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Enrolling by invitation NCT07661277

Failure Rate of Infra-Zygomatic Orthodontic Mini-Screws

No phase Interventional Orthodontic Anchorage Procedures

For patients and families

In plain language

An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.

What is being studied
The protocol lists: Immediate loading infra-zygomatic mini-screw, Delayed loading infra-zygomatic mini-screw.
Who it may be relevant to
Registry conditions: Orthodontic Anchorage Procedures. Basic parameters: 19 years — 35 years · All.
What needs checking
Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
Where it takes place
Bangladesh
Next step
Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Official title

Factors Associated With the Failure Rate of Infra-Zygomatic Orthodontic Mini-Screws

Overview

The goal of this randomized clinical study is to assess the factors associated with the failure rate of infra-zygomatic crest orthodontic mini-screws used for anchorage reinforcement during orthodontic treatment.

Detailed description

Researchers will evaluate the influence of mini-screw length, diameter, oral hygiene status, age, sex, and loading time on the failure rate of infra-zygomatic mini-screws. Mini-screw failure will be assessed clinically by the presence of mobility or loss of stability.

Participants will:

* Receive fixed orthodontic treatment with a pre-adjusted edgewise appliance system. * Receive infra-zygomatic mini-screws bilaterally for maxillary anchorage reinforcement. * Receive a 10 mm × 1.8 mm mini-screw on one side with immediate loading. * Receive a 12 mm × 2.0 mm mini-screw on the contralateral side with delayed loading. * Receive standardized orthodontic force using elastic power chain. * Undergo CBCT assessment to evaluate the position of the inserted mini-screws. * Be evaluated at baseline and at one-month intervals for three consecutive months to assess mini-screw mobility or failure.

Interventions

  • Procedure Immediate loading infra-zygomatic mini-screw
    A 10 mm length and 1.8 mm diameter infra-zygomatic mini-screw will be placed on one side of the maxillary arch and loaded immediately with orthodontic force.
  • Procedure Delayed loading infra-zygomatic mini-screw
    A 12 mm length and 2.0 mm diameter infra-zygomatic mini-screw will be placed on the contralateral side of the maxillary arch and loaded after a delayed period

Primary outcome measures

  • To assess the failure rate of infra-zygomatic orthodontic mini-screws over a three-month follow-up period. Failure will be defined as any degree of clinical mobility or loss of stability of the mini-screw. [Time frame: over a three-month follow-up period]
Secondary outcome measures (1)
  • To assess the failure rate of infra-zygomatic orthodontic mini-screws over a three-month follow-up period. Failure will be defined as any degree of clinical mobility or loss of stability of the mini-screw [Time frame: Over a three-month follow-up period.]

Eligibility criteria

Inclusion criteria

  • Participants aged 19 to 35 years.
  • Both male and female participants.
  • Patients requiring absolute anchorage for maxillary arch and orthodontic tooth movement.
  • Patients undergoing fixed orthodontic treatment.
  • Patients in whom infra-zygomatic mini-screws are indicated for anchorage reinforcement.
  • Participants whose oral hygiene status can be clinically assessed.
  • Participants willing to provide written informed consent.

Exclusion criteria

  • Patients with incomplete history or records
  • Patients with a history of previous orthodontic treatment.
  • Patients with a history of maxillofacial surgery.
  • Patients with a history of head or facial trauma.
  • Patients with temporomandibular joint disorder.
  • Medically compromised patients.
  • Patients with diagnosed syndromes, congenital defects, or facial deformities.

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: Yes

Study design

Allocation
Randomized
Model
Parallel assignment
Masking
Open label
Primary purpose
Treatment

Study locations

Bangladesh · 1 center
  • Bangladesh Medical University (BMU), Dhaka,1000 — Dhaka

Identifiers

NCT: NCT07661277 · BMU/2026/1583

Primary sources (government registries)

View this study on ClinicalTrials.gov ↗