Laser-assisted Flapless Corticotomy in Accelerating Canine Retraction

NCT ID: NCT04316403

Last Updated: 2020-03-24

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 18 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2015-02-15
• Study Completion Date: 2017-09-15

Brief Summary

Erbium lasers have been suggested to accomplish corticotomy without flap reflection due to their attractive advantages. The current trial aimed to evaluate the efficacy of laser-assisted flapless corticotomy in accelerating orthodontic tooth movement. The secondary aim was to evaluate the patients' responses to laser application. It was postulated that canine retraction after laser-assisted flapless corticotomy would be accomplished within a shorter period compared with the conventional canine retraction method, with no significant degree of pain and discomfort.

Detailed Description

Comprehensive orthodontic treatment with fixed appliances usually takes more than 18 months in mild and severe cases. Prolonged treatment time can cause many adverse effects such as pain, discomfort, external root resorption, white spots and dental caries. Decreasing the treatment time for tooth movement has been the focus of both the clinicians and the patients. For the last few decades, investigators have recommended many treatment approaches intending to reduce overall treatment time such as low friction and self-ligating bracket systems, low-level laser irradiation, electrical currents, pharmacological approaches, local platelet-rich plasma (PRP) injection and surgical approaches like dentoalveolar distraction and selective alveolar decortication or corticotomy

Conditions

Class II Division 1 Malocclusion; Maxillary Prognathism; Protrusion, Incisor

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: CROSSOVER
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

Laser-assisted corticotomy

Er:YAG laser beam was used to perform several perforations to the alveolar bone around the canine in one side of the mouth hoping that would accelerate canine retraction

Group Type: EXPERIMENTAL

Er:YAG laser

Intervention Type: PROCEDURE

This application was made before the onset of canine retraction in one side of the mouth

Traditional treatment

Canines in this group were retracted by the conventional manner.

Group Type: NO_INTERVENTION

No interventions assigned to this group

Interventions

Er:YAG laser

This application was made before the onset of canine retraction in one side of the mouth

Intervention Type: PROCEDURE

Eligibility Criteria

Inclusion Criteria

• Class II division 1 patients requiring orthodontic treatment with fixed appliances and a need for upper first-premolar extraction using a two-step retraction technique.
• Permanent dentition with an age range from 16 to 24 years.
• Healthy with no systemic conditions.
• Adequate oral hygiene and healthy periodontal tissues
• no previous orthodontic treatment
• Absence of canine endodontic treatment.

Exclusion Criteria

• Bimaxillary dentoalveolar severe protrusion.
• Previous orthodontic treatment.
• Subject with psychological abnormalities.
• Subject with systemic diseases.

• Minimum Eligible Age: 16 Years
• Maximum Eligible Age: 26 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Damascus University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Samer T Jaber, DDS MSc

Role: PRINCIPAL_INVESTIGATOR

PhD student, Orthodontics Department, University of Damascus Dental School

Rabab Al-sabbagh, DDS MSc PhD

Role: STUDY_CHAIR

Professor of Orthodontics, University of Hama, Hama, Syria

Locations

Orthodontic Department, University of Hama Dental School

Hama, , Syria

Countries

Syria

References

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Reference Type: BACKGROUND

PMID: 20152672 (View on PubMed)

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Reference Type: BACKGROUND

PMID: 15180086 (View on PubMed)

Uribe F, Padala S, Allareddy V, Nanda R. Patients', parents', and orthodontists' perceptions of the need for and costs of additional procedures to reduce treatment time. Am J Orthod Dentofacial Orthop. 2014 Apr;145(4 Suppl):S65-73. doi: 10.1016/j.ajodo.2013.12.015.

Reference Type: BACKGROUND

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Reference Type: BACKGROUND

PMID: 27484605 (View on PubMed)

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.

Reference Type: BACKGROUND

PMID: 27869476 (View on PubMed)

Hashimoto H. Effect of micro-pulsed electricity on experimental tooth movement. Nihon Kyosei Shika Gakkai Zasshi. 1990 Aug;49(4):352-61.

Reference Type: BACKGROUND

PMID: 2133892 (View on PubMed)

Jaber ST, Al-Sabbagh R, Hajeer MY. Evaluation of the efficacy of laser-assisted flapless corticotomy in accelerating canine retraction: a split-mouth randomized controlled clinical trial. Oral Maxillofac Surg. 2022 Mar;26(1):81-89. doi: 10.1007/s10006-021-00963-x. Epub 2021 Apr 20.

Reference Type: DERIVED

PMID: 33876339 (View on PubMed)

Other Identifiers

UDDS-Ortho-01-2020

Identifier Type: -

Identifier Source: org_study_id