Impacted Canine
Conditions
Keywords
Impacted canine, accelerate canine traction, periodontal index, periodontal status
Brief summary
Impacted canine causes many problems for patients, such as damage to the adjacent teeth roots, effects on gingival tissues, aesthetic problems, difficulty, and prolonged orthodontic treatment duration. Therefore, solutions to accelerate the movement of impacted canines with the help of surgical procedures to reduce treatment time will be investigated, such as intra-operative alveolar perforations and piezocision. We also aimed to evaluate periodontal changes associated with such accelerating procedures compared with the conventional traction method.
Detailed description
Patients with palatally impacted maxillary canines will be treated using fixed appliances assisted by some surgical procedures. The effects of this treatment approach on the periodontal status will be assessed using periodontal measurements. There are two groups : 1. conventional treatment group 2. minimally-invasive corticotomy-assisted treatment group Patients will be allocated to the two groups randomly. Data will be collected using periodontal variables.
Interventions
DEVICEFixed appliances
Metal brackets with a straight-wire prescription will be used. Patients will be treated conventionally.
PROCEDURECorticotomy
Patients will be treated in conjunction with a surgical intervention using metal brackets with a straight-wire prescription. Corticotomy (alveolar perforation and piezocision) will induce acceleration in canine traction movement during the orthodontic treatment in only one group.
Sponsors
Damascus University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 28 Years
Healthy volunteers
No
Inclusion criteria
1. Age of patients: 18-28 years. 2. Palatal or Mid-alveolar impacted canine. 3. There is no previous orthodontic treatment. 4. Healthy periodontal tissues and good oral health (i.e., the Plaque Index is less or equal to 1 according to Loe and Silness(1963). 5. The patient does not take any drug that may interfere with the tooth movement (Cortisone, NSAIDs …). 6. Mild or no crowding on the upper jaw. 7. No history of previous trauma to the maxillofacial region or surgical interventions.
Exclusion criteria
1. Any systemic diseases that would affect tooth movement 2. Antidepressant prevents oral surgery 3. Any congenital syndromes or cleft lip and palate cases 4. Bad oral health 5. Previous orthodontic treatment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Changes in the periodontal pocket depth (PPD) | Time 1: immediately before the surgical exposure; Time 2: immediately at the end of the active treatment | The distance from the gingival margin to the base of the pocket of the first premolar, canine, and lateral incisor. |
| Changes in the gingival margin (GM) | Time 1: immediately before the surgical exposure; Time 2: immediately at the end of the active treatment | The distance from the cementoenamel junction (CEJ) to the gingival margin of the first premolar, canine, and lateral incisor. |
| Changes in the width of the keratinized tissue (KT) | Time 1: immediately before the surgical exposure; Time 2: immediately at the end of the active treatment | The distance from the gingival margin to the mucogingival junction of the first premolar, canine, and lateral incisor |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Changes in the Gingival Index (GI) | Time 1: immediately before the surgical exposure; Time 2: immediately at the end of the active treatment | The gingival status will be assessed using the following classification 0= Normal gingiva. 1. Mild inflammation: slight color change, slight edema, No bleeding on probing. 2. Moderate inflammation: redness, edema and glazing. Bleeding on probing. 3. Severe inflammation: marked redness and edema. Tendency to spontaneous bleeding. Ulceration. |
| Changes in the Bleeding Index (BI) | Time 1: immediately before the surgical exposure; Time 2: immediately at the end of the active treatment | The healthiness of the gingival margin and the attached gingivae will be assessed depending on the status of gingival inflammation. 0= No bleeding. 1. Bleeding some seconds after probing. 2. Bleeding immediately after probing. 3. Bleeding on probing spreading towards the marginal gingiva. |
Countries
Syria
Outcome results
None listed