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Trial registered on ANZCTR
Registration number
ACTRN12622000644763
Ethics application status
Approved
Date submitted
7/04/2022
Date registered
3/05/2022
Date last updated
19/04/2023
Date data sharing statement initially provided
3/05/2022
Type of registration
Prospectively registered
Titles & IDs
Public title
Can Clear Orthodontic Retainers be Used for Tooth Whitening?
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Scientific title
Can Clear Orthodontic Retainers be Used for Tooth Whitening after Completed Orthodontic Treatment?
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Secondary ID [1]
306861
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None
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
orthodontics
325953
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Teeth discolouration
326110
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Condition category
Condition code
Oral and Gastrointestinal
323264
323264
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0
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
A split-mouth design will be used. Participants will be randomised into two groups after the completion of orthodontic treatment. Clear orthodontic retainers will be made for both the maxillary (upper) and the mandibular (lower) arch.
Group A will receive at-home whitening treatment using 10% carbamide peroxide in the maxillary arch only.
Group B will receive at-home whitening treatment using 10% carbamide peroxide in the mandibular arch only
Participants will apply 10% carbamide peroxide in the treating arch retainer overnight (approximately 6-8 hours) daily for 2 weeks. Orthodontic postgraduate student will be administering the intervention. Patients will be reviewed 1 week, 2 week and 4 weeks after commencement to monitor adherence.
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Intervention code [1]
323329
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Treatment: Other
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Comparator / control treatment
The remaining arch of the same patient will act as the control - split-mouth design. Patients will be wearing the orthodontic clear retainer but with no whitening material.
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Control group
Active
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Outcomes
Primary outcome [1]
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Biomechanical property change in the orthodontic clear retainers including compressive strength, tensile and surface roughness analysis. A universal mechanical testing instrument (Instron Co., Canton, MA, USA) will be used.
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Assessment method [1]
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Timepoint [1]
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4 weeks after intervention commencement
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Secondary outcome [1]
408490
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Tooth position will be assessed by superimposing two digital scans with specialised computer software.
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Assessment method [1]
408490
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Timepoint [1]
408490
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4 weeks after intervention commencement
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Secondary outcome [2]
408491
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Tooth colour will be assessed by using VitaPan tooth shade guide as well as a digital VitaEasyshade device under standard room lighting.
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Assessment method [2]
408491
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Timepoint [2]
408491
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2 weeks and 4 weeks after intervention commencement
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Eligibility
Key inclusion criteria
Subjects who have finished active orthodontic treatment with twelve vital anterior teeth from canine to canine with no direct or indirect restorations, no need for attachments or divots on the labial surfaces of the maxillary canines or incisors, no history of dentine hypersensitivity and no history of tooth whitening during the previous three years. If the patient is less than 16 years old, consent will be required from the parents/guardian.
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Minimum age
10
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Subjects who are smokers, pregnant or breastfeeding, have active caries or periodontal disease, have severe fluorosis or tetracycline staining, or with known allergic reactions to whitening materials.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Sealed opaque envelopes
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation using a randomisation table created by computer software
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Crossover
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Other design features
Split mouth study
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Phase
Not Applicable
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
16/05/2022
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Actual
16/05/2022
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Date of last participant enrolment
Anticipated
31/03/2023
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Actual
9/12/2022
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Date of last data collection
Anticipated
30/04/2023
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Actual
14/04/2023
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Sample size
Target
30
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Accrual to date
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Final
30
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Recruitment outside Australia
Country [1]
24714
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New Zealand
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State/province [1]
24714
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Dunedin
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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Fuller Scholarship University of Otago
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Address [1]
311182
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University of Otago, 310 Great King Street, Dunedin North, Dunedin 9016, New Zealand
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Country [1]
311182
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New Zealand
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Primary sponsor type
University
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Name
University of Otago
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Address
University of Otago, 310 Great King Street, Dunedin North, Dunedin 9016, New Zealand
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Country
New Zealand
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Secondary sponsor category [1]
312551
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None
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Name [1]
312551
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Address [1]
312551
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Country [1]
312551
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
310713
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University of Otago Human Ethics Committee (Health)
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Ethics committee address [1]
310713
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1st Floor, Scott/Shand House, 90 St David's Street, Dunedin, 9016, New Zealand
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Ethics committee country [1]
310713
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New Zealand
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Date submitted for ethics approval [1]
310713
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14/02/2022
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Approval date [1]
310713
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09/03/2022
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Ethics approval number [1]
310713
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H22/030
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Summary
Brief summary
Clear orthodontic retainers are frequently worn by patients after orthodontic treatment to prevent dental relapse and provide retention, which means to hold the teeth straight and not letting them move back to where they were. This procedure involves wearing retainers formed by clear sheets of polymerised plastic overnight after the braces are removed to provide the retention of teeth alignment. Teeth whitening is very commonly considered after patients have their braces removed to improve the aesthetic outcome. The gold standard of at-home whitening is to custom make whitening tray for patients using polymerised plastic with or without reservoir. Due to the similarities of wearing protocol, some practitioners instruct their patient to use the clear orthodontic retainers as whitening tray and carry the whitening material. However, the effect of whitening material on the biomechanical properties on the tray is unknown. The proposed research aims to address current deficits in our knowledge by investigating the biomechanical change in the clear orthodontic retainers when they are used as whitening trays. The change of tooth position and tooth colour will also be observed.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Miss Carrol (Chenyi) Jin
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Address
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Faculty of Dentistry, University of Otago, 310 Great King Street, North Dunedin, Dunedin, 9016
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Country
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New Zealand
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Phone
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+64 3 4797840
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Fax
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Email
118610
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[email protected]
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Contact person for public queries
Name
118611
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Carrol (Chenyi) Jin
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Address
118611
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Faculty of Dentistry, University of Otago, 310 Great King Street, North Dunedin, Dunedin, 9016
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Country
118611
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New Zealand
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Phone
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+64 3 4797840
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Fax
118611
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Email
118611
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[email protected]
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Contact person for scientific queries
Name
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Carrol (Chenyi) Jin
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Address
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Faculty of Dentistry, University of Otago, 310 Great King Street, North Dunedin, Dunedin, 9016
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Country
118612
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New Zealand
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Phone
118612
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+64 3 4797840
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Fax
118612
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Email
118612
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
The individual data will not be identified as described in the research protocol
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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