An interventional study of Traditional fixed appliance and Corticision in Crowding, Tooth, sponsored by Damascus University. Completed at 1 site in Syrian Arab Republic. Open to participants aged 18 Years to 25 Years. Per ClinicalTrials.gov, last updated 2018-07-30.
Sponsored by Damascus University · Not applicable, Interventional, and Treatment
This experimental study will evaluate the effect of corticision on accelerating the leveling and alignment of lower crowded incisors compared with the control untreated group using cone beam computed tomography.
The study sample will consist of 26 patients with less than 6 mm crowding. The sample will be allocated randomly into two experimental groups.
The brackets and passive SS wire will be applied with radiographic metal guides between each tooth to allow for accurate corticision site 2 mm below the gingival papilla and to prevent tooth roots injury. The dentoalveolar changes occurring after leveling and alignment of lower anterior teeth will be evaluated using CBCT radiographs, Frequency, degree of root resorption, and the incidence of bone dehiscence will be assessed in relation to initial situation.
Crowding is the most common form of malocclusion. Different methods have been used to resolve crowding, including extraction and nonextraction. Corticision is an important methods to accelerate tooth movement in crowded cases. Cortical bone incision without flap elevation enhances turnover rate of surrounding structures and decreases the time for leveling and alignment. In orthodontics, CBCT imaging has been applied to evaluate impacted teeth and root resorption. But the data are very rare regarding the application of CBCT in tooth movement. So CBCT will be used in this research to evaluate the amount of external apical root resorption (EARR) and presence of dehiscence in the lower anterior teeth in the crowded cases. Furthermore, the duration of alignment will be compared between corticision group and non-corticision group.
323 studies on the registry are indexed under Malocclusion; 85 are open to participants now.
This study's enrollment of 26 is below the median of 37 across 242 interventional studies indexed under Malocclusion.
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Exclusion Criteria:
Fixed orthodontic appliances will be applied for aligning and leveling of lower anterior teeth up to 19\*25 stainless steel wires using traditional brackets; American Orthodontics Master® MBT 0.022" Brackets
Device: Traditional fixed appliance
Fixed orthodontic appliances with corticison will be applied for aligning and leveling of lower anterior teeth up to 19\*25 stainless steel wires using traditional brackets; American Orthodontics Master® MBT 0.022" Brackets
Device: Traditional fixed appliance · Procedure: Corticision
aligning and leveling of lower anterior teeth using traditional fixed appliance.
Corticison, cortical bone incision without flap elevation, will be applied to the lower anterior teeth
Speed of lower teeth movement.
The speed of lower teeth movement during leveling and alignment stage will be measured and compared between groups.
Time frame: After the leveling and alignment stage of the lower teeth, which will take approximately 9 months
Changes of lower teeth torque
The torque changes of the lower teeth will be evaluated and compared between the 2 groups using CBCT.
Time frame: Changes will be evaluated before and after the lower teeth leveling and alignment stage, which will take approximately 8 months
Changes of lower teeth tipping
The tipping changes of the lower teeth will be evaluated and compared between the 2 groups using CBCT.
Time frame: Changes will be evaluated before and after the lower teeth leveling and alignment stage, which will take approximately 8 months
Plan to share: No — The Individual participant data will be only available for the researchers in the department of Orthodontics, Damascus University
This study is completed, as verified in Jul 2018. You cannot join it, but the record below documents what was studied.
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