Periodontally Accelerated Orthodontics - A Novel Technique For a Shortened Orthodontic Treatment With a Stable Result. A Clinical and Computerized Tomography Analysis

NCT ID: NCT01628575

Last Updated: 2012-06-27

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Total Enrollment

20 participants

Study Classification

OBSERVATIONAL

Study Start Date

2012-05-31

Study Completion Date

2013-04-30

Brief Summary

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Periodontally accelerated orthodontics, also known as PAO, is a novel technique combining alveolar corticotomy and bone grafting prior to commencing orthodontic treatment. Using this technique orthodontic de-crowding and space closing, can be completed in 60-70% less active orthodontic treatment time. The addition of particulated bone graft following decortication allows for the widening of the bucco-lingual alveolar bony dimension, thus creating space for the movement of teeth, without the creation of dehiscences, usually a negative sequel of the standard orthodontic treatment.

Aim: To evaluate the use of the PAO technique for the treatment of 20 adult patients 1 year post orthodontic treatment.

Methods: 20 periodontally healthy adult patients requiring orthodontic treatment were admitted in the departments of Periodontics and Orthodontics in Hadassah Medical Center. All patients underwent full orthodontic and periodontal examination upon admission including a pretreatment CBCT scan. Decortication followed by grafting was made after the orthodontic appliances have been placed. The orthodontic appliances were activated immediately after surgery and every 2 weeks. During the 1 year follow up a periodontal and orthodontic clinical evaluation were made, as well as a CBCT scan.

Detailed Description

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20 patients were periodontally and orthodontically examined. including: full chart:ppd, free gin line, bleeding on probing, plaque score, teeth mobility. cephalometric analysis, clinical photographes, full periapical x rays.

perio=ortho treatment plan was scheduled, a periodontal surgery for the decortication of buccal bone and bone grafting was preformed.

at the same day orthodontic appliances were activated. in the follow up exam a full periodontal exam will be made (as at the beginning).

the patient will be referred to CBCT scan. all dicom files will be uploaded to simplant software, and measurements will be made: buccal bone width from crest to apex. distance from CEJ to crest. presence of root dehiscence and fenestrations. root resorption.

clinical measurements:

* recessions
* vas

Conditions

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Periodontal Status of Patients Treated With PAO Tec

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Study Groups

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PAO

patients undergoing orthodontic treatment with the addition of pretreatment periodontal surgery for bone decortication.

PAO

Intervention Type PROCEDURE

all patients underwent periodontal surgery for bone decortication followed by orthodontic treatment

Interventions

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PAO

all patients underwent periodontal surgery for bone decortication followed by orthodontic treatment

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* orthodontic treatment with periodontal surgery

Exclusion Criteria

* smoking alcohol consumption pregnancy
Minimum Eligible Age

13 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hadassah Medical Organization

OTHER

Sponsor Role lead

Responsible Party

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Tali Chackartchi

DMD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Tali Chackartchi, DMD

Role: PRINCIPAL_INVESTIGATOR

Hadassah Medical Organization

Locations

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Department of periodontology

Jerusalem, , Israel

Site Status RECRUITING

Countries

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Israel

Central Contacts

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Tali Chackartchi, DMD

Role: CONTACT

+972-54-2345055

Facility Contacts

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Tali Chackartchi, DMD

Role: primary

+972-54-2345055

Other Identifiers

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HMO-0626-11

Identifier Type: -

Identifier Source: org_study_id

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