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NCT Number: NCT07603427

Development of Biofunctional 3D-Printed Orthodontic Aligners With Antimicrobial and Remineralizing Properties

Clear orthodontic aligners are widely used due to their esthetics and patient comfort; however, prolonged wear may promote biofilm accumulation and enamel demineralization. This laboratory-based (in vitro) study aims to develop and evaluate a novel directly 3D-printed orthodontic aligner resin modified with antimicrobial and remineralizing agents.

The study will investigate the incorporation of dimethylaminohexadecyl methacrylate (DMAHDM) as an antibacterial agent and amorphous calcium phosphate (ACP) as a remineralizing component into a 3D-printed aligner resin. Modified and unmodified resin specimens will be fabricated and assessed for antimicrobial activity, ion release, and enamel remineralization potential using extracted human teeth.

In addition, the mechanical and physical properties of the experimental aligner materials, including shape memory behavior, deflection, tensile strength, translucency, and water sorption, will be evaluated to ensure clinical suitability.

This study does not involve human participants and is conducted entirely in vitro. The findings are expected to contribute to the development of biofunctional orthodontic aligners that actively inhibit bacterial growth and support enamel health without compromising material performance

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Key information

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

College of Dentistry, University of Baghdad

Baghdad, Baghdad Governorate, 1417, Iraq

Location contact

Ali I Ibrahim, professor of orthodontics

CONTACT

[email protected]

00964 7705814633

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Extracted human teeth obtained for reasons unrelated to this study (e.g., orthodontic or periodontal indications).
  • Teeth collected after obtaining ethical approval from the Research Ethics Committee.
  • Teeth free from visible cracks, fractures, restorations, or developmental defects.

Exclusion criteria

  • - Teeth with caries, restorations, cracks, fractures, or structural defects.
  • Teeth extracted due to pathological conditions affecting enamel or dentin integrity.
  • Teeth with unknown extraction history

Treatment and study plan

Modified 3D-Printed Orthodontic Aligner Resin

Other

Directly 3D-printed orthodontic aligner resin with or without incorporation of antimicrobial (DMAHDM) and remineralizing (ACP) agents.

Primary outcomes

  1. Antimicrobial Activity of Modified 3D-Printed Aligner Resin

    Time frame: day 1

    Evaluation of antibacterial effectiveness by quantifying Streptococcus mutans biofilm using colony-forming unit (CFU) counts (CFU/mL

  2. Enamel Remineralization Assessed by Raman Spectroscopy

    Time frame: day 7

    Assessment of mineral content changes in enamel adjacent to aligner material using Raman spectroscopy (e.g., phosphate ν1 peak intensity at ~960 cm-¹).

  3. Ion Release from Modified Aligner Resin

    Time frame: day 7

    Quantification of calcium (Ca²⁺) and phosphate (PO₄³-) ion release using inductively coupled plasma (ICP) analysis (ppm)

Secondary outcomes

  1. Tensile Properties of Modified 3D-Printed Aligner Resin

    Time frame: After specimen fabrication and post-curing (Day 1)

    Assessment of tensile strength and elastic modulus of unmodified and modified aligner resins according to ISO 527-2.Unit of Measure: MPa.

  2. Flexural Properties of Modified 3D-Printed Aligner Resin

    Time frame: (Day 1)

    Evaluation of flexural strength and flexural modulus using a three-point bending test.Unit of Measure: MPa

  3. Shape Memory

    Time frame: day 1

    Assessment of shape recovery rate (%) Unit of Measure: % (recovery)

  4. Water Sorption and Solubility

    Time frame: day 1 to day 7

    Measurement of water sorption and solubility according to ISO 20795-1. Unit of Measure: µg/mm³

  5. Optical Properties: Translucency

    Time frame: day 1

    Evaluation of translucency parameter (TP) using spectrophotometric analysis. Unit of Measure: Translucency Parameter (TP)

Study contacts

Contact information is provided by the study sponsor or research team.

Ali I Ibrahim

CONTACT

[email protected]

Safaa Saud Abed

CONTACT

[email protected]

009647712375540

Sponsors and collaborators

Lead sponsor

University of Baghdad

Other

Registry information

Official study title

Development of Biofunctional 3D Printed Orthodontic Aligners Enriched With Remineralizing and Anti-microbial Agents

Acronym: 3D-BIOALIGN

Important dates

Study start
2026
Primary completion
2026
Study completion
2027
First posted
May 22, 2026
Registry last updated
May 22, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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