CClinicalTrials.gg
CompletedNCT06526871Updated Jul 30, 2024

Evaluation of Treatment Outcome of Lower Incisors Crowding Using Clear Aligners With Laser Acceleration .

An interventional study of Low-Level Laser acceleration and clear aligner therapy in Tooth Movement, sponsored by Huda Abdelhakim. Completed at 1 site in Egypt. Open to female participants aged 16 Years to 23 Years. Per ClinicalTrials.gov, last updated 2024-07-30.

Sponsored by Huda Abdelhakim · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 1 year 8 months after the study started (first participant enrolled Oct 2022, registered Jul 2024).
Phase
Not applicable
Study type
Interventional
Enrollment
22
Allocation
Randomized
Ages
16 Years to 23 Years
Sex
Female
01

Study summary

The present study will be performed to evaluate the effect of low-level laser therapy (LLLT) on the rate of orthodontic tooth movement through the correction of lower incisors crowding using clear aligners

Read the detailed description

This study will employ a two-arm parallel randomized clinical trial design with an allocation ratio of 1:1. The study will include participants aged 16 to 23 years with mild to moderate anterior lower crowding and Class I Angle malocclusion, presenting with a full set of teeth excluding wisdom teeth. Eligible participants will be randomly assigned to either the intervention group, receiving LLLT in addition to clear aligner therapy, or the control group, receiving clear aligner therapy alone.

Intervention:

The intervention group will undergo LLLT using the Biolase Epic X device, calibrated to 0.2 W power, 0.16 J energy, and 0.8 seconds pulse duration per point. The laser will be applied to five points on the buccal surface (cervical mesial, distal, middle root, apical mesial, and distal) and four points on the lingual surface (cervical mesial, distal, middle root, and middle apical) of the target tooth. LLLT sessions will be conducted weekly over seven sessions.

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Conditions studied

  • Tooth Movement

Keywords

  • Aligner
  • Crowding
  • Laser
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In context

Lead sponsor

This is the only study on the registry with Huda Abdelhakim as lead sponsor.

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

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Who can participate

Ages eligible
16 Years to 23 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  1. A well-behaved, compliant, and motivated patient.
  2. Patients from 16 to 23 years old .
  3. Patients with mild to moderate anterior lower crowding.
  4. Full complement of teeth (except for wisdom teeth).
  5. Class I Angle malocclusion .

Exclusion criteria

Exclusion Criteria:

  1. Patients with missed anterior teeth .
  2. Class II or III Malocclusion (dental or skeletal ) .
  3. Any systemic diseases that may interfere with assigned treatment plan .
  4. Periodontal affection especially at lower anterior teeth .
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
22 participants (actual)

Study arms

  • Active comparator
    control group

    ten patients treated with removable clear aligner

    Procedure: clear aligner therapy

  • Experimental
    Experimental group

    ten patients treated with removable clear aligner with application of Low-Level-Laser

    Procedure: Low-Level Laser acceleration · Procedure: clear aligner therapy

Interventions

  • ProcedureLow-Level Laser acceleration

    This intervention involves the application of Low-Level Laser Therapy (LLLT) using the Epic X device for patients undergoing orthodontic treatment. The protocol is designed to assess the effects of LLLT on pain reduction and treatment efficacy during the initial leveling and alignment phase of orthodontic therapy using clear aligners .

  • Procedureclear aligner therapy

    Clear aligner therapy involves using a series of custom-made, clear plastic aligners to gradually move teeth into their desired positions. These aligners are worn over the teeth and are typically changed every week as the teeth gradually shift. The treatment process starts with a digital scan or impression of the teeth, which is used to create a 3D model. This model helps in planning the precise movements needed to achieve proper alignment. Throughout the treatment, patients visit their orthodontist periodically to monitor progress and receive new sets of aligners. Clear aligners are popular for their aesthetic appeal and the convenience they offer compared to traditional braces.

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What researchers measure

Primary outcomes

  1. • Little irregularity index

    The Little Irregularity Index is a quantitative method used to assess the degree of dental crowding. It measures the linear displacement of the contact points of the mandibular anterior teeth (canine to canine) from their ideal positions. This measurement is taken before and after orthodontic treatment using scanned 3D models, allowing for an objective evaluation of alignment improvement.

    Time frame: through study completion, an average of 6 months

Secondary outcomes

  1. • Treatment time

    The duration of orthodontic treatment, including active treatment phases such as wearing aligners or undergoing procedures like interproximal reduction, is crucially monitored. This active treatment time is distinct from overall treatment duration, which encompasses intervals such as retention phases or breaks between aligner changes.

    Time frame: through study completion, an average of 6 months

  2. • Number of aligners

    The number of aligners measurement involves determining the total quantity of clear aligners required for a patient's orthodontic treatment.

    Time frame: through study completion, an average of 6 months

  3. • Patient comfort and satisfaction

    Patient comfort and satisfaction were evaluated using standardized scales, including Visual Analog Scales (VAS) , to assess pain levels, oral discomfort, and overall treatment experience.

    Time frame: through study completion, an average of 6 months

  4. • Refinement rate

    The refinement rate in orthodontics refers to the frequency and extent of adjustments made to aligners or appliances during treatment to achieve optimal tooth alignment. It is typically measured by assessing the need for additional aligners,

    Time frame: through study completion, an average of 6 months

  5. • Digital cast accuracy

    Digital cast accuracy was assessed using 3D surface comparison methods, comparing intraoral scans with traditional plaster models.

    Time frame: through study completion, an average of 6 months

  6. • Tooth movement accuracy

    This process involved aligning and overlaying 3D models to assess the extent and direction of tooth displacement over time.

    Time frame: through study completion, an average of 6 months

  7. • Software predictability

    3D models were superimposed to analyze the accuracy of predicted tooth movements compared to actual outcomes.

    Time frame: through study completion, an average of 6 months

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Study locations

1 site
  • AL-Azhar university
    Cairo, Egypt
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References and documents

Publications

  • Das PJ, Dkhar W, Pradhan A. An Evaluation of Dental Crowding in Relation to the Mesiodistal Crown Widths and Arch Dimensions in Southern Indian Population. J Clin Diagn Res. 2017 Sep;11(9):TC10-TC13. doi: 10.7860/JCDR/2017/29642.10554. Epub 2017 Sep 1. PubMed 29207804 ↗
  • Jaber ST, Hajeer MY, Burhan AS, Latifeh Y. The Effect of Treatment With Clear Aligners Versus Fixed Appliances on Oral Health-Related Quality of Life in Patients With Severe Crowding: A One-Year Follow-Up Randomized Controlled Clinical Trial. Cureus. 2022 May 30;14(5):e25472. doi: 10.7759/cureus.25472. eCollection 2022 May. PubMed 35663697 ↗
  • Knosel M, Nuser C, Jung K, Helms HJ, Engelke W, Sandoval P. Interaction between deglutition, tongue posture, and malocclusion: A comparison of intraoral compartment formation in subjects with neutral occlusion or different types of malocclusion. Angle Orthod. 2016 Sep;86(5):697-705. doi: 10.2319/101615-699.1. Epub 2016 Feb 19. PubMed 26894981 ↗
  • Tamer I, Oztas E, Marsan G. Orthodontic Treatment with Clear Aligners and The Scientific Reality Behind Their Marketing: A Literature Review. Turk J Orthod. 2019 Dec 1;32(4):241-246. doi: 10.5152/TurkJOrthod.2019.18083. eCollection 2019 Dec. PubMed 32110470 ↗
  • Hennessy J, Garvey T, Al-Awadhi EA. A randomized clinical trial comparing mandibular incisor proclination produced by fixed labial appliances and clear aligners. Angle Orthod. 2016 Sep;86(5):706-12. doi: 10.2319/101415-686.1. PubMed 27571371 ↗
  • Baghizadeh Fini M, Olyaee P, Homayouni A. The Effect of Low-Level Laser Therapy on the Acceleration of Orthodontic Tooth Movement. J Lasers Med Sci. 2020 Spring;11(2):204-211. doi: 10.34172/jlms.2020.34. Epub 2020 Mar 15. PubMed 32273964 ↗
  • Sharma R, Drummond R, Wiltshire W, Schroth R, Lekic M, Bertone M, Tate R. Quality of life in an adolescent orthodontic population. Angle Orthod. 2021 Nov 1;91(6):718-724. doi: 10.2319/062820-592.1. PubMed 34260709 ↗
  • Ghaffar YKA, El Sharaby FA, Negm IM. Effect of low-level laser therapy on the time needed for leveling and alignment of mandibular anterior crowding. Angle Orthod. 2022 Jul 1;92(4):478-486. doi: 10.2319/102721-795.1. PubMed 35344012 ↗
  • Soares Bonato RC, Abel Mapengo MA, de Azevedo-Silva LJ, Janson G, de Carvalho Sales-Peres SH. Tooth movement, orofacial pain, and leptin, interleukin-1beta, and tumor necrosis factor-alpha levels in obese adolescents. Angle Orthod. 2022 Jan 1;92(1):95-100. doi: 10.2319/011321-44.1. PubMed 34338736 ↗
  • Bakdach WMM, Hadad R. Effectiveness of low-level laser therapy in accelerating the orthodontic tooth movement: A systematic review and meta-analysis. Dent Med Probl. 2020 Jan-Mar;57(1):73-94. doi: 10.17219/dmp/112446. PubMed 32314880 ↗
  • Cossetin E, Janson G, de Carvalho MG, de Carvalho RA, Henriques JF, Garib D. Influence of low-level laser on bone remodeling during induced tooth movement in rats. Angle Orthod. 2013 Nov;83(6):1015-21. doi: 10.2319/100812-789.1. Epub 2013 May 14. PubMed 23672280 ↗
  • Guram G, Reddy RK, Dharamsi AM, Syed Ismail PM, Mishra S, Prakashkumar MD. Evaluation of Low-Level Laser Therapy on Orthodontic Tooth Movement: A Randomized Control Study. Contemp Clin Dent. 2018 Jan-Mar;9(1):105-109. doi: 10.4103/ccd.ccd_864_17. PubMed 29599594 ↗
  • 13. Cokakoglu S. , Aydoğan F. Aydın B. low level laser therapy in orthodontics . Meandros Med Dent J.2018;19:99-105 .
  • AlSayed Hasan MMA, Sultan K, Hamadah O. Low-level laser therapy effectiveness in accelerating orthodontic tooth movement: A randomized controlled clinical trial. Angle Orthod. 2017 Jul;87(4):499-504. doi: 10.2319/062716-503.1. Epub 2016 Nov 21. Erratum In: Angle Orthod. 2018 Jan;88(1):125. doi: 10.2319/0003-3219-88.1.125. PubMed 27869476 ↗
  • 15. Ponciano F. A. S. , Gutiérrez-Rojo M. F. , Gutiérrez-Rojo J. F. .Crowding severity associated with dental mass . Revista Mexicana de Ortodoncia .2016;4:165-8 .
  • Masucci C, Oueiss A, Maniere-Ezvan A, Orthlieb JD, Casazza E. [What is a malocclusion?]. Orthod Fr. 2020 Jun 1;91(1-2):57-67. doi: 10.1684/orthodfr.2020.11. French. PubMed 33146134 ↗

Study documents

  • Protocol and statistical analysis plan · Aug 1, 2022

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 30, 2024, 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
NCT06526871
Lead sponsor
Huda Abdelhakim
Responsible party
Huda Abdelhakim (Doctor, Faculty of Dental Medicine for Girls) — Sponsor-investigator
First posted
Jul 30, 2024
Start date
Oct 25, 2022
Primary completion
Jun 2, 2024
Completion
Jul 3, 2024
Last update
Jul 30, 2024

Study contacts

Samir A Ibrahim, professor
principal investigator · Al-Azhar University

Oversight

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

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This study is completed, as verified in Jul 2024. You cannot join it, but the record below documents what was studied.

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