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Evaluation of the Periodontal Status After the Treatment of Palatally Impacted Canines Using Acceleration Procedures

NCT ID: NCT05644678

Last Updated: 2022-12-13

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

46 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-09-23

Study Completion Date

2022-11-15

Brief Summary

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Impacted canine causes many problems for patients, such as damage to the adjacent teeth roots, effects on gingival tissues, aesthetic problems, difficulty, and prolonged orthodontic treatment duration. Therefore, solutions to accelerate the movement of impacted canines with the help of surgical procedures to reduce treatment time will be investigated, such as intra-operative alveolar perforations and piezocision. We also aimed to evaluate periodontal changes associated with such accelerating procedures compared with the conventional traction method.

Detailed Description

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Patients with palatally impacted maxillary canines will be treated using fixed appliances assisted by some surgical procedures. The effects of this treatment approach on the periodontal status will be assessed using periodontal measurements.

There are two groups :

1. conventional treatment group
2. minimally-invasive corticotomy-assisted treatment group Patients will be allocated to the two groups randomly. Data will be collected using periodontal variables.

Conditions

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Impacted Canine

Keywords

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Impacted canine accelerate canine traction periodontal index periodontal status

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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Conventional treatment

Patients will be treated using the fixed appliances to track the impacted canines after opening the appropriate distance

Group Type ACTIVE_COMPARATOR

Fixed appliances

Intervention Type DEVICE

Metal brackets with a straight-wire prescription will be used. Patients will be treated conventionally.

Surgically-assisted treatment

Patients will be treated using fixed appliances assisted by minimally-invasive corticotomy (alveolar perforations and piezocision) to accelerate impacted canines' traction after opening the appropriate distance.

Group Type EXPERIMENTAL

Corticotomy

Intervention Type PROCEDURE

Patients will be treated in conjunction with a surgical intervention using metal brackets with a straight-wire prescription. Corticotomy (alveolar perforation and piezocision) will induce acceleration in canine traction movement during the orthodontic treatment in only one group.

Interventions

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Fixed appliances

Metal brackets with a straight-wire prescription will be used. Patients will be treated conventionally.

Intervention Type DEVICE

Corticotomy

Patients will be treated in conjunction with a surgical intervention using metal brackets with a straight-wire prescription. Corticotomy (alveolar perforation and piezocision) will induce acceleration in canine traction movement during the orthodontic treatment in only one group.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

1. Age of patients: 18-28 years.
2. Palatal or Mid-alveolar impacted canine.
3. There is no previous orthodontic treatment.
4. Healthy periodontal tissues and good oral health (i.e., the Plaque Index is less or equal to 1 according to Loe and Silness(1963).
5. The patient does not take any drug that may interfere with the tooth movement (Cortisone, NSAIDs …).
6. Mild or no crowding on the upper jaw.
7. No history of previous trauma to the maxillofacial region or surgical interventions.

Exclusion Criteria

1. Any systemic diseases that would affect tooth movement
2. Antidepressant prevents oral surgery
3. Any congenital syndromes or cleft lip and palate cases
4. Bad oral health
5. 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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Mahran R Mousa, DDS,MSc

Role: STUDY_CHAIR

Department of orthodontics, Damascus University, Syria

Mohammad Y. Hajeer, DDS,MSc,PhD

Role: STUDY_DIRECTOR

Department of orthodontics, Damascus University, Syria

Omar Heshmeh, DDS,MSc,PhD

Role: STUDY_DIRECTOR

Department of oral and maxillofacial surgery, Damascus University, Syriam

Locations

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University of Damascus

Damascus, , Syria

Site Status

Countries

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Syria

References

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Smailiene D, Kavaliauskiene A, Pacauskiene I, Zasciurinskiene E, Bjerklin K. Palatally impacted maxillary canines: choice of surgical-orthodontic treatment method does not influence post-treatment periodontal status. A controlled prospective study. Eur J Orthod. 2013 Dec;35(6):803-10. doi: 10.1093/ejo/cjs102. Epub 2013 Jan 24.

Reference Type BACKGROUND
PMID: 23349422 (View on PubMed)

Parkin NA, Milner RS, Deery C, Tinsley D, Smith AM, Germain P, Freeman JV, Bell SJ, Benson PE. Periodontal health of palatally displaced canines treated with open or closed surgical technique: a multicenter, randomized controlled trial. Am J Orthod Dentofacial Orthop. 2013 Aug;144(2):176-84. doi: 10.1016/j.ajodo.2013.03.016.

Reference Type BACKGROUND
PMID: 23910198 (View on PubMed)

Crescini A, Nieri M, Buti J, Baccetti T, Mauro S, Prato GP. Short- and long-term periodontal evaluation of impacted canines treated with a closed surgical-orthodontic approach. J Clin Periodontol. 2007 Mar;34(3):232-42. doi: 10.1111/j.1600-051X.2006.01042.x. Epub 2007 Jan 25.

Reference Type BACKGROUND
PMID: 17257160 (View on PubMed)

Pini Prato G, Baccetti T, Magnani C, Agudio G, Cortellini P. Mucogingival interceptive surgery of buccally-erupted premolars in patients scheduled for orthodontic treatment. I. A 7-year longitudinal study. J Periodontol. 2000 Feb;71(2):172-81. doi: 10.1902/jop.2000.71.2.172.

Reference Type BACKGROUND
PMID: 10711607 (View on PubMed)

Crescini A, Clauser C, Giorgetti R, Cortellini P, Pini Prato GP. Tunnel traction of infraosseous impacted maxillary canines. A three-year periodontal follow-up. Am J Orthod Dentofacial Orthop. 1994 Jan;105(1):61-72. doi: 10.1016/S0889-5406(94)70100-8.

Reference Type BACKGROUND
PMID: 8291494 (View on PubMed)

Zasciurinskiene E, Bjerklin K, Smailiene D, Sidlauskas A, Puisys A. Initial vertical and horizontal position of palatally impacted maxillary canine and effect on periodontal status following surgical-orthodontic treatment. Angle Orthod. 2008 Mar;78(2):275-80. doi: 10.2319/010907-8.1.

Reference Type BACKGROUND
PMID: 18251594 (View on PubMed)

Other Identifiers

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UDDS-Ortho-15-2022

Identifier Type: -

Identifier Source: org_study_id