Dental and Periodontal Changes Following the Acceleration of Alignment of Crowded Lower Anterior Teeth Using a Surgical Technique

NCT ID: NCT05390320

Last Updated: 2022-05-25

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

38 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-01-01

Study Completion Date

2022-02-01

Brief Summary

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Patients at the Orthodontic Department of the University of Damascus Dental School will be examined and subjects who meet the inclusion criteria will be included. Then, initial diagnostic records (diagnostic gypsum models, internal and external oral photographs, and radiographic images) will be studied to ensure that the selection criteria are accurately matched.

This study aims to compare two groups of patients with moderate crowding of the lower anterior teeth. Experimental group: the patients in this group will be treated with periodontally accelerated osteogenic orthodontics Control group: the patients in this group will be treated using fixed appliances without any acceleration method.

Detailed Description

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Correction of irregular teeth can take a long time, and this depends on various factors such as the good compliance of the patient, the amount of dental crowding, and the need for extraction in the course of orthodontic treatment.

Many methods have been used to accelerate tooth movement, and recently the PAOO technique has emerged as an effective therapeutic intervention.

PAOO is a promising procedure but only a few cases were reported in the literature. Controlled clinical and histological studies are needed to understand the biology of tooth movement with this procedure, the effect on teeth and bone, post-retention stability, measuring the volume of mature bone formation, and determining the status of the periodontium and roots after treatment.

Conditions

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Crowding, 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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Periodontally accelerated osteogenic orthodontics

The patients in this group will be treated by periodontally accelerated osteogenic orthodontics using fixed appliances.

Group Type EXPERIMENTAL

PAOO

Intervention Type PROCEDURE

Periodontally accelerated osteogenic orthodontics will be applied to treat patients with moderate crowding.

Conventional treatment

The patients in this group will be treated using fixed appliances and conventional treatment without any surgical intervention to accelerate tooth movement.

Group Type ACTIVE_COMPARATOR

Fixed appliance

Intervention Type OTHER

Fixed appliances will be applied to treat patients with moderate crowding without any acceleration methods.

Interventions

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PAOO

Periodontally accelerated osteogenic orthodontics will be applied to treat patients with moderate crowding.

Intervention Type PROCEDURE

Fixed appliance

Fixed appliances will be applied to treat patients with moderate crowding without any acceleration methods.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* skeletal class I malocclusion (ANB=2-4)
* normal vertical growth pattern.
* moderate crowding of lower anterior teeth (i.e., 4-6 millimeters of a tooth size-arch length discrepancy)
* 1 to 3 mm of overjet and 1 to 4 mm of the overbite
* good oral health

Exclusion Criteria

* medical, social, and psycho contraindications to oral surgery
* presence of periodontal diseases
* poor oral hygiene
* previous orthodontic treatment
Minimum Eligible Age

18 Years

Maximum Eligible Age

28 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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Hallaj I Alsino, DDS

Role: PRINCIPAL_INVESTIGATOR

Department of orthodontics, Damascus University, Syria

Mohammad Y Hajeer, DDS,MSc,PhD

Role: STUDY_DIRECTOR

Department of orthodontics, Damascus University, Syria

Issam Khoury, DDS,MSc,PhD

Role: STUDY_DIRECTOR

Department of Oral and Maxillofacial Surgery, Damascus University, Syria

Locations

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University of Damascus

Damascus, , Syria

Site Status

Countries

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Syria

References

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Yu H, Jiao F, Wang B, Shen SG. Piezoelectric decortication applied in periodontally accelerated osteogenic orthodontics. J Craniofac Surg. 2013;24(5):1750-2. doi: 10.1097/SCS.0b013e3182902c5a.

Reference Type BACKGROUND
PMID: 24036771 (View on PubMed)

Wu J, Jiang JH, Xu L, Liang C, Bai Y, Zou W. A pilot clinical study of Class III surgical patients facilitated by improved accelerated osteogenic orthodontic treatments. Angle Orthod. 2015 Jul;85(4):616-24. doi: 10.2319/032414-220.1. Epub 2014 Oct 27.

Reference Type BACKGROUND
PMID: 25347045 (View on PubMed)

Bahammam MA. Effectiveness of bovine-derived xenograft versus bioactive glass with periodontally accelerated osteogenic orthodontics in adults: a randomized, controlled clinical trial. BMC Oral Health. 2016 Nov 30;16(1):126. doi: 10.1186/s12903-016-0321-x.

Reference Type BACKGROUND
PMID: 27903250 (View on PubMed)

Amit G, Jps K, Pankaj B, Suchinder S, Parul B. Periodontally accelerated osteogenic orthodontics (PAOO) - a review. J Clin Exp Dent. 2012 Dec 1;4(5):e292-6. doi: 10.4317/jced.50822. eCollection 2012 Dec 1.

Reference Type BACKGROUND
PMID: 24455038 (View on PubMed)

Nowzari H, Yorita FK, Chang HC. Periodontally accelerated osteogenic orthodontics combined with autogenous bone grafting. Compend Contin Educ Dent. 2008 May;29(4):200-6; quiz 207, 218.

Reference Type BACKGROUND
PMID: 18533317 (View on PubMed)

Other Identifiers

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UDDS-Ortho-10-2022

Identifier Type: -

Identifier Source: org_study_id

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