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Active, not recruitingNCT07801768Updated Sep 24, 2026

Comparison Physiological Tooth Mobility and Retention Success in Patients Using Different Retainers

An observational study in Orthodontic Retainers and Tooth Mobility, sponsored by Marmara University. Active, not recruiting at 1 site in Turkey (Türkiye). Open to participants aged 18 Years to 35 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-09-24.

Sponsored by Marmara University · Observational

Study type
Observational
Model
Case-control
Time perspective
Prospective
Enrollment
80
Ages
18 Years to 35 Years
Sex
All
01

Study summary

The purpose of this prospective clinical study is to comparatively evaluate the long-term stability of teeth, physiological tooth mobility, and effects on periodontal tissues of three different fixed lingual retainer materials used to prevent relapse following orthodontic treatment. A total of 80 participants whose orthodontic treatment is completed will be randomly and equally distributed into four groups as one control (n=20) and three study groups (n=20 each): Group 1 will receive CAD/CAM-fabricated 0.016-inch Nitinol wire; Group 2 will receive manually bent multi- strand 0.0215-inch stainless steel wire; and Group 3 will receive 0.030-inch stainless steel chain retainers. Control group will be 20 samples. Clinical and radiographic measurements will be performed at the day of debonding (T0) and at a 6-month follow-up (T1). Physiological tooth mobility will be measured objectively using a Periotest device. Relapse amounts will be assessed by superimposing intraoral digital scans via Nemocast software using Little's Irregularity Index, and the 6-month failure/breakage rates of the retainers will be recorded. The null hypothesis states that there is no statistically significant difference among the different retainer materials regarding tooth stability, relapse, and physiological mobility.

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Conditions studied

  • Orthodontic Retainers
  • Tooth Mobility
03

In context

Lead sponsor

Marmara University is the lead sponsor of 599 studies on the registry; 138 are open to participants now.

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

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Who can participate

Ages eligible
18 Years to 35 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Probability sample

Study population

Healthy volunteers whose orthodontic treatment finalized and who waited for taking off braces.

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

  1. Patients who have undergone fixed orthodontic treatment at the Department of Orthodontics, Faculty of Dentistry, Marmara University, and whose treatment is nearing completion
  2. Patients whose treatment duration is between 2 and 3 years
  3. Patients with healthy periodontal tissue (plaque index and gingival index \<1; bleeding on probing \<10 per cent; no clinical attachment loss)
  4. Patients aged between 18 and 35
  5. Systemically healthy individuals
  6. Patients with deep bite for whom Nitinol wire retainers, manufactured using CAD/CAM technology and capable of being fitted without occlusal contact due to their adaptability to the occlusion, have been applied
  7. Patients for whom impressions cannot be taken to fabricate a retainer
  8. Patients without deep bite or a gag reflex who have had a standard retainer fitted

Exclusion criteria

Exclusion Criteria:

  1. Patients who have undergone orthodontic treatment at another clinic
  2. Patients whose treatment lasted longer than 3 years or less than 2 years
  3. Patients with a cleft lip and palate or a related syndrome
  4. Patients with caries or dental prostheses on the teeth where the retainer is to be bonded
  5. Smokers
  6. Individuals with missing anterior teeth
  7. Individuals taking systemic medication that affects the immune system or may affect periodontal health (e.g. )
  8. Pregnant or breastfeeding women
Terms in these criteria, in plain language(1)

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.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

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05

Study design

Observational model
Case-control
Time perspective
Prospective
Enrollment
80 participants (estimated)
Target follow-up
6 Months
Patient registry
Yes

Groups and cohorts

  • 1. Control

    healthy gingiva, no smoking, non-pregnant, age:18-35, patients did not receive any orthodontic treatment and don't have bruxism and syndrome

    Diagnostic Test: Mobility measurement with Periotest device · Diagnostic Test: Digital intraoral impression

  • 2. CAD-CAM Nitinol wire (Memotain)

    Just finished orthodontic treatment, healthy gingiva, no smoking, non-pregnant, age:18-35, patients don't have bruxism and syndrome

    Diagnostic Test: Mobility measurement with Periotest device · Diagnostic Test: Digital intraoral impression

  • 3. Manually bent 6 multi- strand 0.0215-inch stainless steel wire

    Just finished orthodontic treatment, healthy gingiva, no smoking, non-pregnant, age:18-35, patients don't have bruxism and syndrome

    Diagnostic Test: Mobility measurement with Periotest device · Diagnostic Test: Digital intraoral impression

  • 4. 0.030-inch stainless steel chain

    Just finished orthodontic treatment, healthy gingiva, no smoking, non-pregnant, age:18-35, patients don't have bruxism and syndrome

    Diagnostic Test: Mobility measurement with Periotest device · Diagnostic Test: Digital intraoral impression

Interventions

  • Diagnostic testMobility measurement with Periotest device

    T0 Mobility measurement with Periotest device after orthodontic treatment finished; before retainer simantation and after simantation. T1 Mobility measurement with Periotest device 6 months later; with retainer and without retainer.

  • Diagnostic testDigital intraoral impression

    T0 digital dental models will be taken with 3D scanner after orthodontic treatment finished; after retainer simantation. T1 digital dental models will be taken 6 months later with retainer. And Little irregularity index, arch length measurement will be performed.

06

What researchers measure

Primary outcomes

  1. Tooth mobility

    Tooth mobility will be assessed using the Periotest device. The device will be applied to the buccal surface of the tooth, and the Periotest value (PTV) will be recorded according to the manufacturer's instructions. Higher PTV values indicate greater tooth mobility. Measurements will be recorded as Periotest values (PTV).

    Time frame: From enrollment to the end of treatment at 6 months

Secondary outcomes

  1. Little irregularity

    Anterior dental irregularity will be assessed using Little's Irregularity Index, measured as the sum of the five linear displacements between the anatomic contact points of the mandibular anterior teeth, in millimeters (mm). This assessment will be performed on digital intraoral models by using Orthomodel (Orthomodel, İstanbul, Türkiye) software.

    Time frame: From enrollment to the end of treatment at 6 months

  2. Arch length

    Dental arch length will be assessed by measuring the linear distance from the midpoint between the central incisors to a line connecting the distal surfaces of the first permanent molars, in millimeters (mm). This assessment will be performed on digital intraoral models by using Orthomodel (Orthomodel, İstanbul, Türkiye) software.

    Time frame: From enrollment to the end of treatment at 6 months

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Study locations

1 site
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References and documents

Publications

  • Kucuk EB, Celik Guler O, Fatih Arpag O, Eren HK. Effect of different fixed lingual retainers on tooth mobility: prospective clinical study. Acta Odontol Scand. 2025 Dec 10;84:577-582. doi: 10.2340/aos.v84.44808. PubMed 41369988 ↗
  • Kucera J, Marek I, Littlewood SJ. The effect of different bonded retainer wires on tooth mobility immediately after orthodontic treatment. Eur J Orthod. 2022 Mar 30;44(2):178-186. doi: 10.1093/ejo/cjab038. PubMed 34374751 ↗
  • Tanaka E, Ueki K, Kikuzaki M, Yamada E, Takeuchi M, Dalla-Bona D, Tanne K. Longitudinal measurements of tooth mobility during orthodontic treatment using a periotest. Angle Orthod. 2005 Jan;75(1):101-5. doi: 10.1043/0003-3219(2005)0752.0.CO;2. PubMed 15747823 ↗

Individual participant data

Plan to share: Undecided

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 24, 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
NCT07801768
Lead sponsor
Marmara University
Responsible party
gulden karabiber (Assoc. Prof., Marmara University) — Principal investigator
First posted
Sep 3, 2026
Start date
Jun 15, 2026
Primary completion
Jan 1, 2027 (estimated)
Completion
Mar 1, 2027 (estimated)
Last update
Sep 24, 2026
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Jun 2026. You cannot join it, but the record below documents what was studied.

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