Impact of Clear Aligners and Metal Brackets on Nutritional Status

Sponsor
Marmara University (Other)
Overall Status
Recruiting
CT.gov ID
NCT05936463
Collaborator
(none)
60
1
9
6.6

Study Details

Study Description

Brief Summary

This study aims to investigate the effect of clear aligners and traditional brackets on the nutritional status of orthodontic patients. With the increasing demand for more aesthetic and comfortable orthodontic appliances among adults, clear aligner treatment has gained popularity as an alternative to traditional fixed appliances. However, limited research has been conducted to evaluate the impact of clear aligners on dietary habits and nutrition. The study will include adult participants undergoing orthodontic treatment with either clear aligners or traditional brackets. Anthropometric measurements, dietary assessments, and oral health impact evaluations will be conducted to assess the nutritional status of the participants. The findings of this study will contribute to a better understanding of the influence of orthodontic appliances on nutrition and guide clinicians in providing comprehensive care to orthodontic patients.

Condition or Disease Intervention/Treatment Phase

    Study Design

    Study Type:
    Observational
    Anticipated Enrollment :
    60 participants
    Observational Model:
    Cohort
    Time Perspective:
    Prospective
    Official Title:
    The Effect of Clear Aligners and Metal Brackets on the Nutritional Status of Orthodontic Patients
    Actual Study Start Date :
    Jul 1, 2023
    Anticipated Primary Completion Date :
    Dec 31, 2023
    Anticipated Study Completion Date :
    Apr 1, 2024

    Arms and Interventions

    Arm Intervention/Treatment
    Orthodontics brackets

    Clear aligner appliances

    Outcome Measures

    Primary Outcome Measures

    1. Chewing Ability Assessment [Day 1]

      Chewing ability will be evaluated using a questionnaire to assess both subjective and objective aspects. The questionnaire will consist of open-ended and closed-ended questions to determine individuals' chewing difficulties. Open-ended questions will focus on identifying specific foods that present challenges during chewing and the strategies employed to consume these foods. In subsequent follow-up interviews, closed-ended questions will be used to evaluate the ability to chew the previously listed foods, with response options such as "easy to chew," "experiencing some difficulty," and "experiencing great difficulty/cannot chew at all." If participants indicate experiencing slight or significant difficulty chewing at least two of the hard foods and four of the soft foods, it will be considered indicative of chewing difficulties. This assessment will provide valuable insights into the participants' chewing function and its impact on their dietary habits and oral health.

    2. Oral Health Impact Profile-14 (OHIP-14) [Day 1]

      The Oral Health Impact Profile-14 (OHIP-14) is a measurement tool developed to assess the impact of oral and dental health on individuals. It consists of 14 questions, and each question is rated on a scale of 0 to 4, with response options defined on a Likert scale as "0=never, 1=rarely, 2=sometimes, 3=often, and 4=always." The total score of OHIP-14 ranges from 0 to 56. A higher total score indicates increased severity of problems and decreased quality of life. In this study, OHIP-14 will be administered to participants to evaluate the impact of oral health on their daily functioning, well-being, and quality of life.

    Secondary Outcome Measures

    1. Physical Activity Level [Day 1]

      Physical activity levels of participants will be assessed using the International Physical Activity Questionnaire (IPAQ) short form. The IPAQ was developed with the support of the World Health Organization (WHO) and the Centers for Disease Control and Prevention (CDC), and its validity and reliability study was conducted in Turkey in 2010 by Sağlam et al. Individual Metabolic Equivalent Task (MET) scores will be calculated based on the IPAQ protocol to categorize participants into "low, moderate, and high activity levels." Total scores ranging from 0 to 600 will be classified as "low level," scores between 600 and 1500 or 3000 (depending on the number of days of moderate and vigorous physical activity per week) will be classified as "moderate level," and scores equal to or above 1500 or 3000 (depending on the number of days of moderate and vigorous physical activity per week) will be classified as "high level."

    2. Height Measurement [Day 1]

      The participants' height will be measured using standard procedures with the participants standing upright, heels together, head in an upright position, and looking straight ahead.

    3. Body Composition [Day 1]

      Body composition analysis will be performed with the Tanita DC-360 device that performs bioelectrical impedance analysis (BIA). The analysis report includes body weight (kg), body water mass (kg), body fat mass (kg) and body muscle mass (kg). This method is non-invasive and provides body composition data in less than 1 minute of measurement.

    4. Waist Circumference [Day 1]

      Waist circumference will be measured using a flexible tape measure placed horizontally around the smallest circumference between the lower rib and the iliac crest, parallel to the floor passing through the navel.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years to 45 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    Yes
    Inclusion Criteria:
    • Adult individuals (18 - 45 years old)

    • Undergoing orthodontic treatment, without missing teeth in the mouth (excluding wisdom teeth)

    • Having received orthodontic treatment for more than 6 months

    • Citizens of the Republic of Turkey

    • Proficient in reading and writing in the Turkish language

    • Not under the influence of alcohol or drugs

    • Able to understand and follow instructions for filling out the questionnaire

    • Willing to participate in the study

    Exclusion Criteria:
    • Adult individuals (18 - 45 years old)

    • Undergoing orthodontic treatment, without missing teeth in the mouth (excluding wisdom teeth)

    • Having received orthodontic treatment for more than 6 months

    • Citizens of the Republic of Turkey

    • Proficient in reading and writing in the Turkish language

    • Not under the influence of alcohol or drugs

    • Able to understand and follow instructions for filling out the questionnaire

    • Willing to participate in the study

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Marmara University School of Dentistry Istanbul Turkey 34854

    Sponsors and Collaborators

    • Marmara University

    Investigators

    None specified.

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Ferit Bayram, Assist. Prof., Marmara University
    ClinicalTrials.gov Identifier:
    NCT05936463
    Other Study ID Numbers:
    • MUDHF_ORT_SBF_02
    First Posted:
    Jul 7, 2023
    Last Update Posted:
    Jul 10, 2023
    Last Verified:
    Jul 1, 2023
    Individual Participant Data (IPD) Sharing Statement:
    Undecided
    Plan to Share IPD:
    Undecided
    Studies a U.S. FDA-regulated Drug Product:
    No
    Studies a U.S. FDA-regulated Device Product:
    No
    Keywords provided by Ferit Bayram, Assist. Prof., Marmara University
    Additional relevant MeSH terms:

    Study Results

    No Results Posted as of Jul 10, 2023