Digital vs. Conventional Indirect Bonding.
Comparison of Indirect Bonding of Orthodontic Brackets Using Digital Versus Conventional Technology: A Randomized Controlled Trial on Bonding Time and Bracket Failure
This randomized split-mouth clinical trial will compare digital and conventional indirect bonding techniques for fixed orthodontic bracket placement in adolescent patients requiring treatment in both dental arches.
Each participant will receive both bonding techniques, with allocation of the digital and conventional indirect bonding procedures to the upper or lower arch determined by randomization. The study will evaluate the time required to complete bracket bonding procedures and the early clinical performance of the two techniques, assessed by bracket failure within the first month after appliance placement.
調査の概要
状態
状態
条件
条件
介入・治療
介入・治療
詳細な説明
Indirect bonding has been proposed as an alternative to direct bonding for the placement of orthodontic brackets, with potential advantages in terms of clinical efficiency, bracket positioning, and patient comfort. In recent years, computer-aided three-dimensional design and manufacturing methods have enabled the production of digital transfer trays for indirect bonding, offering a potentially more standardized workflow compared with conventional laboratory-based procedures.
This randomized split-mouth clinical trial will compare digital and conventional indirect bonding techniques in patients undergoing fixed orthodontic treatment in both the upper and lower arches. Each participant will receive both techniques, with the allocation of the digital and conventional bonding procedures to the upper or lower arch determined by randomization.
In the digital indirect bonding procedure, transfer trays will be produced using a digital workflow and brackets will be bonded using a pre-coated adhesive system. In the conventional indirect bonding procedure, transfer trays will be produced using a standard laboratory workflow and brackets will be bonded using a conventional orthodontic adhesive system.
The study will assess the procedural efficiency of the two techniques by recording the time required to complete the bracket bonding procedure. Early clinical performance will be evaluated by recording bracket failures during the first month of orthodontic treatment. All procedures and follow-up assessments will be performed in a clinical orthodontic setting.
研究の種類
研究の種類
入学 (推定)
入学
段階
段階
- 適用できない
連絡先と場所
研究連絡先
研究連絡先
- 名前：Lorenzo Franchi
- 電話番号：+390557945602
- メール：lorenzo.franchi@unifi.it
研究場所
-
-
-
Florence、イタリア
- 募集
- Orthodontic Clinic, Division of Dentistry, Careggi University Hospital
-
コンタクト：
- Lorenzo Franchi
- 電話番号：+390557945602
- メール：lorenzo.franchi@unifi.it
-
-
参加基準
適格基準
適格基準
就学可能な年齢
- 子
- 大人
健康ボランティアの受け入れ
説明
Inclusion Criteria:
- Patients aged 12 to 18 years requiring fixed orthodontic treatment on both upper and lower arches
- Presence of full permanent dentition, including erupted second molars
Exclusion Criteria:
- Presence of dental anomalies in number (supernumerary or missing teeth) in either arch
- Orthodontic treatment plans involving tooth extractions in either arch
- Nickel allergy
- History of cleft lip and/or palate
- Craniofacial syndromes
研究計画
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：処理
- 割り当て：ランダム化
- 介入モデル：並列代入
- マスキング：なし（オープンラベル）
アーム数
武器と介入
参加者グループ / アーム参加者グループ / アーム |
介入・治療介入・治療 |
|---|---|
|
実験的：Digital indirect bonding in the upper arch and conventional indirect bonding in the lower arch
Participants assigned to this arm will receive digital indirect bonding in the upper arch and conventional indirect bonding in the lower arch.
|
Fixed orthodontic appliance will be bonded using a digital indirect bonding technique
Fixed orthodontic appliance will be bonded using a conventional indirect bonding technique
|
|
アクティブコンパレータ：Conventional indirect bonding in the upper arch and digital indirect bonding in the lower arch
Participants assigned to this arm will receive conventional indirect bonding in the upper arch and digital indirect bonding in the lower arch.
|
Fixed orthodontic appliance will be bonded using a digital indirect bonding technique
Fixed orthodontic appliance will be bonded using a conventional indirect bonding technique
|
この研究は何を測定していますか？
主要な結果の測定
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Time required to complete bracket bonding procedures, measured in minutes
時間枠：During procedure (from the beginning of bracket bonding to completion of bracket placement)
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The time required to complete the bracket bonding procedure will be measured in minutes for each participant, from the beginning of the bonding procedure to completion of bracket placement, using the assigned adhesive system.
|
During procedure (from the beginning of bracket bonding to completion of bracket placement)
|
二次結果の測定
二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Bracket failure rate within the first month of orthodontic treatment assessed by clinical examination
時間枠：1 month after placement of the fixed orthodontic appliance
|
Bracket failure will be assessed by clinical examination and recorded as the number of brackets detached from the tooth surface within the first month after placement of the fixed orthodontic appliance.
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1 month after placement of the fixed orthodontic appliance
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協力者と研究者
研究記録日
主要日程の研究
研究開始 (実際)
研究開始
一次修了 (推定)
一次修了
研究の完了 (推定)
研究の完了
試験登録日
最初に提出
最初に提出
QC基準を満たした最初の提出物
QC基準を満たした最初の提出物
最初の投稿 (実際)
最初の投稿
学習記録の更新
投稿された最後の更新 (実際)
投稿された最後の更新
QC基準を満たした最後の更新が送信されました
QC基準を満たした最後の更新が送信されました
最終確認日
最終確認日
詳しくは
本研究に関する用語
その他の研究ID番号
その他の研究ID番号
- LF17
個々の参加者データ (IPD) の計画
個々の参加者データ (IPD) を共有する予定はありますか?
医薬品およびデバイス情報、研究文書
米国FDA規制医薬品の研究
米国FDA規制機器製品の研究
米国で製造され、米国から輸出された製品。
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