Accretions; Teeth
Conditions
Brief summary
the study aimed to evaluate the effect of different types of Micro-osteoperforation on the rate of distal movement of maxillary first molars as a primary out come. Besides, it was aimed to study secondary effect on the first molars by evaluating root resorption, bone density, and level of the pain during performing the procedures.
Detailed description
in the study, investigators tried to evaluate two methods to accelerate tooth movement by comparing them with control group. the first method was to apply one-time micro-osteoperforation. the second method was to apply the micro-osteoperforation repeatedly till reaching the end of the phase one treatment.
Interventions
flapless small punctures in the bone at direction of tooth movement to accelerate the movement.
Sponsors
Study design
Masking description
single blinded, the assessor of the out comes did not participate in the study
Intervention model description
single-center, prospective, single blinded, with 3 parallel arms, randomized clinical trial that had a 1:1:1 allocation.
Eligibility
Inclusion criteria
* Space deficiency in the upper arch \> 5 mm, and \< 8 mm. * Non-extraction lower arch. * Full upper dentition up to the second molars. * Third molar present in both sides, not yet erupted.
Exclusion criteria
* Systemic disease or syndrome. * Evidence of root resorption. * Poor oral hygiene. * Previous orthodontic treatment * Evidence of bone loss. * Active periodontal disease. * Pregnant females. * Presence of oral habits
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| rate of maxillary first molar distal movement | through study completion, an average 1 year | evaluation of the whole rate of distal movement of the first molar |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| decrease in length of maxillary first molars in mm. | through study completion, an average 1 year | the change in the lengths of roots of maxillary first molars in mm. |
| bone density | through study completion, an average 1 year | bone density around the first molar |
| pain perception questionnaire | through study completion, an average 1 year | evaluate the pain perception to the intervention |
Countries
Egypt