Clinical trial Recruiting at 3 sites Interventional Ages 15 to 30

Direct 3D-printed vs thermoformed clear aligners in mild crowding

Official title: Clinical Performance of In-Office Directly Printed Versus Thermoformed Aligners: A Randomized Clinical Trial

Run by University of Baghdad · NCT07637227 · Data updated 2026-11-12

This study tests whether in-office 3D-printed clear aligners work better than standard thermoformed aligners for teens and young adults with mild crowding or spacing.

Quick facts

Study typeInterventional
Ages15 Years to 30 Years
SexAll
Enrollment34 (estimated)
SponsorUniversity of Baghdad
Academic / other
Locations3 sites (Baghdad, Bab Al-Muadham and 2 other locations)
StatusRecruiting
StartedJune 2026
Main results expectedSeptember 2027
Study endsOctober 2027
Registry record updatedJune 9, 2026
Trial IDNCT07637227 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults 16-30 with mild crowding or spacing (<5 mm), Angle Class I, good oral hygiene, and no active dental disease who consent to randomized treatment.

Probably not a fit

Patients with poor oral hygiene, complex malocclusion, or conditions affecting bone remodeling may not benefit from this approach.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is a prospective, parallel-arm randomized trial conducted at multiple centers comparing two clear aligner approaches for mild dental crowding or spacing in patients aged 16-30 with fully erupted permanent teeth. One group uses direct 3D-printed aligners made from Senertek Clear-A V2 resin, while the control group uses thermoformed aligners made from Zendura FLX on 3D-printed resin molds. Participants wear the aligners about 22 hours daily and change them every 7 days, with follow-up visits every 5 weeks. Outcomes include tracking accuracy between actual tooth movements and the digitally predicted plan, along with secondary measures of clinical efficiency, patient-reported pain, and manufacturing complexity. Digital models will be compared using STL superimposition anchored to stable structures like palatal rugae to assess precision of movement.

Why it matters

Potential benefit: If successful, patients could experience more accurate tooth movement and potentially improved treatment efficiency with direct-printed aligners.

How similar studies have gone: Previous work has shown potential for 3D-printed aligners, but direct comparison to thermoformed systems in a multicenter randomized setting is relatively novel.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Adult patient with an age range of 15-30 with fully erupted all permanent dentitions excluding third molars, and a willingness to participate in the trial.
2. Angle Class I non-extraction cases, presented with mild crowding or spacing (\<5 mm) and dental rotation \<30° .
3. Good oral hygiene; no active caries/periodontal disease, no history of trauma or root resorption.

Exclusion Criteria:

1. Pregnancy, smoking, and systemic conditions affecting bone remodeling.
2. Subject with poor oral hygiene, using simplified oral hygiene index (OHI-S ≥ 3.1 ) (Greene \& Vermillion, 1963).
3. Patient with malposed lower second molars (need orthodontic alignment).
4. Allergy to materials used (resins, plastics, solvents).
5. History of trauma, root resorption, and dilacerated roots.
6. Previous extraction or history of previous orthodontic treatment.

Where it's running

  • Specialized Dental Center for Prosthodontics and Orthodontics
    Baghdad, Bab Al-Muadham, Iraq
    Recruiting
  • Z Orchida Clinic
    Baghdad, Iraq
    Recruiting
  • Orthodontic department, College of dentistry, university of Baghdad.
    Baghdad, Iraq
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.