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RecruitingNCT07566676MOPsUpdated May 5, 2026

Maxillary Incisor Intrusion Using Utility Arch Assisted With Micro-osteoperforations

An interventional study of Micro-osteoperforations and Utility arch in Deep Bite Malocclusion, Intrusion of Tooth and Orthodontic Tooth Movement, sponsored by Al-Azhar University. Recruiting at 1 site in Egypt. Open to participants aged 15 Years to 25 Years. Per ClinicalTrials.gov, last updated 2026-05-05.

Sponsored by Al-Azhar University · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
18
Allocation
Randomized
Ages
15 Years to 25 Years
Sex
All
01

Study summary

Study will be directed to evaluate the dentoalveolar changes following maxillary incisor intrusion using utility arch assisted with micro-osteoperforations in deep bite cases.

Read the detailed description

Micro-osteoperforations (MOPs) are a new, simple, and minimally invasive technique to accelerate tooth movement. The biologic mechanism behind MOPs is to increase the cytokine expression that leads to increased bone resorption, the catabolic phase of tooth movement, in the direction of tooth movement. Transmucosal holes in cortical bone are made to trigger bone remodeling changes for faster tooth movement and decrease root resotption.

02

Conditions studied

  • Deep Bite Malocclusion
  • Intrusion of Tooth
  • Orthodontic Tooth Movement
  • Root Resorption

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03

In context

Root Resorption

43 studies on the registry are indexed under Root Resorption; 9 are open to participants now.

This study's planned enrollment of 18 is below the median of 29 across 36 interventional studies indexed under Root Resorption.

Browse Root Resorption studies →

Lead sponsor

Al-Azhar University is the lead sponsor of 531 studies on the registry; 172 are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

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

04

Who can participate

Ages eligible
15 Years to 25 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Patients age between 15-25 years.
  2. Patients with overbite ≥ 4 mm.
  3. All permanent teeth erupted (excluding 3rd molars).
  4. No previous orthodontic treatment.
  5. Patients with good oral hygiene and good periodontal health.

Exclusion criteria

Exclusion Criteria:

  1. Skeletal discrepancies.
  2. Missing maxillary anterior teeth or any kind of tooth/root shape anomaly.
  3. Patients with root resorption or impacted canines.
  4. Previous history of orthodontic treatment.
  5. Systemic disease interferes with orthodontic tooth movement.
  6. History of trauma affecting the maxillary incisors.
  7. Poor oral hygiene or periodontally compromised patient.
  8. Endodontically treated upper anterior teeth.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
18 participants (estimated)

Study arms

  • Experimental
    Maxillary incisor intrusion with utility arch assisted with micro-osteoperforations.

    Using Ricketts utility arch in the maxillary arch inside the molar tubes bypassing premolars and canines to engage inside the four incisors brackets with application of micro-osteoperforations above the apices of maxillary incisors.

    Procedure: Micro-osteoperforations

  • Active comparator
    Maxillary incisor intrusion with utility arch without micro-osteoperforations

    Using Ricketts utility arch in the maxillary arch inside the molar tubes bypassing premolars and canines to engage inside the four incisors brackets without application of micro-osteoperforations.

    Device: Utility arch

Interventions

  • ProcedureMicro-osteoperforations

    Using utility arch with micro-osteoperforations (MOPs). The biologic mechanism behind MOPs is to increase the cytokine expression that leads to increase bone resorption and the catabolic phase of tooth movement in the direction of tooth movement. Transmucosal holes in cortical bone are made to trigger bone remodeling changes for faster tooth movement at the apices above maxillary incisors to evaluate the amount of movement and amount of root resorption.

    Also known as: MOPs

  • DeviceUtility arch

    Patients will receive utility arch for intrusion of maxillary incisors without micro-osteoperforations.

06

What researchers measure

Primary outcomes

  1. Amount of root resorption

    Time frame: Up to 6 months or correction of deep bite

  2. Marginal bone level changes

    Time frame: Up to 6 months or correction of deep bite

Secondary outcomes

  1. Amount of intrusion of maxillary incisors

    Time frame: Up to 6 months or correction of deep bite

07

Study locations

1 of 1 sites recruiting
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References and documents

Individual participant data

Plan to share: No — Data will not be shared due to privacy considerations.

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 5, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07566676
Responsible party
Taha Saad Said Hossameldin (Principal Investigator, MSc Candidate in Orthodontics, Al-Azhar University) — Principal investigator
First posted
May 5, 2026
Start date
May 2026 (estimated)
Primary completion
Jun 2028 (estimated)
Completion
Jun 2029 (estimated)
Last update
May 5, 2026

Study contacts

Taha S.S Hossameldin, MSc Candidate
Contact
tahahossameldin.3.209@azhar.edu.eg
+201096667923
Hussein N.I Al khalifa, Professor, Vice Dean (Phd)
Contact
HusseinAlkhalifa.209@azhar.edu.eg
+201090302704
Hussein N.I Al khalifa, Professor, Vice Dean (Phd)
study director · Faculty of Dental medicine (Boys), Al-Azhar University, Cairo, Egypt
Raafat E. Mohamed, Prof, Head of Department (Phd)
study director · Faculty of Dental medicine (Boys), Al-Azhar University, Cairo, Egypt

Oversight

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

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