Flapless Mops for Acceleration of Canine Retraction

NCT ID: NCT04383600

Last Updated: 2020-05-12

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

12 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-09-01

Study Completion Date

2019-06-05

Brief Summary

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The aim of the present clinical study was directed to evaluate the effectiveness of micro-osteoperforations on the rate of canine retraction; in addition, the potential risk for root resorption during maxillary canine retraction.

Detailed Description

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The aim of the present clinical study was directed to evaluate the effectiveness of micro-osteoperforations on the rate of canine retraction; in addition, the potential risk for root resorption during maxillary canine retraction.

This study was conducted on a total sample of 24 canines of 12 patients, 8 females and 4 males, with mean age was 16.17 ± 2.29 years old who required therapeutic extraction of maxillary 1st premolars and canine retraction. They were selected randomly from the Outpatient Clinic, Department of Orthodontics, Faculty of Dental Medicine (Boys), Al-Azhar University, Cairo, Egypt.

Both maxillary canines, in each patient, were randomly assigned to either an experimental side or the control side in a simple split-mouth design. In the experimental side, micro-osteoperforations was performed distal to the maxillary canine before starting retraction, while the canines in the contralateral control side were retracted without micro-osteoperforations.

Extraction was done at the start of the treatment, and before fitting of the orthodontic appliance. Then upper dental arches were leveled and aligned using conventional sequences of wires.

Three flapless micro-osteoperforations was performed by using orthodontic miniscrews distal to the maxillary canines in the experimental side before starting retraction. Each perforation was 1.6 mm in diameter and 3-4 mm depth into the bone. Canines were completely retracted on 0.016 × 0.022 ̋ stainless steel wires by using closed coil spring delivered 150 gm force.

Patients were followed up every 28 days until complete canine retraction. Routine orthodontic records were obtained for each patient before treatment.

Additionally, a full skull CBCT images were taken before treatment and immediately after canine retraction.

The rate of canine retraction was assessed clinically; in addition, cone beam CT (CBCT) scans were used to assess the amount of canine retraction root length changes. Also anchorage loss of first permanent molars were assessed.

The treatment results were compared clinically and radiographically (CBCT).

Conditions

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Dental Malocclusions Angle Class II, Division 1 Bimaxillary Protrusion

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Conventional side

Canine retraction was commenced without micro-osteoperforations.

Group Type NO_INTERVENTION

No interventions assigned to this group

Mops side

Canine retraction was commenced with micro-osteoperforations.

Group Type EXPERIMENTAL

Micro-osteoperforation

Intervention Type PROCEDURE

three flapless micro-osteoperforations was performed distal to the maxillary canine before starting retraction.

Interventions

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Micro-osteoperforation

three flapless micro-osteoperforations was performed distal to the maxillary canine before starting retraction.

Intervention Type PROCEDURE

Other Intervention Names

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Mops

Eligibility Criteria

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Inclusion Criteria

1. An age ranged between 14 to 18 years.
2. Class II division 1 malocclusion or Class I bimaxillary protrusion with mild or no crowding. Wherever crowding was present, it was symmetrical on both sides of the arch.
3. Patients who diagnosed to require extraction of at least maxillary first premolars bilaterally as a part of their treatment plan.
4. Complete permanent dentition (3rdmolars were not included).
5. Good oral and general health.
6. No history of periodontal problems.
7. No therapeutic intervention planned involving intermaxillary or other intraoral or extraoral appliances during the study period.

Exclusion Criteria

1. Blocked out or impacted maxillary canines.
2. Transverse and/or vertical skeletal dysplasia or craniofacial anomalies.
3. Systemic diseases or regular use of medications that could interfere with orthodontic treatment.
4. Previous orthodontic treatment.
Minimum Eligible Age

14 Years

Maximum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ahmed Akram Elawady

OTHER

Sponsor Role lead

Responsible Party

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Ahmed Akram Elawady

Principal Investigator

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Ahmed El Awady

Role: PRINCIPAL_INVESTIGATOR

Al-Azhar University

Locations

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Al azhar university

Cairo, , Egypt

Site Status

Countries

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Egypt

Other Identifiers

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100

Identifier Type: -

Identifier Source: org_study_id

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