Clinical trial Recruiting at 1 site Interventional Ages 12 and up

I-arch system for early-stage teeth alignment

Official title: I-arch in Action: Early Clinical Impact From a Randomized Controlled Trial

Run by University of Baghdad · NCT07264127 · Data updated 2026-11-12

This study will test whether the I-arch wire helps people aged 12 and older with moderate front-tooth crowding get their teeth aligned faster, with less pain and less root damage.

Quick facts

Study typeInterventional
Ages12 Years and up
SexAll
Enrollment34 (estimated)
SponsorUniversity of Baghdad
Academic / other
Locations1 site (Karbala)
StatusRecruiting
StartedDecember 1, 2025
Main results expectedJuly 1, 2026
Study endsSeptember 2026
Registry record updatedApril 22, 2026
Trial IDNCT07264127 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are people age 12 or older with moderate mandibular anterior crowding (3–6 mm LII), full permanent dentition except third molars, no prior orthodontic treatment, and no periodontal disease or severely displaced teeth.

Probably not a fit

Patients with severe crowding (>6 mm), teeth that cannot be engaged by an aligning archwire, prior orthodontic treatment, periodontal compromise, or prior incisor trauma/root resorption are unlikely to 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 multicenter, randomized, blinded, parallel-group trial will compare the I-arch system to a standard MBT arch-wire protocol during the initial alignment stage of orthodontic treatment. Patients with moderate mandibular anterior crowding (Little's irregularity index 3–6 mm), age 12 or older and with a full permanent dentition (excluding third molars), will be randomized 1:1 to receive either the I-arch (0.016×0.014 copper-nickel titanium) or a sequence of heat-activated NiTi wires (0.014 then 0.016) using MBT 0.018-inch slot brackets. Primary outcomes include rate of teeth alignment, changes in arch width and incisor inclination, patient-reported pain intensity, and radiographic root resorption, with standardized bonding and follow-up procedures across centers. Informed consent (and parental consent/assent for minors) will be obtained and patients will attend scheduled visits at participating orthodontic centers for treatment and assessments.

Why it matters

Potential benefit: If successful, the I-arch system could shorten the initial alignment phase and reduce pain and root resorption for patients with moderate crowding.

How similar studies have gone: Standard nickel-titanium and copper-nickel-titanium archwires have a strong evidence base for initial alignment, but published data specifically on the I-arch system are limited.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Moderate crowding of mandibular anterior teeth (3-6 mm) according to Little's irregularity index (LII) in patients with age of 12 years or older.
2. Full complement of permanent dentition should be present, except for the third molars.
3. Brackets should be placed on maxillary and mandibular anterior teeth without any interference by the existing overbite and overjet.
4. The maxillary and mandibular incisors should not be previously subjected to trauma or root resorption.

Exclusion Criteria:

1. Patients with history of previous orthodontic treatment.
2. Severe maxillary and mandibular anterior crowding which is greater than 6 mm (LII).
3. Presence of teeth that are severely misaligned out of the dental arch and cannot be engaged with the aligning arch wire.
4. Prescence of periodontally compromised teeth and previous loss of attachment.

Where it's running

  • AlHur ALriyahi and Hai Alhussein specialized dental centerS
    Karbala, 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.