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Clinical Trials/CTRI/2025/10/095610
CTRI/2025/10/095610Not yet recruitingNot Applicable

Clinical, Microbiological, Mechanical and Optical Behaviour Of Zirconium Oxide Nanoparticle coated Orthodontic Thermoformed Retainers - A Randomized Controlled Trial

Saathvika Srinivasan1 site in 1 country22 target enrollmentStarted: October 15, 2025Last updated:

Trial Snapshot

Phase
Not Applicable
Status
Not yet recruiting
Sponsor
Enrollment
22
Locations
1
Primary Endpoint
Plaque biofilm formation, microbial adhesion,

Study Overview

Brief Summary

Title: Clinical, Microbiological, Mechanical, and Optical Behaviour of Zirconium Oxide Nanoparticle-coated Orthodontic Thermoformed Retainers - A Randomized Controlled Trial

Aim: To compare and evaluate the Clinical, Microbiological, Mechanical, and Optical performance of Uncoated orthodontic thermoformed retainers and Zirconium Oxide nanoparticle-coated orthodontic thermoformed retainers.

Objectives:

  1. To evaluate the clinical effectiveness including retention characteristics
  2. To examine biological properties such as plaque biofilm formation and microbial adhesion.
  3. To determine mechanical properties, including water sorption, dimensional stability, and coating wear.
  4. To analyze optical properties, including transparency and staining over time.

Rationale: Thermoformed retainers are widely used for orthodontic retention, but they are prone to discoloration, biofilm accumulation, and mechanical wear, affecting their clinical performance and esthetics. This study aims to evaluate whether material modifications can improve the biological safety, mechanical durability, and optical stability of retainers compared to conventional ones.

Sample Size: 22 participants (11 per group).

Group 1: Uncoated thermoformed retainers

Group 2: Zirconium Oxide nanoparticle-coated thermoformed retainers

Methodology: This is a randomized controlled, parallel-arm clinical trial. Participants who have completed orthodontic treatment will be randomly assigned to Group 1 and Group 2.

Randomization will be done using a computer-generated sequence with allocation concealment through sealed envelopes. Outcome assessment will be double-blinded. Clinical, microbiological, mechanical, and optical parameters will be recorded at baseline (T0) and after 6 months (T1). Data collection will include standardized measurements along with photographic documentation.

Ethical Considerations: The study has been applied for Institutional Ethics Committee approval. Written informed consent will be obtained from all participants (and from parents/guardians in case of minors) before inclusion in the trial.

Study Design

Study Type
Interventional
Allocation
Randomized
Masking
Participant and Outcome Assessor Blinded

Eligibility Criteria

Ages
10.00 Year(s) to 30.00 Year(s) (—)
Sex
All

Inclusion Criteria

  • Completed comprehensive orthodontic treatment with fixed appliances requiring full-arch retention.
  • Patients indicated for thermoformed Retainers.
  • Willing to comply with the follow-up schedule and provide informed consent.

Exclusion Criteria

  • Patients treated with Removable Appliances Patients with systemic diseases affecting oral health.
  • Smokers or tobacco users.
  • Poor oral hygiene or untreated caries/periodontal disease.
  • Patients with bruxism or parafunctional habits.
  • Patients with a known allergy to PET-G or Zirconia.

Outcomes

Primary Outcomes

Plaque biofilm formation, microbial adhesion,

Time Frame: Baseline, 6 months

Water sorption, Coating wear, Dimensional Stability,

Time Frame: Baseline, 6 months

Transparency and staining

Time Frame: Baseline, 6 months

Secondary Outcomes

No secondary outcomes reported

Investigators

Sponsor
Saathvika Srinivasan
Sponsor Class
Other [self]
Responsible Party
Principal Investigator
Principal Investigator

Saathvika Srinivasan

Saveetha Dental College and Hospitals

Study Sites (1)

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