Orthodontics, Tooth Movement
Conditions
Keywords
CAD/CAM, orthodontics, fixed appliance, tooth movement
Brief summary
In orthodontics, conventional fixed appliances, usually consisting of prefabricated components, require step-by-step adjustment in order to move teeth in the planned direction. May treatment be improved with customized archwires? Study hypotheses: * By using CAD/CAM in planning and fabrication of customized archwires, unnecessary tooth movements can be avoided and teeth can be moved on their direct path to the intended position. * The application of CAD/CAM improves reproducibility, efficiency, and quality of orthodontic treatment.
Interventions
customized arch wires depending on the amount of needed tooth movement
prefabricated archwires depending of the needed movement of the teeth
conventional archwires modified by manual adjustment, depending of needed correction
Sponsors
Study design
Eligibility
Inclusion criteria
* treatment of front teeth with fixed orthodontic appliances is indicated * complete secondary dentition * age: 18-35 * in healthy general condition * patient is informed about study and agrees to participate
Exclusion criteria
* treatment of premolars and molars is necessary * syndromes affecting bones and teeth * cleft lip and palate * inflammation or reduction (more than 50%) of periodontium * intake of drugs affecting tooth movement and bone formation * disturbance of bone formation * disturbance of thyroidal function * pregnancy * participation in additional study affecting oral hygiene * former therapy with ionized radiation or cytostatic drugs * caries (active phase) * alcohol dependency
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Sum of differences between resulted and shortest path of tooth movements in each patient | measurements every 14 days until end of treatment |
Secondary
| Measure | Time frame |
|---|---|
| Difference between resulted and shortest path of movements for each tooth | measurements every 14 days until end of treatment |
Countries
Germany