ClinicalTrials.gg
Not yet recruitingNCT07760935Updated Aug 14, 2026

Digital vs Conventional VFR in Post-Orthodontic Retention

An interventional study of Digital Vacuum-Formed Retainer and Conventional Vacuum-Formed Retainer in Periodontal Disease; Gingivitis; Dental Plaque; Malocclusion (Post-orthodontic Treatment), sponsored by Ziauddin University. Not yet recruiting. Open to participants aged 15 Years to 30 Years. Per ClinicalTrials.gov, last updated 2026-08-14.

Primary conditionGingivitisRegistry: Periodontal DiseasesReclassifiedWhy we changed it
Registry
Periodontal Diseases — the first condition term the registry derived for this study.
ClinicalTrials.gg
Gingivitis
Why
  1. The study's listed conditions name Gingivitis, a narrower term within Periodontal Diseases.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by Ziauddin University · Not applicable, Interventional, and Other

Phase
Not applicable
Study type
Interventional
Enrollment
52
Allocation
Randomized
Ages
15 Years to 30 Years
Sex
All
01

Study summary

This study is comparing two ways of making a retainer, the clear, removable kind worn after braces to see whether the way it's made affects gum health. One type is made using a digital scan of the teeth, and the other is made the traditional way, using a plaster mold. The study will look at how each type affects plaque buildup, gum swelling, and the depth of the space between the tooth and gum over a six-month period.

About 52 people who have just finished braces on both their upper and lower teeth will take part. Participants will be assigned to one of two groups: one group will receive a digitally made retainer, and the other will receive a traditionally made retainer.

Retainer Fitting Before the study begins, each participant's retainer is custom-made for their teeth, either from a digital scan or a plaster mold, depending on which group they're in. Participants will wear their retainer for 22 hours a day, taking it out only to eat and brush their teeth.

Daily Care Throughout the study, participants will follow the same tooth-brushing and gum-care routine, so that any differences seen between the two groups can be linked to the retainer itself rather than to differences in oral hygiene. Participants will be asked to avoid using mouthwash while wearing the retainer.

Check-Up Visits

Participants will attend four check-ups over six months:

Before the retainer is placed (baseline) One month after placement Three months after placement Six months after placement

At each visit, a dentist will check the teeth and gums for plaque buildup, gum swelling or bleeding, and pocket depth (the space between the tooth and gum) using a small measuring tool called a probe.

Follow-Up The final check-up at six months marks the end of the study for each participant. Participants can leave the study at any time if they choose.

Read the detailed description

Orthodontic retention is essential to prevent relapse following active orthodontic treatment, and vacuum-formed retainers (VFRs) are widely used due to their aesthetics and ease of fabrication.

Conventional VFRs are fabricated over a plaster model derived from alginate impressions, while digital VFRs are fabricated over a 3D-printed model generated from an intraoral scan.

This randomized clinical trial compares periodontal health outcomes; Plaque Index, Gingival Index, and Periodontal Pocket Depth, between the two fabrication methods.

Fifty-two participants (26 per arm) aged 15-30 years who have completed non-extraction fixed orthodontic treatment on both arches within the last month will be enrolled via non-probability consecutive sampling. Group A will receive digitally fabricated VFRs; Group B will receive conventionally fabricated VFRs, both made of 1.5 mm PETG material. Participants will wear retainers 22 hours daily and follow standardized oral hygiene instructions.

Periodontal parameters will be assessed on index teeth 16, 21, 31, and 46 at baseline (T0) and at 1, 3, and 6 months (T1-T3) post-placement. Gingival Index will follow the Loe and Silness method; Plaque Index will follow the Silness and Loe method; pocket depth will be measured with a UNC-15 probe at six sites per tooth.

Data will be analyzed in SPSS v27 using independent-sample t-tests/Mann-Whitney U tests for between-group comparisons and paired t-tests for within-group change from baseline, with stratification for age and gender as effect modifiers.

02

Conditions studied

  • Periodontal Disease; Gingivitis; Dental Plaque; Malocclusion (Post-orthodontic Treatment)

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Keywords

  • Orthodontic retention; vacuum-formed retainer; digital dentistry; intraoral scanning; periodontal health; plaque index; gingival index; periodontal pocket depth
03

In context

Gingivitis Reclassified

631 studies on the registry are indexed under Gingivitis; 107 are open to participants now.

This study's planned enrollment of 52 is below the median of 66 across 507 interventional studies indexed under Gingivitis.

Browse Gingivitis studies →

Lead sponsor

Ziauddin University is the lead sponsor of 51 studies on the registry; 9 are open to participants now.

Compared within Gingivitis, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Periodontal Diseases. The counts are of registry records indexed under each term, refreshed daily. How we classify →

04

Who can participate

Ages eligible
15 Years to 30 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 aged 15-30 years
  • Patients with good oral and general health
  • Patients in which both the arches were treated with fixed orthodontic treatment on a non-extraction basis completed within the last 1 month
  • Patients with minimum 24 permanent teeth present

Exclusion criteria

EXCLUSION CRITERIA

  • Patients that are medically compromised due to a systemic disease
  • Patients having periodontal disease before debonding
  • Patients with severe and uncontrolled caries
  • Patients having cleft palate or any other severe facial deformity
  • Patients using drugs that have direct or indirect effect on the periodontal health such as phenytoin, cyclosporine etc.
  • Patients that have a habit of chronic smoking
  • Pregnant patients
05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
52 participants (estimated)

Study arms

  • Experimental
    Group A - Digital VFR

    Participants receive a vacuum-formed retainer thermoformed over a 3D-printed model generated from intraoral scanning, worn 22 hours/day for 6 months.

    Device: Digital Vacuum-Formed Retainer

  • Active comparator
    Group B - Conventional VFR

    Participants receive a vacuum-formed retainer thermoformed over a plaster model generated from alginate impressions, worn 22 hours/day for 6 months.

    Device: Conventional Vacuum-Formed Retainer

Interventions

  • DeviceDigital Vacuum-Formed Retainer

    PETG, 1.5 mm, fabricated via intraoral scan and 3D-printed model

  • DeviceConventional Vacuum-Formed Retainer

    PETG, 1.5 mm, fabricated via alginate impression and plaster model

06

What researchers measure

Primary outcomes

  1. Plaque Index

    (Silness and Loe method) 4-point scale (0-3) scored on four surfaces (facial, lingual, mesial, distal) of index teeth 16, 21, 31, 46

    Time frame: Baseline (T0), 1 month (T1), 3 months (T2), 6 months (T3).

  2. Gingival Index

    (Loe and Silness method) 4-point scale (0-3) assessing inflammation and bleeding on four surfaces of index teeth 16, 21, 31, 46

    Time frame: Baseline (T0), 1 month (T1), 3 months (T2), 6 months (T3).

  3. Periodontal Pocket Depth

    measured in mm with a UNC-15 probe at six sites per index tooth (mesiofacial, midfacial, distofacial, mesiolingual, midlingual, distolingual); deepest site recorded

    Time frame: Baseline (T0), 1 month (T1), 3 months (T2), 6 months (T3)

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: No

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 Aug 14, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07760935
Lead sponsor
Ziauddin University
Responsible party
Syed Riaz Hashim (Postgraduate Student, FCPS Orthodontics, Ziauddin University) — Principal investigator
First posted
Aug 12, 2026
Start date
Sep 2026 (estimated)
Primary completion
Oct 2027 (estimated)
Completion
Dec 2027 (estimated)
Last update
Aug 14, 2026

Study contacts

Dr Syed Riaz Hashim Principal Investigator
Contact
syed.hashim@zu.edu.pk
+92 3312763463

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

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