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Enrolling by invitationOBSERVATIONAL

Diagnosis of Wire Syndrome

This research focuses on something called "Wire Syndrome." This is when teeth held by a permanent retainer wire start moving unexpectedly, creating new bite problems. It's often invisible at first but can get worse over time, causing harm to teeth and gums. Right now, there isn't a clear, agreed-upon way for dental professionals to diagnose it early or consistently. The study's main goal is to develop a new classification system for Wire Syndrome, helping orthodontists (braces specialists) and periodontists (gum specialists) work together. This new system should lead to quicker diagnosis, fewer treatment mistakes, a better understanding of how the problem might progress, and more personalised treatment plans for patients.

At a glance

Status
Enrolling by invitation
Sponsor
Centre Hospitalier Universitaire de Nice
Enrolment target
40
Start
28 Mar 2025
Estimated completion
31 Jul 2025

What is this study about?

Imagine you've had braces, and your teeth are perfectly straight. To keep them that way, you have a thin wire glued behind your teeth – a retainer. However, sometimes, even with this wire, your teeth might start to shift in strange ways. This is what dental specialists call "Wire Syndrome." It's not just your teeth going back to how they were (relapse), and it's not a normal aging process. It's a specific issue where teeth move unexpectedly, creating new problems with your bite. For example, some teeth might tilt or twist, or gaps could appear.

This syndrome can be tricky because it often doesn't cause pain or obvious symptoms in its early stages. This means you might not even know it's happening, but over time, these subtle changes can lead to more serious issues for your teeth and gums. Dental experts believe it's caused by several different things working together, but they don't fully understand all the reasons yet. Because it's hard to spot early, diagnosing it can be difficult, and there isn't a universally agreed-upon method for dentists and orthodontists to recognise it.

That's why this research is so important. The main aim of this study is to create a clear, step-by-step way to diagnose Wire Syndrome. The researchers want to build a shared understanding between different dental specialists, particularly orthodontists and periodontists, about how to identify it and how severe it is. By having a better classification system, they hope to catch the syndrome much earlier, avoid misdiagnoses, and improve the advice and treatment plans they can offer. This also means better teamwork between dental professionals, leading to more tailored and effective care for you.

Key takeaways

  • Wire Syndrome is unexpected tooth movement with a fixed retainer.
  • It's often hard to spot early but can worsen over time.
  • This study aims to create a clearer way for dentists to diagnose it.
  • Better diagnosis can lead to earlier and more effective treatment.
  • Participation involves sharing dental records for observation.
  • No new treatments are involved in this research.

Who may be eligible?

To be considered for this study, you would need to be 18 years old or older. You must currently have a fixed orthodontic retainer (the wire glued behind your teeth) either on your upper or lower jaw, or both.

The researchers will also need to review all your dental records carefully, so it's important that comprehensive information about your past and current dental treatment is available. You should also be generally healthy and not have any serious medical conditions.

It's important to note that you can have Wire Syndrome already, or not have it, to potentially be included. However, you cannot be included if you have other types of retainers (like removable ones) instead of the fixed wire. You also need to be able to understand French to participate in this study.

Could this study suit you?

Answer these quick questions to see if you may be eligible. This is a guide only — the research team makes the final call.

  1. Are you 18 years old or older?
  2. Do you have a permanent wire retainer glued behind your teeth (upper, lower, or both)?
  3. Are you generally in good health?
  4. Are your dental records complete and available for review?
  5. Can you understand French?
Answer every question to see your result.

What does participation involve?

This study is focused on gathering information and observing existing situations, rather than trying out new treatments. Therefore, your participation would not involve taking any new medications or undergoing any specific interventions. The study is described as "Non intervention," meaning researchers will primarily be collecting and analyzing existing data and observations related to Wire Syndrome and traditional fixed retainers.

You will likely be asked to provide access to your comprehensive dental records for review. This may include old X-rays, dental photos, and notes from your orthodontist or dentist. There may also be clinical assessments where dental professionals examine your teeth and gums to understand the current state of your bite and any changes in tooth position.

The study aims to help define and classify Wire Syndrome better, so it might involve various assessments without active treatment. The total duration of your participation would depend on how long the researchers need to collect and analyse the necessary clinical information and observations.

Potential risks and benefits

Participating in this study might offer a small benefit by helping future patients detect Wire Syndrome earlier, making it easier for dentists to understand and treat. There are no direct medical risks as this study involves observation and data collection, not new treatments. The main involvement is sharing your dental records and possibly undergoing examinations. You are always free to decide not to participate or to withdraw from the study at any time, without it affecting your usual dental care.

Locations (1)

  • CHU NICE
    Verified postcode
    Nice, France

Common questions

What is Wire Syndrome?

It's when teeth move unexpectedly after having braces, even when you have a permanent retainer wire in place, causing new problems with your bite.

Will I receive treatment in this study?

No, this study is about observation and diagnosis, not new treatments. Your current dental care will not be affected.

Why is this research important?

It aims to create a better way to diagnose Wire Syndrome early, helping dentists and orthodontists work together to give patients better, tailored care.

Do I need to have Wire Syndrome to join?

No, you can participate whether you currently have Wire Syndrome or not, as long as you meet the other criteria.

What information will the study need from me?

The researchers will likely need to look at your full dental records, including X-rays and notes from your dental history.

How to find out more

Always speak to your GP or specialist before deciding to take part in a study.

Interested in taking part?

Register your interest

Share your details and the research team for "Diagnosis of Wire Syndrome…" will contact you if you may be eligible. Always speak to your GP before agreeing to take part.

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