The Effect of Surgical Interventions to Assist Orthodontic Movement of Impacted Maxillary Canines

NCT ID: NCT03678805

Last Updated: 2023-02-09

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

COMPLETED

Clinical Phase

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-07-02

Study Completion Date

2023-02-05

Brief Summary

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Impacted canine causes many problems for patients, such as absorption and damages to the adjacent teeth roots, as well as aesthetic problems. Correction of this problem requires a lengthy time. Therefore, many methods have been suggested to accelerate the movement of impacted canines with the help of surgical procedures.

Detailed Description

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Conditions

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Impaction of Tooth

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Acceleration

The impacted canines will undergo acceleration by corticotomy accompanied with traditional traction techniques.

Group Type EXPERIMENTAL

Corticotomy

Intervention Type PROCEDURE

Perforations in the areas close to the impacted canines will be performed in order to accelerate tooth movement.

Traditional Traction

Traditional traction will be employed in this group of patients with impacted canines.

Traditional withdrawal techniques will be used.

Group Type ACTIVE_COMPARATOR

Traditional withdrawal techniques

Intervention Type PROCEDURE

The impacted canines will be withdrawn using elastic modules.

Interventions

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Corticotomy

Perforations in the areas close to the impacted canines will be performed in order to accelerate tooth movement.

Intervention Type PROCEDURE

Traditional withdrawal techniques

The impacted canines will be withdrawn using elastic modules.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

1. Palatal or Mid-alveolar impacted canine.
2. There is no previous orthodontic treatment.
3. Healthy periodontal tissues and good oral health (i.e., Plaque Index is less or equal to 1 according to Loe and Silness(1963)).
4. No consumption of any drug that may interfere with the tooth movement (Cortisone, NSAIDs, …).
5. Mild or no crowding in the upper jaw.
6. No history of previous trauma to the maxillofacial region or surgical interventions.

Exclusion Criteria

1. Any systemic diseases that would affect tooth movement
2. Antidepressant prevents oral surgery
3. Any congenital syndromes or cleft lip and palate cases
4. Bad oral health
5. Previous orthodontic treatment
Minimum Eligible Age

15 Years

Maximum Eligible Age

30 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Damascus University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Mahran Mousa, DDS MSc

Role: PRINCIPAL_INVESTIGATOR

PhD Student in Orthodontics, University of Damascus Dental School, Damascus

Mohammad Y Hajeer, DDS MSc PhD

Role: STUDY_DIRECTOR

Associate Professor of Orthodontics, University of Damascus Dental School, Damascus, Syria

Omar Heshmeh, DDS MSc PhD

Role: STUDY_DIRECTOR

Associate Professor of Oral and Maxillofacial Surgery, Oral and Maxillofacial Surgery Department, University of Damascus Dental School, Damascus, SYRIA

Locations

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Department of Orthodontics, University of Damascus Dental School

Damascus, , Syria

Site Status

Countries

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Syria

References

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Fischer TJ. Orthodontic treatment acceleration with corticotomy-assisted exposure of palatally impacted canines. Angle Orthod. 2007 May;77(3):417-20. doi: 10.2319/0003-3219(2007)077[0417:OTAWCE]2.0.CO;2.

Reference Type BACKGROUND
PMID: 17465647 (View on PubMed)

Sukh R, Singh GP, Tandon P. Interdisciplinary approach for the management of bilaterally impacted maxillary canines. Contemp Clin Dent. 2014 Oct;5(4):539-44. doi: 10.4103/0976-237X.142828.

Reference Type BACKGROUND
PMID: 25395776 (View on PubMed)

Shastri D, Nagar A, Tandon P. Alignment of palatally impacted canine with open window technique and modified K-9 spring. Contemp Clin Dent. 2014 Apr;5(2):272-4. doi: 10.4103/0976-237X.132362.

Reference Type BACKGROUND
PMID: 24963263 (View on PubMed)

Baccetti T, Leonardi M, Armi P. A randomized clinical study of two interceptive approaches to palatally displaced canines. Eur J Orthod. 2008 Aug;30(4):381-5. doi: 10.1093/ejo/cjn023. Epub 2008 Jun 3.

Reference Type BACKGROUND
PMID: 18524761 (View on PubMed)

Leonardi M, Armi P, Franchi L, Baccetti T. Two interceptive approaches to palatally displaced canines: a prospective longitudinal study. Angle Orthod. 2004 Oct;74(5):581-6. doi: 10.1043/0003-3219(2004)0742.0.CO;2.

Reference Type BACKGROUND
PMID: 15529490 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 22105680 (View on PubMed)

Walker L, Enciso R, Mah J. Three-dimensional localization of maxillary canines with cone-beam computed tomography. Am J Orthod Dentofacial Orthop. 2005 Oct;128(4):418-23. doi: 10.1016/j.ajodo.2004.04.033.

Reference Type BACKGROUND
PMID: 16214621 (View on PubMed)

Smailiene D, Kavaliauskiene A, Pacauskiene I, Zasciurinskiene E, Bjerklin K. Palatally impacted maxillary canines: choice of surgical-orthodontic treatment method does not influence post-treatment periodontal status. A controlled prospective study. Eur J Orthod. 2013 Dec;35(6):803-10. doi: 10.1093/ejo/cjs102. Epub 2013 Jan 24.

Reference Type BACKGROUND
PMID: 23349422 (View on PubMed)

Alqerban A, Jacobs R, van Keirsbilck PJ, Aly M, Swinnen S, Fieuws S, Willems G. The effect of using CBCT in the diagnosis of canine impaction and its impact on the orthodontic treatment outcome. J Orthod Sci. 2014 Apr;3(2):34-40. doi: 10.4103/2278-0203.132911.

Reference Type BACKGROUND
PMID: 24987661 (View on PubMed)

Other Identifiers

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UDDS-Ortho-19 -2018

Identifier Type: -

Identifier Source: org_study_id

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