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Effectiveness, Patient Acceptance, and Cost Estimation of 3D-printed Retainer Compared to Hawley Retainer in Expansion Case: a Randomized Controlled Trial
Sponsor: National University of Malaysia
Summary
Expansion of the arches is generally considered highly unstable and prone to relapse regardless of the type of expansion. Retention appliances play a vital role in preserving these changes. Hawley retainer users often avoid wearing them due to speech difficulties and less aesthetic appeal. They are also more prone to breakage, costlier, and require more labour. Despite the relatively recent introduction of 3D-printed retainers, they offer potential advantages in orthodontics, including the accuracy of digitally scanned images, reduced labour and material costs, and improved patient comfort. While 3D-printed retainers are quite new, most studies focus on laboratory testing of their mechanical properties, there is limited evidence directly comparing their effectiveness in retaining arch width increases, patient acceptance, and cost estimation. This knowledge gap creates uncertainty about the optimal choice of retainer for long-term stability, necessitating a comparative assessment of their performance. This study addresses this knowledge gap by evaluating the retention of arch width increases achieved using Hawley retainers versus 3D-printed retainers
Key Details
Gender
All
Age Range
16 Years - Any
Study Type
INTERVENTIONAL
Enrollment
28
Start Date
2026-06
Completion Date
2027-12
Last Updated
2026-06-22
Healthy Volunteers
Yes
Interventions
3D printed retainer
3D-printed retainer Using Nextdent Orthoflex resin Standard design of 3D printed retainer: * Monolithic design (no wires) * Thickness 0.8mm-1.0 mm * Fully cover the teeth and part of the gingiva (1-2mm) * Undercut block - 0.25-0.5mm
Hawley retainer
Hawley retainers have served as the established standard for retention after maxillary expansion. Standard design of Hawley Retainer: - Labial bow (0.8mm hard stainless steel) from canine to canine - Adam clasp on the molar (0.7mm hard stainless steel) - acrylic baseplate (2-3mm thickness) .
Locations (3)
National University Of Malaysia
Kuala Lumpur, Kuala Lumpur, Malaysia
University Malaya
Kuala Lumpur, Kuala Lumpur, Malaysia
University Teknologi Mara Selangor branch
Sungai Buloh, Selangor, Malaysia