Influence of Low-level Laser Therapy Versus Low-intensity Pulsed Ultrasound on Different Orthodontic Tooth Movements

NCT ID: NCT06026930

Last Updated: 2023-09-07

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

82 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-09-30

Study Completion Date

2024-04-30

Brief Summary

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The aim of this prospective clinical project will be to compare the effect of low-level laser therapy versus low intensity pulsed ultrasound on the rate of different orthodontic tooth movements

Detailed Description

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The aim of this prospective clinical project will be to compare the effect of low-level laser therapy versus low intensity pulsed ultrasound on the rate of different orthodontic tooth movements, specifically; canine retraction, incisors' leveling and alignment, maxillary molar distalization, and incisors' intrusion

Conditions

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Effect of Low Level Laser Versus Low Intensity Pulsed Ultra Sound on Rate of Different Orthodontic Tooth Movement by Millimeter

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

NONE

Study Groups

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Lipus side: canine retraction

application of LIPUS with translation of maxillary canine that will be performed on intervention sides according to a standardized protocol

Group Type EXPERIMENTAL

low-level laser therapy

Intervention Type DEVICE

LLLT and LIPUS has been found to speed up OTM by stimulating the RANK/RANKL/OPG system to initiate osteoclast formation.

LIPUS side control side

LIPUS side:canine retraction control side

Group Type NO_INTERVENTION

No interventions assigned to this group

LLLT side canine retraction

translation of maxillary canine that will be performed with LLLT application according to a standardized protocol

Group Type EXPERIMENTAL

low-level laser therapy

Intervention Type DEVICE

LLLT and LIPUS has been found to speed up OTM by stimulating the RANK/RANKL/OPG system to initiate osteoclast formation.

LLLT side canine retraction control side

LLLT side canine retraction control side wihout intervention

Group Type NO_INTERVENTION

No interventions assigned to this group

LIPUS groupMolar distalization group inrervention side

distalization assisted with LIPUS according to a standardized protocol

Group Type EXPERIMENTAL

low-level laser therapy

Intervention Type DEVICE

LLLT and LIPUS has been found to speed up OTM by stimulating the RANK/RANKL/OPG system to initiate osteoclast formation.

LIPUS groupMolar distalization group control side

distalization without LIPUS intervention

Group Type NO_INTERVENTION

No interventions assigned to this group

LLLT group: distalization intervntion side

distalization will be commenced with application of LLLT according to a standardized protocol

Group Type EXPERIMENTAL

low-level laser therapy

Intervention Type DEVICE

LLLT and LIPUS has been found to speed up OTM by stimulating the RANK/RANKL/OPG system to initiate osteoclast formation.

LLLT group: distalization control side

distalization will be commenced without application of LLLT according to a standardized protocol

Group Type NO_INTERVENTION

No interventions assigned to this group

LIPUS group: leveling and alignment

leveling and alignment assisted with LIPUS according to a standardized protocol

Group Type EXPERIMENTAL

low-level laser therapy

Intervention Type DEVICE

LLLT and LIPUS has been found to speed up OTM by stimulating the RANK/RANKL/OPG system to initiate osteoclast formation.

LLLT group: leveling and alignment

leveling and alignment be commenced with application of LLLT according to a standardized protocol

Group Type EXPERIMENTAL

low-level laser therapy

Intervention Type DEVICE

LLLT and LIPUS has been found to speed up OTM by stimulating the RANK/RANKL/OPG system to initiate osteoclast formation.

leveling and alignment without intervention

leveling and alignment without intervention

Group Type NO_INTERVENTION

No interventions assigned to this group

LIPUS group: Intrusion

intrusion assisted with LIPUS according to a standardized protocol

Group Type EXPERIMENTAL

low-level laser therapy

Intervention Type DEVICE

LLLT and LIPUS has been found to speed up OTM by stimulating the RANK/RANKL/OPG system to initiate osteoclast formation.

LLLT group: Intrusion

intrusion assisted with application of LLLT according to a standardized protocol

Group Type EXPERIMENTAL

low-level laser therapy

Intervention Type DEVICE

LLLT and LIPUS has been found to speed up OTM by stimulating the RANK/RANKL/OPG system to initiate osteoclast formation.

intrusion control group

intrusion without intervention

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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low-level laser therapy

LLLT and LIPUS has been found to speed up OTM by stimulating the RANK/RANKL/OPG system to initiate osteoclast formation.

Intervention Type DEVICE

Other Intervention Names

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low intensity pulsed ultrasound

Eligibility Criteria

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Inclusion Criteria

\- A- leveling and alignment Eligibility criteria

1\. Age ranges from 14 to 17 years. 2. Bilateral Class II molar relationship. 3. Skeletal Class I or mild Class II relationship. 4. Normal or decreased vertical height. 5. No posterior crowding or spaces. 6. Fully erupted maxillary first and second molars. 7. Congenitally missing or extracted third molars. 8. Good oral hygiene. 9. Absence of any periodontal disease and alveolar bone loss. 10. Absence of medications that may inhibit orthodontic movement


initial bonding appointment; 6. No required management with interproximal stripping, inter-maxillary elastics, open NiTi springs, and removable or extra-oral devices. Canine retraction Eligibility criteria

Age, 15 to 25 years; Class ii division 1 malocclusion with mild or no crowding; No previous orthodontic treatment; No systemic disease that might have affected bone formation or density, such as osteoporosis, hyperparathyroidism, or vitamin d deficiency; 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

\- Patients who required surgery to correct skeletal discrepancies. Patients with congenital dentoskeletal disorders. Missed or mutilated teeth in maxillary arch. Patients with poor oral hygiene and/or periodontally compromised patients Severe dental crowding that necessitates an extraction approach 2. Abnormal anteroposterior and vertical relationships; 3. Patients with cleft lip and palate, anomalies, and syndromes; 4. Previous orthodontic 5. Treatment; 6. Regular medications intake that could interfere with otm. -
Minimum Eligible Age

15 Years

Maximum Eligible Age

22 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Al-Azhar University

OTHER

Sponsor Role lead

Responsible Party

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farouk ahmed hussein

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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AlAzhar university

Cairo, , Egypt

Site Status

Countries

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Egypt

References

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Maurya RK, Singh H, Kapoor P, Jain U, Mitra R. Effects of low-level laser and low-intensity pulsed ultrasound therapy on treatment duration and pain perception. J Clin Orthod. 2019 Mar;53(3):154-162. No abstract available.

Reference Type RESULT
PMID: 31009384 (View on PubMed)

El-Bialy T, Farouk K, Carlyle TD, Wiltshire W, Drummond R, Dumore T, Knowlton K, Tompson B. Effect of Low Intensity Pulsed Ultrasound (LIPUS) on Tooth Movement and Root Resorption: A Prospective Multi-Center Randomized Controlled Trial. J Clin Med. 2020 Mar 16;9(3):804. doi: 10.3390/jcm9030804.

Reference Type RESULT
PMID: 32188053 (View on PubMed)

Qamruddin I, Alam MK, Mahroof V, Karim M, Fida M, Khamis MF, Husein A. Biostimulatory Effects of Low-Intensity Pulsed Ultrasound on Rate of Orthodontic Tooth Movement and Associated Pain, Applied at 3-Week Intervals: A Split-Mouth Study. Pain Res Manag. 2021 May 5;2021:6624723. doi: 10.1155/2021/6624723. eCollection 2021.

Reference Type RESULT
PMID: 34035871 (View on PubMed)

Other Identifiers

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926/91

Identifier Type: -

Identifier Source: org_study_id

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