CClinicalTrials.gg
CompletedNCT02267811BX8RNUpdated May 21, 2019Results posted

The Effect of OrthoPulse™ on the Rate of Orthodontic Tooth Movement

An interventional study of Orthodontic Treatment and OrthoPulse™ in Malocclusion, sponsored by Biolux Research Holdings, Inc.. Completed at 1 site in United States. Open to participants aged 11 Years to 60 Years. Per ClinicalTrials.gov, last updated 2019-05-21.

Sponsored by Biolux Research Holdings, Inc. · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
33
Allocation
Non-randomized
Ages
11 Years to 60 Years
Sex
All
01

Study summary

This open label study is designed to evaluate the ability of OrthoPulse™ to safely and effectively increase the rate of orthodontic tooth movement with fixed appliances.

Read the detailed description

The primary aim of this study is to determine if daily OrthoPulse™ use affects the rate of orthodontic tooth movement during alignment with fixed appliances in the mandibular arch.

The secondary aim of this study is to determine whether patients treated with OrthoPulse demonstrate root resorption beyond what is commonly expected during orthodontic treatment.

The study also aims to collect confirmatory evidence on the safety of the device.

02

Conditions studied

  • Malocclusion

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Keywords

  • Photobiomodulation
  • Orthodontic treatment
  • Malocclusion
  • OrthoPulse™
03

In context

Malocclusion

457 studies on the registry are indexed under Malocclusion; 89 are open to participants now.

This study's enrollment of 33 is close to the median of 36 across 372 interventional studies indexed under Malocclusion.

Browse Malocclusion studies →

Lead sponsor

Biolux Research Holdings, Inc. is the lead sponsor of 8 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
11 Years to 60 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Eligible and scheduled for full mouth fixed orthodontic treatment
  • Moderate to severe crowding (LII ≥ 3 mm), with no labio-lingually displaced teeth
  • Class I or Class II by 1/2 cusp or less
  • Non-extraction in both arches
  • Age 11- 60
  • Good oral hygiene
  • Non-smokerInclud

Exclusion criteria

Exclusion Criteria:

  • Pregnant females
  • Patient is currently enrolled in another clinical study
  • Patient decided on Invisalign® rather than braces
  • Periodontally involved teeth
  • Use of bisphosphonates (osteoporosis drugs) during the study
  • Patient plans to move over the treatment period
  • Spaces between anterior teeth
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
33 participants (actual)

Study arms

  • Experimental
    Fixed Orthodontic Treatment with OrthoPulse™

    Subjects assigned to this group receive orthodontic treatment in conjunction with receiving daily OrthoPulse™ treatments.

    Other: Orthodontic Treatment · Device: OrthoPulse™

  • Experimental
    Fixed Orthodontic Treatment

    Subjects assigned to this group receive orthodontic treatment with no OrthoPulse™ treatment.

    Other: Orthodontic Treatment

Interventions

  • OtherOrthodontic Treatment

    Patients are treated for orthodontic treatment by the qualified Principal Investigator (PI). Treatment and follow-up appointments per the traditional practices of the PI and dental office.

  • DeviceOrthoPulse™

    Participants carry out daily OrthoPulse™ treatments at home.

06

What researchers measure

Primary outcomes

  1. Evaluation of Whether OrthoPulse Use Affects the Rate of Orthodontic Tooth Movement During Full Mouth Fixed Orthodontic Treatment

    Rate of participants orthodontic tooth movement using Little's Index of Irregularity (LII) measured in millimeters per week during alignment.

    Time frame: Participants will be followed for the duration of their orthodontic treatment, an expected average of 1-2 years, depending on the severity of the case.

Secondary outcomes

  1. Safety Evidence of OrthoPulse™ Use

    The number of significant adverse events reported from time of participant enrolment to study completion for all study participants

    Time frame: Participants will be followed for the duration of their orthodontic treatment, an expected average of 1-2 years, depending on the severity of the case.

  2. Degree of External Apical Root Resorption (EARR)

    The amount of EARR experienced as assessed at six (6) months or later after starting treatment. External Apical Root Resorption can result from orthodontic tooth movement. External apical root resorption is the shortening of the root and affects root surface(s), which can result in loss of tooth structure. External apical root resorption is being determined in this study by comparing root lengths from initial to six (6) months or later after starting treatment. The measurements are taken from the crown to the root apex in millimeters. A positive number under the measure of dispersion signifies root resorption.

    Time frame: Assessed at six (6) months or later after starting treatment, up to two (2) years.

07

Results

Posted May 21, 2019

Participant flow

Participant flow — Overall Study
MilestoneBX8RN: Orthodontic Treatment With OrthoPulse™ (Treatment)BX8RN: Orthodontic Treatment (Control)
Started1617
Completed1515
Not completed12

Outcome measures

PrimaryEvaluation of Whether OrthoPulse Use Affects the Rate of Orthodontic Tooth Movement During Full Mouth Fixed Orthodontic Treatment

Rate of participants orthodontic tooth movement using Little's Index of Irregularity (LII) measured in millimeters per week during alignment.

Time frame:
Participants will be followed for the duration of their orthodontic treatment, an expected average of 1-2 years, depending on the severity of the case.
Reported as:
Mean · millimeters per week
Evaluation of Whether OrthoPulse Use Affects the Rate of Orthodontic Tooth Movement During Full Mouth Fixed Orthodontic Treatment
millimeters per weekBX8RN: Orthodontic Treatment With OrthoPulse™ (Treatment)BX8RN: Orthodontic Treatment (Control)
Evaluation of Whether OrthoPulse Use Affects the Rate of Orthodontic Tooth Movement During Full Mouth Fixed Orthodontic Treatment1.09 ± .68.39 ± .14
SecondarySafety Evidence of OrthoPulse™ Use

The number of significant adverse events reported from time of participant enrolment to study completion for all study participants

Time frame:
Participants will be followed for the duration of their orthodontic treatment, an expected average of 1-2 years, depending on the severity of the case.
Reported as:
Number · Adverse Events
Safety Evidence of OrthoPulse™ Use
Adverse EventsFixed Orthodontic Treatment With OrthoPulse™ (Treatment)Fixed Orthodontic Treatment (Control)
Safety Evidence of OrthoPulse™ Use00
SecondaryDegree of External Apical Root Resorption (EARR)

The amount of EARR experienced as assessed at six (6) months or later after starting treatment. External Apical Root Resorption can result from orthodontic tooth movement. External apical root resorption is the shortening of the root and affects root surface(s), which can result in loss of tooth structure. External apical root resorption is being determined in this study by comparing root lengths from initial to six (6) months or later after starting treatment. The measurements are taken from the crown to the root apex in millimeters. A positive number under the measure of dispersion signifies root resorption.

Time frame:
Assessed at six (6) months or later after starting treatment, up to two (2) years.
Reported as:
Mean · millimeters
Degree of External Apical Root Resorption (EARR)
millimetersFixed Orthodontic Treatment With OrthoPulse™ (Treatment)Fixed Orthodontic Treatment (Control)
Degree of External Apical Root Resorption (EARR)0.02 ± .86-0.11 ± .87

Adverse events

Collected over Adverse events were collected at all visits from the time of participant enrolment through the study final visit, two (2) years or less.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Fixed Orthodontic Treatment With OrthoPulse™ (Treatment)0/16 (0%)0/16 (0%)0/16 (0%)
Fixed Orthodontic Treatment (Control)0/17 (0%)0/17 (0%)0/17 (0%)

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)BX8RN: OrthoPulse™ (Treatment)BX8RN: Orthodontic Treatment With no OrthoPulse™ (Control)Total
<=18 years10919
Between 18 and 65 years6814
>=65 years000
Sex: Female, Male
Sex: Female, Male(Participants)BX8RN: OrthoPulse™ (Treatment)BX8RN: Orthodontic Treatment With no OrthoPulse™ (Control)Total
Female12618
Male41115
Region of Enrollment
Region of Enrollment(participants)BX8RN: OrthoPulse™ (Treatment)BX8RN: Orthodontic Treatment With no OrthoPulse™ (Control)Total
United States161733
08

Study locations

1 site
  • Stone Oak Orthodontics
    San Antonio, Texas 78232, United States
09

References and documents

Publications

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  • Kawakami M, Takano-Yamamoto T. Local injection of 1,25-dihydroxyvitamin D3 enhanced bone formation for tooth stabilization after experimental tooth movement in rats. J Bone Miner Metab. 2004;22(6):541-6. doi: 10.1007/s00774-004-0521-3. PubMed 15490263 ↗
  • Yamasaki K, Shibata Y, Imai S, Tani Y, Shibasaki Y, Fukuhara T. Clinical application of prostaglandin E1 (PGE1) upon orthodontic tooth movement. Am J Orthod. 1984 Jun;85(6):508-18. doi: 10.1016/0002-9416(84)90091-5. PubMed 6587784 ↗
  • Seifi M, Eslami B, Saffar AS. The effect of prostaglandin E2 and calcium gluconate on orthodontic tooth movement and root resorption in rats. Eur J Orthod. 2003 Apr;25(2):199-204. doi: 10.1093/ejo/25.2.199. PubMed 12737218 ↗
  • Hashimoto F, Kobayashi Y, Mataki S, Kobayashi K, Kato Y, Sakai H. Administration of osteocalcin accelerates orthodontic tooth movement induced by a closed coil spring in rats. Eur J Orthod. 2001 Oct;23(5):535-45. doi: 10.1093/ejo/23.5.535. PubMed 11668873 ↗
  • Madan MS, Liu ZJ, Gu GM, King GJ. Effects of human relaxin on orthodontic tooth movement and periodontal ligaments in rats. Am J Orthod Dentofacial Orthop. 2007 Jan;131(1):8.e1-10. doi: 10.1016/j.ajodo.2006.06.014. PubMed 17208099 ↗
  • Frost HM. Wolff's Law and bone's structural adaptations to mechanical usage: an overview for clinicians. Angle Orthod. 1994;64(3):175-88. doi: 10.1043/0003-3219(1994)0642.0.CO;2. PubMed 8060014 ↗
  • Davidovitch Z, Finkelson MD, Steigman S, Shanfeld JL, Montgomery PC, Korostoff E. Electric currents, bone remodeling, and orthodontic tooth movement. I. The effect of electric currents on periodontal cyclic nucleotides. Am J Orthod. 1980 Jan;77(1):14-32. doi: 10.1016/0002-9416(80)90221-3. PubMed 6243447 ↗
  • Nishimura M, Chiba M, Ohashi T, Sato M, Shimizu Y, Igarashi K, Mitani H. Periodontal tissue activation by vibration: intermittent stimulation by resonance vibration accelerates experimental tooth movement in rats. Am J Orthod Dentofacial Orthop. 2008 Apr;133(4):572-83. doi: 10.1016/j.ajodo.2006.01.046. PubMed 18405822 ↗
  • Bernabe E, Flores-Mir C. Estimating arch length discrepancy through Little's Irregularity Index for epidemiological use. Eur J Orthod. 2006 Jun;28(3):269-73. doi: 10.1093/ejo/cji112. Epub 2006 Apr 28. PubMed 16648212 ↗
  • Little RM. The irregularity index: a quantitative score of mandibular anterior alignment. Am J Orthod. 1975 Nov;68(5):554-63. doi: 10.1016/0002-9416(75)90086-x. PubMed 1059332 ↗
  • Kau CH, Kantarci A, Shaughnessy T, Vachiramon A, Santiwong P, de la Fuente A, Skrenes D, Ma D, Brawn P. Photobiomodulation accelerates orthodontic alignment in the early phase of treatment. Prog Orthod. 2013 Sep 19;14:30. doi: 10.1186/2196-1042-14-30. PubMed 24326198 ↗
  • Sousa MV, Scanavini MA, Sannomiya EK, Velasco LG, Angelieri F. Influence of low-level laser on the speed of orthodontic movement. Photomed Laser Surg. 2011 Mar;29(3):191-6. doi: 10.1089/pho.2009.2652. Epub 2011 Jan 23. PubMed 21254890 ↗
  • Cruz DR, Kohara EK, Ribeiro MS, Wetter NU. Effects of low-intensity laser therapy on the orthodontic movement velocity of human teeth: a preliminary study. Lasers Surg Med. 2004;35(2):117-20. doi: 10.1002/lsm.20076. PubMed 15334614 ↗
  • Youssef M, Ashkar S, Hamade E, Gutknecht N, Lampert F, Mir M. The effect of low-level laser therapy during orthodontic movement: a preliminary study. Lasers Med Sci. 2008 Jan;23(1):27-33. doi: 10.1007/s10103-007-0449-7. Epub 2007 Mar 15. PubMed 17361391 ↗
  • Limpanichkul W, Godfrey K, Srisuk N, Rattanayatikul C. Effects of low-level laser therapy on the rate of orthodontic tooth movement. Orthod Craniofac Res. 2006 Feb;9(1):38-43. doi: 10.1111/j.1601-6343.2006.00338.x. PubMed 16420273 ↗
  • Almasoud N, Bearn D. Little's irregularity index: photographic assessment vs study model assessment. Am J Orthod Dentofacial Orthop. 2010 Dec;138(6):787-94. doi: 10.1016/j.ajodo.2009.01.031. PubMed 21130338 ↗
  • Tran AM, Rugh JD, Chacon JA, Hatch JP. Reliability and validity of a computer-based Little irregularity index. Am J Orthod Dentofacial Orthop. 2003 Mar;123(3):349-51. doi: 10.1067/mod.2003.76. No abstract available. PubMed 12637908 ↗
  • Canuto LF, de Freitas MR, de Freitas KM, Cancado RH, Neves LS. Long-term stability of maxillary anterior alignment in non-extraction cases. Dental Press J Orthod. 2013 May-Jun;18(3):46-53. doi: 10.1590/s2176-94512013000300009. PubMed 24094011 ↗
  • Krieger E, Drechsler T, Schmidtmann I, Jacobs C, Haag S, Wehrbein H. Apical root resorption during orthodontic treatment with aligners? A retrospective radiometric study. Head Face Med. 2013 Aug 14;9:21. doi: 10.1186/1746-160X-9-21. PubMed 23941626 ↗
  • Fritz U, Diedrich P, Wiechmann D. Apical root resorption after lingual orthodontic therapy. J Orofac Orthop. 2003 Nov;64(6):434-42. doi: 10.1007/s00056-003-0243-5. English, German. PubMed 14628135 ↗
  • Bergius M, Berggren U, Kiliaridis S. Experience of pain during an orthodontic procedure. Eur J Oral Sci. 2002 Apr;110(2):92-8. doi: 10.1034/j.1600-0722.2002.11193.x. PubMed 12013568 ↗
  • Erdinc AM, Dincer B. Perception of pain during orthodontic treatment with fixed appliances. Eur J Orthod. 2004 Feb;26(1):79-85. doi: 10.1093/ejo/26.1.79. PubMed 14994886 ↗
  • Jones M, Chan C. The pain and discomfort experienced during orthodontic treatment: a randomized controlled clinical trial of two initial aligning arch wires. Am J Orthod Dentofacial Orthop. 1992 Oct;102(4):373-81. doi: 10.1016/0889-5406(92)70054-e. PubMed 1456222 ↗
  • Liu Z, McGrath C, Hagg U. Changes in oral health-related quality of life during fixed orthodontic appliance therapy: an 18-month prospective longitudinal study. Am J Orthod Dentofacial Orthop. 2011 Feb;139(2):214-9. doi: 10.1016/j.ajodo.2009.08.029. PubMed 21300250 ↗
  • Zhang M, McGrath C, Hagg U. Changes in oral health-related quality of life during fixed orthodontic appliance therapy. Am J Orthod Dentofacial Orthop. 2008 Jan;133(1):25-9. doi: 10.1016/j.ajodo.2007.01.024. PubMed 18174067 ↗
  • Bernabe E, Sheiham A, Tsakos G, Messias de Oliveira C. The impact of orthodontic treatment on the quality of life in adolescents: a case-control study. Eur J Orthod. 2008 Oct;30(5):515-20. doi: 10.1093/ejo/cjn026. Epub 2008 Aug 27. PubMed 18753305 ↗
  • Nimeri G, Kau CH, Corona R, Shelly J. The effect of photobiomodulation on root resorption during orthodontic treatment. Clin Cosmet Investig Dent. 2014 Jan 15;6:1-8. doi: 10.2147/CCIDE.S49489. eCollection 2014. PubMed 24470774 ↗
  • Linge BO, Linge L. Apical root resorption in upper anterior teeth. Eur J Orthod. 1983 Aug;5(3):173-83. doi: 10.1093/ejo/5.3.173. No abstract available. PubMed 6578039 ↗
  • Lund H, Grondahl K, Hansen K, Grondahl HG. Apical root resorption during orthodontic treatment. A prospective study using cone beam CT. Angle Orthod. 2012 May;82(3):480-7. doi: 10.2319/061311-390.1. Epub 2011 Sep 16. PubMed 21919826 ↗
  • Makedonas D, Lund H, Hansen K. Root resorption diagnosed with cone beam computed tomography after 6 months and at the end of orthodontic treatment with fixed appliances. Angle Orthod. 2013 May;83(3):389-93. doi: 10.2319/042012-332.1. Epub 2012 Oct 23. PubMed 23092202 ↗
  • Heritier SR, Gebski VJ, Keech AC. Inclusion of patients in clinical trial analysis: the intention-to-treat principle. Med J Aust. 2003 Oct 20;179(8):438-40. doi: 10.5694/j.1326-5377.2003.tb05627.x. No abstract available. PubMed 14558871 ↗
  • Wright N, Modarai F, Cobourne MT, Dibiase AT. Do you do Damon(R)? What is the current evidence base underlying the philosophy of this appliance system? J Orthod. 2011 Sep;38(3):222-30. doi: 10.1179/14653121141479. Erratum In: J Orthod. 2011 Dec;38(4):309. PubMed 21875995 ↗
  • Celar A, Schedlberger M, Dorfler P, Bertl M. Systematic review on self-ligating vs. conventional brackets: initial pain, number of visits, treatment time. J Orofac Orthop. 2013 Jan;74(1):40-51. doi: 10.1007/s00056-012-0116-x. Epub 2013 Jan 10. PubMed 23299650 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 21, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02267811
Lead sponsor
Biolux Research Holdings, Inc.
Responsible party
Sponsor
First posted
Oct 20, 2014
Start date
Oct 2013
Primary completion
Jun 2016
Completion
Jun 2016
Results posted
May 21, 2019
Last update
May 21, 2019

Study contacts

Peter Brawn, DDS
study director · Biolux Research

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

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