Digital vs. direct: which method places jaw screws more accurately?
NCT ID NCT07707596
First seen Jul 16, 2026 · Last updated Jul 17, 2026 · Updated 1 time
Summary
This trial compares two methods for placing tiny screws in the roof of the mouth (palatal miniscrews) to help widen the upper jaw in teenagers. One method uses the expansion device itself as a guide, while the other uses a custom 3D-printed guide based on digital planning. The study measures how accurate, stable, and safe each approach is using post-procedure scans.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- a procedure comparing direct appliance-guided versus digitally guided CAD/CAM surgical guide for palatal miniscrew placement
- What this could lead to
- If one method proves more accurate and safer, it could become the standard approach for palatal miniscrew placement in teens needing jaw expansion.
- What could go wrong
- This is a small, early-stage study (40 participants) comparing two techniques, so results may not apply to all patients or settings. Both methods carry risks like screw failure or sinus penetration.
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
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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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40 people
The number who actually took part.
- Started
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May 2025
- Finished
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Feb 2026
- 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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12 to 18 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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: * Age between 12 and 18 years * Transverse maxillary deficiency requiring skeletal expansion * Midpalatal suture maturation stage B or C * Adequate palatal bone height for miniscrew insertion (≥9 mm) * No previous maxillary expansion treatment Exclusion Criteria: * Age \>18 years * Palatal bone height \<6 mm * Systemic disease affecting bone metabolism * Medication affecting bone turnover * Craniofacial syndromes or cleft conditions
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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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Universitat Internacional de Catalunya
Sant Cugat del Vallès, Barcelona, 08017, Spain
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Braces-Free jaw widening: new study tests clear aligners in kids
- 3D-Printed expander vs. traditional device: which works better for kids?
- Narrow jaw study uses 3D scans to see how expansion changes face and sinus
- Jaw surgery may slightly alter tooth color, small study finds