MalocclusionPhase 3OrthoPersNCT05398328
Effect of Personality Traits on Reporting Outcomes of Orthodontic Treatment
A Phase 3 study testing active metal appliance, active esthetic appliance and retention fixed appliance in people with Malocclusion, run by University of Rijeka at 1 site in Croatia.
Trial summary
The study will monitor changes induced by orthodontic treatment and in the retention period, two years after the end of orthodontic treatment. The alignment of teeth, hygiene and gingiva will be assessed. Efficiency of two types of fixed appliances in active phase will be compared - esthetic and metal. Read more about this study
- Who is it for?
- Ages 13 to 18 years
- Conditions the study is for
- Malocclusion
- What is being tested?
- active metal appliance, active esthetic appliance and retention fixed appliance
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 120 participants
- Where
- 1 siteCroatia
- Study dates
- 1 Nov 2021to 1 Mar 2026
- Phase
- Phase 3
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 13 to 18 years
- All sexes
- No healthy volunteers
- Child, Adult
Who may be able to join
- malocclusion with moderate or great need for orthodontic treatment (Index of Orthodontic Treatment Need grades >=3)
Who cannot join
- neurodevelopmental disorders, intellectual disability, oligodontia, congenital craniofacial anomalies, orofacial clefts
Trial locations and contacts
1 site in 1 country.
About this study
The study will monitor changes induced by orthodontic treatment and in the retention period, two years after the end of orthodontic treatment. The alignment of teeth, hygiene and gingiva will be assessed. Efficiency of two types of fixed appliances in active phase will be compared - esthetic and metal. Efficiency of two types of retention appliances in retention phase will be compared - fixed and removable.
The benefits of orthodontic treatment to be studied are aesthetic concerns, dental self-confidence, self-esteem, social contacts, psychological influences, and chewing limitation. The stability of personality traits, body image and perfectionism will also be analyzed, as well as the extent to which these dimensions modify the reporting of psychosocial effects of malocclusion treatment.
Read the detailed description
The aim is to analyze:
- the extent to which the type of device (metal / aesthetic) affects changes in quality of life (QoL)
- whether the change in QoL is influenced by personality traits during therapy
- long-term change in QoL and personality traits (before therapy, during, at the end and in retention for 2 years)
- whether long-term QoL change is influenced by personality traits
- dependence of relapse (incidence and intensity) on the type of retention appliance
- change in QoL and personality trait depending on relapse
- whether the change in QoL due to relapse is influenced by personality traits
- Conditions
- Malocclusion
- Being tested
- active metal appliance, active esthetic appliance, retention fixed appliance, retention removable appliance
- Keywords
- malocclusion, personality trait, quality of life
- Medical subject headings
- Malocclusion
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
active metal applianceDevice
fixed metal labial orthodontic appliance MBT 0.022'' slot
active esthetic applianceDevice
fixed ceramic labial orthodontic appliance MBT 0.022'' slot
retention fixed applianceCombination product
fixed lingual metal retention appliance
retention removable applianceCombination product
removable clear termoplastic retention appliance
| Study group | Role | What they receive |
|---|---|---|
| metal appliance + fixed retainer | Active comparator | fixed metal appliance MBT 0.022'' slot in active phase followed by bonded wire retainer Receives: Device: active metal appliance; Combination Product: retention fixed appliance |
| esthetic appliance + fixed retainer | Experimental | fixed ceramic appliance MBT 0.022'' slot in active phase followed by bonded wire retainer Receives: Device: active esthetic appliance; Combination Product: retention fixed appliance |
| metal appliance + removable retainer | Active comparator | fixed metal appliance MBT 0.022'' slot followed by removable clear termoplastic retainer Receives: Device: active metal appliance; Combination Product: retention removable appliance |
| esthetic appliance + removable retainer | Experimental | fixed ceramic appliance MBT 0.022'' slot followed by removable clear termoplastic retainer Receives: Device: active esthetic appliance; Combination Product: retention removable appliance |
What is being measured
The primary outcome is the main question the study is designed to answer.
irregularity of teeth
Little Irregularity Index - sum of displacement of contact points of frontal teeth (range 0-10 mm), higher score mean worse outcome
Measured: 48 months (start, 3 months, 1 year, 2 years, 1 year retention, 2 years retention)
patient reported impacts of malocclusion
Malocclusion Impact Questionnaire with 17 aspects, each on 3-point scale (summary score on scale 0-51), higher score mean worse outcome
Measured: 48 months (start, 3 months, 1 year, 2 years, 1 year retention, 2 years retention)
big five personality traits
Big Five Inventory with 44 statements, each on 5-point scale, grouped into 5 traits: (extroversion (range 8-40), agreeableness (range 9-45), openness (range 10-50), conscientiousness (range 9-45) and neuroticism (range 8-40). higher score mean worse outcome
Measured: 48 months (start, end of treatment, 1 year retention, 2 years retention)
Secondary outcomes (12)
normative orthodontic treatment need
clinically assessed by using Index of Orthodontic Treatment Need - Dental Health Component with 5 grades, range 1=no/minor need - 5=very great need
Measured: 48 months (start, end of treatment, 1 year retention, 2 years retention)
esthetic treatment need
assessed by using Index of Orthodontic Treatment Need - Aesthetic Component with 10 grades, range 1=no need - 10=very great need
Measured: 48 months (start, end of treatment, 1 year retention, 2 years retention)
retainer failure
number of railures of retainer in retention phase, nigher number indicates worse outcome
Measured: 24 months
limitations of jaw function
Jaw Function Limitation Scale with 6 items on 11-point scale (0=no limitation-10=extreme limitation), average score, higher score indicates worse outcome
Measured: 48 months (start, 3 months, 1 year, 2 years, 1 year retention, 2 years retention)
self-esteem
Rosenberg Self-Esteem Scale with 10 items on 5-point scale (1=not at all-5=very much), summary score on scale 5-50, higher score indicates better outcome
Measured: 48 months (start, 3 months, 1 year, 2 years, 1 year retention, 2 years retention)
body image
4 items on 5-point scale (1=not at all-5=very much), total score 4-20, higher score indicates better outcome
Measured: 48 months (start, end of treatment, 1 year retention, 2 years retention)
perfectionism
35 items on 5-point scale (1=completely disagree-5=completely agree), range 29 - 145, higher score indicates better outcome
Measured: 48 months (start, end of treatment, 1 year retention, 2 years retention)
psychosocial imapcts of dental esthetics
23 items on 5-point scale (0=not at all-4=very much), grouped in 4 dimensions - aesthetic concern (range 0-12), dental self-confidence (range 0-24), social influence (range 0-32), psychological influence (range 0-24)), higher score means worse outcome for psychological influence, social influence and aesthetic concern, while in dental self-confidence higher score indicates better outcome
Measured: 48 months (start, 3 months, 1 year, 2 years, 1 year retention, 2 years retention)
wite spot lesions of enamel
number of teeth with enamel defects, scale 0-32, higher number means worse outcome
Measured: 48 months (start, 3 months, 2 years, 1 year retention, 2 years retention)
oral hygiene
Silness-Loe index and Williams modification for subjects in orthodontic treatment on a scale from 0=no biofilm to 3=a continuous line greater than 1mm, mean of all measurement site is used, range 0-3, higher score means worse outcome
Measured: 48 months (start, 3 months, 2 years, 1 year retention, 2 years retention)
extent of gingivitis
Full Mouth Bleeding Score on a scale 0-100%, higher percentage means worse outcome
Measured: 48 months (start, 3 months, 2 years, 1 year retention, 2 years retention)
gingival enlargement
Seymour index (thickness (scale 0=normal-2=thickening >=3mm) + proportion of tooth crown coverage (scale 0=normal-3=papilla involving .2/3 of adjacent tooth crown half) on frontal teeth vestibular and oral in both jaws; scale 0-100), higher score means worse outcome
Measured: 48 months (start, 3 months, 2 years, 1 year retention, 2 years retention)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted31 May 2022
- Study start1 Nov 2021
- Primary completion1 Jan 2026 (estimated)
- Study completion1 Mar 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for MalocclusionStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Sequential
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 120 participants (estimated)
Sponsor and investigators
- Lead sponsor
- University of Rijeka
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Stjepan Spalj, University of Rijeka
- Investigators
- Stjepan Spalj, PhD, Principal investigator, Sveuciliste u Rijeci
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05398328
- Sponsor's protocol ID
- 2107-57-006-20-1
- Acronym
- OrthoPers
- Status last verified
- Dec 2023
- First submitted
- 23 May 2022
- Last updated
- 29 Dec 2023
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes: Data obtained through this research may be provided to qualified researchers with academic interest in orthodontic treatment. Data or samples shared will be coded, with no PHI included. Approval of the request and execution of all applicable agreements (i.e. a material transfer agreement) are prerequisites to the sharing of data with the requesting party.
Study at a glance
From the registry record, last updated by the sponsor on 29 Dec 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effect of Personality Traits on Reporting Outcomes of Orthodontic Treatment
- ClinicalTrials.gov ID
- NCT05398328
- Acronym / sponsor ID
- OrthoPers / 2107-57-006-20-1
- Conditions
- Malocclusion
- Keywords
- malocclusion, personality trait, quality of life
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 120 participants (estimated)
- Lead sponsor
- University of RijekaUniversity, hospital or other
- Study start
- 1 Nov 2021 (actual)
- Primary completion
- 1 Jan 2026 (estimated)
- Study completion
- 1 Mar 2026 (estimated)
- First posted
- 31 May 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The study will monitor changes induced by orthodontic treatment and in the retention period, two years after the end of orthodontic treatment. The alignment of teeth, hygiene and gingiva will be assessed. Efficiency of two types of fixed appliances in active phase will be compared - esthetic and metal. Efficiency of two types of retention appliances in retention phase will be compared - fixed and removable.
The benefits of orthodontic treatment to be studied are aesthetic concerns, dental self-confidence, self-esteem, social contacts, psychological influences, and chewing limitation. The stability of personality traits, body image and perfectionism will also be analyzed, as well as the extent to which these dimensions modify the reporting of psychosocial effects of malocclusion treatment.
Detailed description
The aim is to analyze:
- the extent to which the type of device (metal / aesthetic) affects changes in quality of life (QoL)
- whether the change in QoL is influenced by personality traits during therapy
- long-term change in QoL and personality traits (before therapy, during, at the end and in retention for 2 years)
- whether long-term QoL change is influenced by personality traits
- dependence of relapse (incidence and intensity) on the type of retention appliance
- change in QoL and personality trait depending on relapse
- whether the change in QoL due to relapse is influenced by personality traits
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Sequential
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| metal appliance + fixed retainer | Active comparator | Device: active metal appliance, Combination Product: retention fixed appliancefixed metal appliance MBT 0.022'' slot in active phase followed by bonded wire retainer |
| esthetic appliance + fixed retainer | Experimental | Device: active esthetic appliance, Combination Product: retention fixed appliancefixed ceramic appliance MBT 0.022'' slot in active phase followed by bonded wire retainer |
| metal appliance + removable retainer | Active comparator | Device: active metal appliance, Combination Product: retention removable appliancefixed metal appliance MBT 0.022'' slot followed by removable clear termoplastic retainer |
| esthetic appliance + removable retainer | Experimental | Device: active esthetic appliance, Combination Product: retention removable appliancefixed ceramic appliance MBT 0.022'' slot followed by removable clear termoplastic retainer |
Who may qualify
- Ages
- 13 to 18 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult
Key inclusion criteria (1 listed)
- malocclusion with moderate or great need for orthodontic treatment (Index of Orthodontic Treatment Need grades >=3)
Key exclusion criteria (1 listed)
- neurodevelopmental disorders, intellectual disability, oligodontia, congenital craniofacial anomalies, orofacial clefts
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| active metal appliancefixed metal labial orthodontic appliance MBT 0.022'' slot | Device | metal appliance + fixed retainer, metal appliance + removable retainer |
| active esthetic appliancefixed ceramic labial orthodontic appliance MBT 0.022'' slot | Device | esthetic appliance + fixed retainer, esthetic appliance + removable retainer |
| retention fixed appliancefixed lingual metal retention appliance | Combination product | esthetic appliance + fixed retainer, metal appliance + fixed retainer |
| retention removable applianceremovable clear termoplastic retention appliance | Combination product | esthetic appliance + removable retainer, metal appliance + removable retainer |
Primary outcome
irregularity of teeth
Time frame: 48 months (start, 3 months, 1 year, 2 years, 1 year retention, 2 years retention)
Little Irregularity Index - sum of displacement of contact points of frontal teeth (range 0-10 mm), higher score mean worse outcome
patient reported impacts of malocclusion
Time frame: 48 months (start, 3 months, 1 year, 2 years, 1 year retention, 2 years retention)
Malocclusion Impact Questionnaire with 17 aspects, each on 3-point scale (summary score on scale 0-51), higher score mean worse outcome
big five personality traits
Time frame: 48 months (start, end of treatment, 1 year retention, 2 years retention)
Big Five Inventory with 44 statements, each on 5-point scale, grouped into 5 traits: (extroversion (range 8-40), agreeableness (range 9-45), openness (range 10-50), conscientiousness (range 9-45) and neuroticism (range 8-40). higher score mean worse outcome
12 secondary outcomes
normative orthodontic treatment need
Time frame: 48 months (start, end of treatment, 1 year retention, 2 years retention)
esthetic treatment need
Time frame: 48 months (start, end of treatment, 1 year retention, 2 years retention)
retainer failure
Time frame: 24 months
limitations of jaw function
Time frame: 48 months (start, 3 months, 1 year, 2 years, 1 year retention, 2 years retention)
self-esteem
Time frame: 48 months (start, 3 months, 1 year, 2 years, 1 year retention, 2 years retention)
body image
Time frame: 48 months (start, end of treatment, 1 year retention, 2 years retention)
perfectionism
Time frame: 48 months (start, end of treatment, 1 year retention, 2 years retention)
psychosocial imapcts of dental esthetics
Time frame: 48 months (start, 3 months, 1 year, 2 years, 1 year retention, 2 years retention)
wite spot lesions of enamel
Time frame: 48 months (start, 3 months, 2 years, 1 year retention, 2 years retention)
oral hygiene
Time frame: 48 months (start, 3 months, 2 years, 1 year retention, 2 years retention)
extent of gingivitis
Time frame: 48 months (start, 3 months, 2 years, 1 year retention, 2 years retention)
gingival enlargement
Time frame: 48 months (start, 3 months, 2 years, 1 year retention, 2 years retention)
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 29 Dec 2023.
- Individual participant dataSharing planned: Yes. Data obtained through this research may be provided to qualified researchers with academic interest in orthodontic treatment. Data or samples shared will be coded, with no PHI included. Approval of the request and execution of all applicable agreements (i.e. a material transfer agreement) are prerequisites to the sharing of data with the requesting party.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Stjepan Spalj, PhD principal investigator
Sveuciliste u Rijeci
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing active metal appliance, active esthetic appliance and retention fixed appliance in people with Malocclusion, run by University of Rijeka at 1 site in Croatia.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 29 Dec 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Croatia. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
irregularity of teeth (time frame: 48 months (start, 3 months, 1 year, 2 years, 1 year retention, 2 years retention)). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 29 Dec 2023.