Study Results
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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COMPLETED
NA
32 participants
INTERVENTIONAL
2022-01-26
2023-08-26
Brief Summary
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Detailed Description
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1. Conventional anchorage CMA group (CAG): conventional mandibular anchorage using Essix retainer.
2. Skeletal anchorage CMA group (SAG): anchorage by infra-zygomatic miniscrews. In the CAG, Class II elastics will be attached from the maxillary canine to the mandibular first molar bilaterally with Essix retainer in the lower arch as anchorage means. In the SAG, closing coil spring will be attached from the maxillary canine to the infrazygomatic miniscrews bilaterally. For each patient, two lateral cephalograms will be obtained: one preoperatively and another after completion of distalization. Model measurements will be made using the attached 3Shape computer software.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
1. Conventional anchorage CMA group (CAG): conventional mandibular anchorage using Essix retainer.
2. Skeletal anchorage CMA group (SAG): anchorage by infra-zygomatic mini-screws. In the CAG, Class II elastics will be attached from the maxillary canine to the mandibular first molar bilaterally with Essix retainer in the lower arch as anchorage means. In the SAG, the closing coil spring will be attached from the maxillary canine to the infra zygomatic miniscrews bilaterally. For each patient, two lateral cephalograms will be obtained: one preoperatively and another after completion of distalization. Model measurements will be made using the attached 3Shape computer software.
TREATMENT
SINGLE
Study Groups
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Conventional anchorage
Buccal tubes will be bonded on the lower first molars, an alginate impression will be taken for the lower arch with the buccal tubes in place, and a cast will be poured. A hard vacuum sheet of 1.5- mm thickness will be used to fabricate the Essix appliance. The posterior end of the buccal surface will be trimmed in each lower first molar region, creating a window to allow for attachment of the elastics. Class II elastics will be attached from the maxillary canine to the mandibular first molar bilaterally. During the first month, 1/4-inch heavy elastics will be used. In the following months, 3/16-inch heavy elastics will be used. The patients will be instructed to wear the elastics 24 hours per day, except during mealtimes, and to change them daily.
Carriere motion appliance
The CMA will be bonded on the permanent maxillary canine and first molar, and the correct size is chosen according to the manufacturer's instructions.
Skeletal anchorage
Closing coil springs will be attached from the maxillary canine to the infrazygomatic miniscrews bilaterally
Carriere motion appliance
The CMA will be bonded on the permanent maxillary canine and first molar, and the correct size is chosen according to the manufacturer's instructions.
Interventions
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Carriere motion appliance
The CMA will be bonded on the permanent maxillary canine and first molar, and the correct size is chosen according to the manufacturer's instructions.
Eligibility Criteria
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Inclusion Criteria
2. Full permanent dentition.
3. Class II malocclusion with at least an end-on Class II molar relationship bilaterally.
Exclusion Criteria
2. Bad habits that might jeopardize the appliance.
3. Transverse discrepancy.
4. Previous orthodontic treatment.
11 Years
16 Years
ALL
Yes
Sponsors
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Mansoura University
OTHER
Responsible Party
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Eglal Ahmed
Dr.
Principal Investigators
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Eglal A. Ghozy, BDS, MDS
Role: PRINCIPAL_INVESTIGATOR
Mansoura University
Ahmed A. El-bialy, PhD
Role: STUDY_CHAIR
Mansoura University
Marwa S. Shamaa, PhD
Role: STUDY_DIRECTOR
Mansoura University
Nehal F. Albelasy, PhD
Role: STUDY_DIRECTOR
Mansoura University
Locations
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MansouraU, faculty of dentistry, orthodontics department
Al Mansurah, , Egypt
Countries
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References
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Ghozy EA, Albelasy NF, Shamaa MS, El-Bialy AA. Cephalometric and digital model analysis of dentoskeletal effects of infrazygomatic miniscrew vs. Essix- anchored Carriere Motion appliance for distalization of maxillary buccal segment: a randomized clinical trial. BMC Oral Health. 2024 Jan 31;24(1):152. doi: 10.1186/s12903-024-03925-3.
Other Identifiers
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A01040122
Identifier Type: -
Identifier Source: org_study_id
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