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Evaluation of the Effect of Corticotomy and Low Level Laser Therapy on Orthodontic Tooth Movement

Primary Purpose

Dental Malocclusion

Status
Completed
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Corticotomy and low laser therapy
Corticotomy facilitated Orthodontics
Sponsored by
Cairo University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Dental Malocclusion

Eligibility Criteria

17 Years - 25 Years (Child, Adult)FemaleAccepts Healthy Volunteers

Inclusion Criteria:

  1. Post pubertal patients with age more than 17 years.
  2. Class I or Class II (Angles' classification) malocclusion cases requiring 1st premolar extraction with moderate anchorage.

Exclusion Criteria:

  1. Patients having missing permanent canine teeth in maxillary arch.
  2. History of trauma or root canal treatment in maxillary canines.
  3. History of previous orthodontic treatment.
  4. History of hormonal disorder or syndrome.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Active Comparator

    Experimental

    Arm Label

    Corticotomy facilitated orthodontics.

    Corticotomy and low level laser therapy

    Arm Description

    Corticotomy is carried out under local anesthesia in right side.

    Corticotomy is carried out under local anesthesia followed by low-intensity laser therapy that is started on the selected experimental side on the same day as placement of the coil spring

    Outcomes

    Primary Outcome Measures

    Rate of canine retraction
    Rate of canine retraction using a digital caliper, units of mm, readings extracted from digital models reading each month.

    Secondary Outcome Measures

    Root resorption
    Root resorption using CBCT in mm after the end of canine retraction period (at the end of 4 months)

    Full Information

    First Posted
    April 3, 2019
    Last Updated
    April 5, 2019
    Sponsor
    Cairo University
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    1. Study Identification

    Unique Protocol Identification Number
    NCT03906084
    Brief Title
    Evaluation of the Effect of Corticotomy and Low Level Laser Therapy on Orthodontic Tooth Movement
    Official Title
    Evaluation of the Combined Effect of Corticotomy and Low Level Laser Therapy on the Rate of Orthodontic Tooth Movement: Split Mouth Randomized Clinical Trial
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    April 2019
    Overall Recruitment Status
    Completed
    Study Start Date
    April 2015 (Actual)
    Primary Completion Date
    May 2018 (Actual)
    Study Completion Date
    May 2018 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    Cairo University

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No
    Data Monitoring Committee
    Yes

    5. Study Description

    Brief Summary
    The aim of the present study was to compare, a standard efficient technique in accelerating OTM as surgical corticotomy as a gold standard versus surgical corticotomy combined with LLLT in an attempt for further acceleration of OTM.
    Detailed Description
    The study design was a randomized split mouth design to compare, clinically and radiographically, between the two interventions (Corticotomy and Laser versus Corticotomy only) by assessing the rate of maxillary canine retraction achieved in 4 months. Secondary outcomes were to evaluate 1st maxillary molar anchorage loss, changes in tipping, torque and rotations values of maxillary canine and 1st molar. In addition, the impact of both interventions on root resorption was assessed. The present study was carried on 16 female patients. All patients required maxillary 1st premolar extraction and subsequent maxillary canine retraction.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Dental Malocclusion

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Not Applicable
    Interventional Study Model
    Parallel Assignment
    Masking
    Outcomes Assessor
    Masking Description
    Single Blind Endpoint Classification: Efficacy Study
    Allocation
    Randomized
    Enrollment
    16 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Corticotomy facilitated orthodontics.
    Arm Type
    Active Comparator
    Arm Description
    Corticotomy is carried out under local anesthesia in right side.
    Arm Title
    Corticotomy and low level laser therapy
    Arm Type
    Experimental
    Arm Description
    Corticotomy is carried out under local anesthesia followed by low-intensity laser therapy that is started on the selected experimental side on the same day as placement of the coil spring
    Intervention Type
    Procedure
    Intervention Name(s)
    Corticotomy and low laser therapy
    Intervention Description
    Corticotomy is carried out under local anesthesia followed by low-intensity laser therapy that is started on the selected experimental side on the same day as placement of the coil spring
    Intervention Type
    Procedure
    Intervention Name(s)
    Corticotomy facilitated Orthodontics
    Intervention Description
    Corticotomy is carried out under local anesthesia in right side.
    Primary Outcome Measure Information:
    Title
    Rate of canine retraction
    Description
    Rate of canine retraction using a digital caliper, units of mm, readings extracted from digital models reading each month.
    Time Frame
    4 months
    Secondary Outcome Measure Information:
    Title
    Root resorption
    Description
    Root resorption using CBCT in mm after the end of canine retraction period (at the end of 4 months)
    Time Frame
    after 4 months from start of clinical trial

    10. Eligibility

    Sex
    Female
    Minimum Age & Unit of Time
    17 Years
    Maximum Age & Unit of Time
    25 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: Post pubertal patients with age more than 17 years. Class I or Class II (Angles' classification) malocclusion cases requiring 1st premolar extraction with moderate anchorage. Exclusion Criteria: Patients having missing permanent canine teeth in maxillary arch. History of trauma or root canal treatment in maxillary canines. History of previous orthodontic treatment. History of hormonal disorder or syndrome.

    12. IPD Sharing Statement

    Learn more about this trial

    Evaluation of the Effect of Corticotomy and Low Level Laser Therapy on Orthodontic Tooth Movement

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