Evaluation of the Levels of Pain and Discomfort Between Two Methods of Correcting Misaligned Teeth
NCT ID: NCT02975765
Last Updated: 2017-07-27
Study Results
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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COMPLETED
NA
36 participants
INTERVENTIONAL
2016-03-31
2017-04-23
Brief Summary
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Detailed Description
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Many techniques have been introduced to accelerate orthodontic tooth movement; surgical and non-surgical. The surgical approach is the most clinically applied and most tested with known predictions and stable results. Surgical approaches usually vary from total block osteotomies to flapless partial corticotomies .In spite of corticotomy-assisted orthodontic treatment efficiency, the invasiveness of these procedures (i.e. requiring full mucoperiosteal flaps elevation) might have limited their widespread acceptance among orthodontists and patients. Therefore, more conservative flapless corticotomy techniques have recently been proposed. These procedures can be accomplished in a reasonably short periods that might produce less pain and discomfort, so we will gain better patient acceptance. Although various techniques of flapless corticotomy have been reported to be successful in practice, scientific evidence on their acceptance and compatibility is little in the literature.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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Piezosurgery
Piezosurgery-assisted corticotomy will be performed to enhance teeth alignment
Piezosurgery
The surgical tip is going to be used to make small cuts into the cortex of the alveolar bone between the crowded teeth.
Traditional method
No intervention is going to be applied to the patients in this group.
No interventions assigned to this group
Interventions
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Piezosurgery
The surgical tip is going to be used to make small cuts into the cortex of the alveolar bone between the crowded teeth.
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
2. Severe crowding ≤ 7 (Little's irregularity index)
3. Permanent occlusion.
4. Exist all the Mandibular teeth (except third molars).
5. Good oral and periodontal health:
* Probing depth\<4 mm
* No radiographic evidence of bone loss .
* Gingival index≤ 1
* Plaque index ≤ 1
Exclusion Criteria
2. Patients have anti indication for oral surgery ( medical - social - psycho)
3. Presence of primary teeth in the mandibular arch
4. Missing permanent mandibular teeth (except third molars).
5. Poor oral hygiene or Current periodontal disease:
* Probing depth ≥ 4 mm
* radiographic evidence of bone loss
* Gingival index \> 1
* Plaque index \> 1
6. Patient had previous orthodontic treatment
16 Years
26 Years
ALL
No
Sponsors
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Damascus University
OTHER
Responsible Party
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Principal Investigators
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Omar Gibreal, DDS
Role: PRINCIPAL_INVESTIGATOR
MSc student, Oral and Maxillofacial Surgery Department, University of Damascus Dental School
Bassel Brad, DDS MSc PhD
Role: STUDY_DIRECTOR
Associate Professor of Oral and Maxillofacial Surgery, Department of Oral and Maxillofacial Surgery, Univ. of Damascus Dental School
Mohammad Y Hajeer, DDS MSc PhD
Role: STUDY_DIRECTOR
Associate Professor of Orthodontics, Department of Orthodontics, University of Damascus Dental School
Locations
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Departments of Orthodontics and Oral and Maxillofcial Surgery, University of Damascus Dental School
Damascus, , Syria
Countries
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References
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Sebaoun JD, Surmenian J, Dibart S. [Accelerated orthodontic treatment with piezocision: a mini-invasive alternative to conventional corticotomies]. Orthod Fr. 2011 Dec;82(4):311-9. doi: 10.1051/orthodfr/2011142. Epub 2011 Nov 23. French.
Vercellotti T, Podesta A. Orthodontic microsurgery: a new surgically guided technique for dental movement. Int J Periodontics Restorative Dent. 2007 Aug;27(4):325-31.
Keser EI, Dibart S. Sequential piezocision: a novel approach to accelerated orthodontic treatment. Am J Orthod Dentofacial Orthop. 2013 Dec;144(6):879-89. doi: 10.1016/j.ajodo.2012.12.014.
Gibreal O, Hajeer MY, Brad B. Evaluation of the levels of pain and discomfort of piezocision-assisted flapless corticotomy when treating severely crowded lower anterior teeth: a single-center, randomized controlled clinical trial. BMC Oral Health. 2019 Apr 16;19(1):57. doi: 10.1186/s12903-019-0758-9.
Other Identifiers
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UDDS-OMFS-02-2016
Identifier Type: -
Identifier Source: org_study_id
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