin in Orthodontic Aligner Material, Enamel Demineralization and Dental Biofilm Formation, sponsored by University of Baghdad. Not yet recruiting at 1 site in Iraq. Per ClinicalTrials.gov, last updated 2026-05-22.

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

Phase
Not applicable
Study type
Interventional
Enrollment
400
Allocation
Non-randomized
Sex
All
01

Study summary

Clear orthodontic aligners are widely used due to their esthetics and patient comfort; however, prolonged wear may promote biofilm accumulation and enamel demineralization. This laboratory-based (in vitro) study aims to develop and evaluate a novel directly 3D-printed orthodontic aligner resin modified with antimicrobial and remineralizing agents.

The study will investigate the incorporation of dimethylaminohexadecyl methacrylate (DMAHDM) as an antibacterial agent and amorphous calcium phosphate (ACP) as a remineralizing component into a 3D-printed aligner resin. Modified and unmodified resin specimens will be fabricated and assessed for antimicrobial activity, ion release, and enamel remineralization potential using extracted human teeth.

In addition, the mechanical and physical properties of the experimental aligner materials, including shape memory behavior, deflection, tensile strength, translucency, and water sorption, will be evaluated to ensure clinical suitability.

This study does not involve human participants and is conducted entirely in vitro. The findings are expected to contribute to the development of biofunctional orthodontic aligners that actively inhibit bacterial growth and support enamel health without compromising material performance

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Conditions studied

  • Orthodontic Aligner Material
  • Enamel Demineralization
  • Dental Biofilm Formation
  • Clear Aligner Material Properties
03

In context

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
Child (0–17), Adult (18–64), Older adult (65+)
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

  • Extracted human teeth obtained for reasons unrelated to this study (e.g., orthodontic or periodontal indications).
  • Teeth collected after obtaining ethical approval from the Research Ethics Committee.
  • Teeth free from visible cracks, fractures, restorations, or developmental defects.

Exclusion criteria

Exclusion Criteria:

  • - Teeth with caries, restorations, cracks, fractures, or structural defects.
  • Teeth extracted due to pathological conditions affecting enamel or dentin integrity.
  • Teeth with unknown extraction history
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
400 participants (estimated)

Study arms

  • Experimental
    control group

    Directly 3D-printed orthodontic aligner resin

    Other: Modified 3D-Printed Orthodontic Aligner Resin

  • Experimental
    DMAHDM group

    Directly 3D-printed orthodontic aligner resin with incorporation of dimethylaminohexadecyl methacrylate (DMAHDM)

    Other: Modified 3D-Printed Orthodontic Aligner Resin

  • Experimental
    ACP group

    Directly 3D-printed orthodontic aligner resin with incorporation of Amorphous calcium phosphate (ACP)

    Other: Modified 3D-Printed Orthodontic Aligner Resin

  • Experimental
    DMAHDM + ACP group

    Directly 3D-printed orthodontic aligner resin with incorporation both DMAHDM and ACP

    Other: Modified 3D-Printed Orthodontic Aligner Resin

Interventions

  • OtherModified 3D-Printed Orthodontic Aligner Resin

    Directly 3D-printed orthodontic aligner resin with or without incorporation of antimicrobial (DMAHDM) and remineralizing (ACP) agents.

06

What researchers measure

Primary outcomes

  1. Antimicrobial Activity of Modified 3D-Printed Aligner Resin

    Evaluation of antibacterial effectiveness by quantifying Streptococcus mutans biofilm using colony-forming unit (CFU) counts (CFU/mL

    Time frame: day 1

  2. Enamel Remineralization Assessed by Raman Spectroscopy

    Assessment of mineral content changes in enamel adjacent to aligner material using Raman spectroscopy (e.g., phosphate ν1 peak intensity at \~960 cm-¹).

    Time frame: day 7

  3. Ion Release from Modified Aligner Resin

    Quantification of calcium (Ca²⁺) and phosphate (PO₄³-) ion release using inductively coupled plasma (ICP) analysis (ppm)

    Time frame: day 7

Secondary outcomes

  1. Tensile Properties of Modified 3D-Printed Aligner Resin

    Assessment of tensile strength and elastic modulus of unmodified and modified aligner resins according to ISO 527-2.Unit of Measure: MPa.

    Time frame: After specimen fabrication and post-curing (Day 1)

  2. Flexural Properties of Modified 3D-Printed Aligner Resin

    Evaluation of flexural strength and flexural modulus using a three-point bending test.Unit of Measure: MPa

    Time frame: (Day 1)

  3. Shape Memory

    Assessment of shape recovery rate (%) Unit of Measure: % (recovery)

    Time frame: day 1

  4. Water Sorption and Solubility

    Measurement of water sorption and solubility according to ISO 20795-1. Unit of Measure: µg/mm³

    Time frame: day 1 to day 7

  5. Optical Properties: Translucency

    Evaluation of translucency parameter (TP) using spectrophotometric analysis. Unit of Measure: Translucency Parameter (TP)

    Time frame: day 1

07

Study locations

1 site
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References and documents

Individual participant data

Plan to share: No — participants confidentiality

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 May 22, 2026, 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
NCT07603427
Responsible party
Safaa Saud Abed (postgraduate/PhD student, University of Baghdad) — Principal investigator
First posted
May 22, 2026
Start date
Jun 1, 2026 (estimated)
Primary completion
Dec 1, 2026 (estimated)
Completion
Feb 1, 2027 (estimated)
Last update
May 22, 2026

Study contacts

Safaa Saud Abed
Contact
safaasaud83@gmail.com
009647712375540
Ali I Ibrahim
Contact
ali.ibrahim@kcl.ac.uk
Ali I Ibrahim, Prof. Dr
study chair · University of Baghdad

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 not yet recruiting, as verified in May 2026. You cannot join it, but the record below documents what was studied.

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