Could a Tooth-Friendly coating on clear aligners stop white spots before they start?
NCT ID NCT07715552
First seen Jul 20, 2026 · Last updated Jul 21, 2026 · Updated 1 time
Summary
This trial tests whether coating clear orthodontic aligners with nano chitosan—a natural antimicrobial—can reduce white spot lesions (early enamel damage) that sometimes develop during aligner therapy. About 53 people with mild to moderate misalignment will wear either coated or uncoated aligners. Researchers will measure changes in enamel mineral loss using a special fluorescence imaging system.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- a nano chitosan coating applied to clear orthodontic aligners
- What this could lead to
- If effective, this coating could help prevent enamel damage during clear aligner therapy, reducing the need for additional dental treatments.
- What could go wrong
- This is a small, early-stage trial with only 53 participants, so results may not apply broadly. The coating's long-term durability and safety are not yet established.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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53 people
The number who actually took part.
- Started
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Oct 2025
- Expected to finish
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Oct 2026
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 30 years
- Sex
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Anyone
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Patients presenting with mild to moderate malocclusion (sagittal, vertical, transverse discrepancies, or crowding) that could be treated using clear aligners within a maximum treatment period of one year and without the need for extraction therapy. * Medically healthy patients with no systemic diseases or medical conditions that could affect enamel integrity, salivary flow, oral hygiene status, or periodontal health. * Patients with no history of previous orthodontic treatment, dental trauma, or parafunctional habits such as bruxism. * Patients with good oral hygiene and absence of active periodontal disease, including gingivitis or periodontitis. * Patients willing to comply with the prescribed clear aligner wear protocol for a minimum of 22 hours per day. * Patients who agreed to participate in the study and signed the informed consent form. Exclusion Criteria: * Previous orthodontic treatment that could influence baseline enamel condition or white spot lesion assessment. * Presence of active carious lesions, cavitated lesions, severe enamel hypoplasia, or developmental enamel defects. * Extensive restorations on anterior teeth that could interfere with Quantitative Light-Induced Fluorescence (QLF) imaging and analysis. * Systemic diseases or medical conditions affecting salivary flow, enamel integrity, oral hygiene, or periodontal health. * Use of medications known to affect salivary secretion, enamel mineralization, or oral microbial balance. * Poor oral hygiene or presence of active periodontal disease, including gingivitis or periodontitis.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Postgraduate Orthodontic Clinics
Irbid, 22110, Jordan
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Could a fluoride coating during braces prevent ugly white spots?
- Battle of the white spot busters: paste vs. resin for Post-Braces cavities