Effects of Flapless Laser Corticotomy in Canine Retraction

NCT ID: NCT04631419

Last Updated: 2022-11-01

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

14 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-06-01

Study Completion Date

2020-12-30

Brief Summary

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This study is conducted to evaluate the effects of flapless laser corticotomy on the rate of canine retraction.

Detailed Description

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Conditions

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Dental Malocclusion Bimaxillary Protrusion

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

The 14 patients maxillary and mandibular arches will be allocated into a split-mouth design, so the sample will be set up each patient to act as his/her own control
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors
single-blind

Study Groups

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Maxillary flapless laser corticotomy group

Flapless laser corticotomy will randomly be assigned to one side of the 14 maxillary arches (experimental side) before canine retraction.

Group Type EXPERIMENTAL

Flapless laser corticotomy

Intervention Type OTHER

The flapless laser corticotomy will be done by Er, Cr: YSGG laser as a series of circular holes will be made along with the planned position. The depth of laser cutting will be measured and controlled continuously during the operation by the periodontal probe with stopper read to each 3mm depth in addition to a few parts of a millimetre depth into the medullary bone to enhance bleeding. Canine retraction will be started after this procedure.

Canine retraction

Intervention Type OTHER

canine retraction will be done on 17x25 stst archwire using coil spring adjusted to 150 gm, and miniscrews will be used as an indirect method of anchorage reinforcement

Maxillary control group

Canine retraction will be done on the other side without Laser corticotomy .

Group Type ACTIVE_COMPARATOR

Canine retraction

Intervention Type OTHER

canine retraction will be done on 17x25 stst archwire using coil spring adjusted to 150 gm, and miniscrews will be used as an indirect method of anchorage reinforcement

Mandibular flapless laser corticotomy group

Flapless laser corticotomy will randomly be assigned to one side of the 14 mandibular arches (experimental side) before canine retraction.

Group Type EXPERIMENTAL

Flapless laser corticotomy

Intervention Type OTHER

The flapless laser corticotomy will be done by Er, Cr: YSGG laser as a series of circular holes will be made along with the planned position. The depth of laser cutting will be measured and controlled continuously during the operation by the periodontal probe with stopper read to each 3mm depth in addition to a few parts of a millimetre depth into the medullary bone to enhance bleeding. Canine retraction will be started after this procedure.

Canine retraction

Intervention Type OTHER

canine retraction will be done on 17x25 stst archwire using coil spring adjusted to 150 gm, and miniscrews will be used as an indirect method of anchorage reinforcement

Mandibular control group

Canine retraction will be done on the other side without Laser corticotomy .

Group Type ACTIVE_COMPARATOR

Canine retraction

Intervention Type OTHER

canine retraction will be done on 17x25 stst archwire using coil spring adjusted to 150 gm, and miniscrews will be used as an indirect method of anchorage reinforcement

Interventions

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Flapless laser corticotomy

The flapless laser corticotomy will be done by Er, Cr: YSGG laser as a series of circular holes will be made along with the planned position. The depth of laser cutting will be measured and controlled continuously during the operation by the periodontal probe with stopper read to each 3mm depth in addition to a few parts of a millimetre depth into the medullary bone to enhance bleeding. Canine retraction will be started after this procedure.

Intervention Type OTHER

Canine retraction

canine retraction will be done on 17x25 stst archwire using coil spring adjusted to 150 gm, and miniscrews will be used as an indirect method of anchorage reinforcement

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Full complement of teeth with no congenitally missing teeth except 3rd molars.
* Minor or no crowding cases requires four premolars extraction, canine retraction \& maximum anchorage with bimaxillary dentoalveolar protrusion.
* No history of previous orthodontic treatment
* Clinically healthy patients with no history of drug intake and\\or no history for any systemic illness, syndromes, craniofacial deformities.
* Vital teeth with normal periodontium and no root resorption.
* Adequate oral hygiene; probing depth values not exceeding 3 mm across the entire dentition; adequate thickness of the attached gingiva (1-2 mm).
* No radiographic evidence of bone loss.

Exclusion Criteria

* Systemic disease that might have affected bone formation or density, such as osteoporosis, hyperparathyroidism, or vitamin D deficiency.
* Presence of any local or systemic surgical contraindication.
* Extracted or missing permanent tooth/teeth except for 3rd molars.
* Facial asymmetry
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Suez Canal University

OTHER

Sponsor Role lead

Responsible Party

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Abubakr Reda Fadeel Ali Bakr

Assistant lecturer , PhD student

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Abubakr R Bakr, Msc Assistan lecturer

Role: PRINCIPAL_INVESTIGATOR

Faculty of dentistry , Suez canal university , Ismailia , Egypt

Locations

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Orthodontic department , Faculty of dentistry , Suez Canal University

Ismailia, , Egypt

Site Status

Countries

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Egypt

Related Links

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http://jbcd.uobaghdad.edu.iq/index.php/jbcd/article/view/530

Acceleration of canine movement by laser assisted flapless corticotomy \[An innovative approach in clinical orthodontics

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5816528/

Evaluation of piezocision and laser-assisted flapless corticotomy in the acceleration of canine retraction: a randomized controlled trial

Other Identifiers

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Flapless Laser Corticotomy

Identifier Type: -

Identifier Source: org_study_id

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