Evaluation of Surgical Outcomes of Patients Treated With the Surgery First Approach and Aligners

NCT ID: NCT05822271

Last Updated: 2024-12-02

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

RECRUITING

Clinical Phase

NA

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-01-30

Study Completion Date

2025-10-31

Brief Summary

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The purpose of this prospective study is to compare treatment outcomes and the quality of life of skeletal Class III patients treated with conventional fixed appliances and aligners undergoing Surgery-first approach. Data will be collected through validated questionnaires: OQLQ (Orthognathic Quality of Life Questionnaire), OHIP-14 (Oral Health Impact Profile), SF-36 (Medical Outcomes Study 36 - Item Short-Form Health Survey) and IOTN (Index of Orthodontic Treatment Need).

Detailed Description

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Conditions

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Malocclusion, Angle Class III

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Orthodontic Aligner treatment

Group Type EXPERIMENTAL

Orthognathic Surgery

Intervention Type PROCEDURE

Type of surgery performed to correct skeletal malocclusions

Orthodontic fixed appliance treatment

Group Type ACTIVE_COMPARATOR

Orthognathic Surgery

Intervention Type PROCEDURE

Type of surgery performed to correct skeletal malocclusions

Interventions

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Orthognathic Surgery

Type of surgery performed to correct skeletal malocclusions

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Adults;
* Skeletal malocclusion;
* ANB Angle zero or negative;
* Witts negative;
* Etiology: mandibular excess, a maxillary deficiency, or a combination of both;
* Indication for bimaxillary surgery;

Exclusion Criteria

* Previous orthodontic treatment;
* Craniofacial anomaly or previous fracture of the facial bones;
* Total edentulism;
* Deep curve of Spee;
* Vertical asymmetry;
* Any medication use that contraindicates surgical treatment.
Minimum Eligible Age

17 Years

Maximum Eligible Age

35 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Rio de Janeiro State University

OTHER

Sponsor Role lead

Responsible Party

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Arthur Cunha

Clinical Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Rio de Janeiro State University

Rio de Janeiro, , Brazil

Site Status RECRUITING

Countries

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Brazil

Central Contacts

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Arthur Cunha, MSc

Role: CONTACT

55-21-967637007

Jose Augusto M Miguel, PhD

Role: CONTACT

55-21-972821500

Facility Contacts

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Arthur Cunha, MSc

Role: primary

+5521967637007

Jose Augusto M Miguel, PhD

Role: backup

+5521972821500

References

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Miguel JA, Palomares NB, Feu D. Life-quality of orthognathic surgery patients: the search for an integral diagnosis. Dental Press J Orthod. 2014 Jan-Feb;19(1):123-37. doi: 10.1590/2176-9451.19.1.123-137.sar.

Reference Type BACKGROUND
PMID: 24713569 (View on PubMed)

Palomares NB, Celeste RK, Miguel JA. Impact of orthosurgical treatment phases on oral health-related quality of life. Am J Orthod Dentofacial Orthop. 2016 Feb;149(2):171-81. doi: 10.1016/j.ajodo.2015.07.032.

Reference Type BACKGROUND
PMID: 26827973 (View on PubMed)

Baek SH, Ahn HW, Kwon YH, Choi JY. Surgery-first approach in skeletal class III malocclusion treated with 2-jaw surgery: evaluation of surgical movement and postoperative orthodontic treatment. J Craniofac Surg. 2010 Mar;21(2):332-8. doi: 10.1097/SCS.0b013e3181cf5fd4.

Reference Type BACKGROUND
PMID: 20186090 (View on PubMed)

Peiro-Guijarro MA, Guijarro-Martinez R, Hernandez-Alfaro F. Surgery first in orthognathic surgery: A systematic review of the literature. Am J Orthod Dentofacial Orthop. 2016 Apr;149(4):448-62. doi: 10.1016/j.ajodo.2015.09.022.

Reference Type BACKGROUND
PMID: 27021449 (View on PubMed)

Feu D, de Oliveira BH, Palomares NB, Celeste RK, Miguel JAM. Oral health-related quality of life changes in patients with severe Class III malocclusion treated with the 2-jaw surgery-first approach. Am J Orthod Dentofacial Orthop. 2017 Jun;151(6):1048-1057. doi: 10.1016/j.ajodo.2016.10.034.

Reference Type BACKGROUND
PMID: 28554450 (View on PubMed)

Flores-Mir C, Brandelli J, Pacheco-Pereira C. Patient satisfaction and quality of life status after 2 treatment modalities: Invisalign and conventional fixed appliances. Am J Orthod Dentofacial Orthop. 2018 Nov;154(5):639-644. doi: 10.1016/j.ajodo.2018.01.013.

Reference Type BACKGROUND
PMID: 30384934 (View on PubMed)

Buschang PH, Shaw SG, Ross M, Crosby D, Campbell PM. Comparative time efficiency of aligner therapy and conventional edgewise braces. Angle Orthod. 2014 May;84(3):391-6. doi: 10.2319/062113-466. Epub 2013 Nov 18.

Reference Type BACKGROUND
PMID: 24749702 (View on PubMed)

Miller KB, McGorray SP, Womack R, Quintero JC, Perelmuter M, Gibson J, Dolan TA, Wheeler TT. A comparison of treatment impacts between Invisalign aligner and fixed appliance therapy during the first week of treatment. Am J Orthod Dentofacial Orthop. 2007 Mar;131(3):302.e1-9. doi: 10.1016/j.ajodo.2006.05.031.

Reference Type BACKGROUND
PMID: 17346581 (View on PubMed)

Liou EJ, Chen PH, Wang YC, Yu CC, Huang CS, Chen YR. Surgery-first accelerated orthognathic surgery: orthodontic guidelines and setup for model surgery. J Oral Maxillofac Surg. 2011 Mar;69(3):771-80. doi: 10.1016/j.joms.2010.11.011. Epub 2011 Jan 22.

Reference Type BACKGROUND
PMID: 21257249 (View on PubMed)

Villegas C, Uribe F, Sugawara J, Nanda R. Expedited correction of significant dentofacial asymmetry using a "surgery first" approach. J Clin Orthod. 2010 Feb;44(2):97-103; quiz 105. No abstract available.

Reference Type BACKGROUND
PMID: 20552809 (View on PubMed)

Liao YF, Chen YA, Chen YC, Chen YR. Outcomes of conventional versus virtual surgical planning of orthognathic surgery using surgery-first approach for class III asymmetry. Clin Oral Investig. 2020 Apr;24(4):1509-1516. doi: 10.1007/s00784-020-03241-4. Epub 2020 Feb 25.

Reference Type BACKGROUND
PMID: 32100114 (View on PubMed)

Liao YF, Lo SH. Surgical Occlusion Setup in Correction of Skeletal Class III Deformity Using Surgery-First Approach: Guidelines, Characteristics and Accuracy. Sci Rep. 2018 Aug 3;8(1):11673. doi: 10.1038/s41598-018-30124-2.

Reference Type BACKGROUND
PMID: 30076359 (View on PubMed)

de Leyva P, Eslava JM, Hernandez-Alfaro F, Acero J. Orthognathic surgery and aligners. A comparative assessment of periodontal health and quality of life in postsurgical orthodontic treatment with aligners versus traditional fixed appliances: a randomized controlled trial. Med Oral Patol Oral Cir Bucal. 2023 May 1;28(3):e208-e216. doi: 10.4317/medoral.25555.

Reference Type BACKGROUND
PMID: 37026606 (View on PubMed)

Other Identifiers

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51444621.0.0000.5259

Identifier Type: -

Identifier Source: org_study_id