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Effectives of Non-extraction Orthodontic Treatment of Angle Class I Malocclusion

Effectives of Non-extraction Orthodontic Treatment of Angle Class I Malocclusion: A Non-randomized Pre-post Interventional Study

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT06638983
Enrollment
41
Registered
2024-10-15
Start date
2020-05-20
Completion date
2022-06-15
Last updated
2024-10-15

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Angle Class I

Keywords

Non-extraction, orthodontics treatment, Angle class I malocclusion

Brief summary

Introduction: The investigators aimed to evaluate the effectiveness of non-extraction orthodontic treatment for Angle class I malocclusion.

Detailed description

Many people are also concerned about their oral health. When social communication is more important, aesthetic concerns also receive a lot of attention. A beautiful smile can boost self-assurance and empathy. Angle class I malocclusion is prevalent, and dental malocclusion is a significant percentage of the population at all ages . Tooth extraction is a controversial topic in orthodontics, with the general view being against it. Angle and his students argued against it, but Charles Tweed saw recurrence in the 1930s after retreatment without extraction and retreatment with extraction. The use of tooth extraction therapy increased in the 1960s but has become less common since the late 20th century. The science of orthodontics has made significant advancements under the principle of least invasiveness, but the debate remains about whether to consider tooth extraction. The contemporary view believes that the majority of patients may and should be treated without tooth extraction, but in rare circumstances, extraction is necessary to make up for crowding and excessive incisor protrusion that harm the beauty. In truth, each individual must be thoroughly evaluated in light of their bite, cosmetic condition, and stability in the wake of therapy before any course of action is recommended. The investigators aimed to evaluate the effectiveness of non-extraction orthodontic treatment for Angle class I malocclusion.

Interventions

OTHERNon-extraction Orthodontic Treatment of Angle Class I Malocclusion

Cephalometric radiographs, and extraoral and intraoral photographs, and cast impressions were collected before and after intervention. The weighted PAR Index (Peer Assessment Rating) employed to determine outcome of orthodontic treatment. Also the following soft tissue and bone indexes were assessed before and after intervention

Sponsors

Can Tho University of Medicine and Pharmacy
Lead SponsorOTHER

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
OTHER
Masking
NONE

Intervention model description

Cephalometric radiographs, and extraoral and intraoral photographs, and cast impressions were collected before and after intervention. The weighted PAR Index (Peer Assessment Rating) employed to determine outcome of orthodontic treatment. Also the following soft tissue and bone indexes were assessed before and after intervention, SNA, SNB, ANB, SN\_GoGn, SN\_Occplane, U1\_NAmm, U1\_NA, L1\_NBmm, L1\_NB, U1\_L1, U1\_Mp, Ls\_E, Li\_E, and Nasolabial\_angle. Intervention was MBT (MBT System, 3M Unitek, USA) non-extraction fixed orthodontic treatment. One experienced researcher analyzed and interpreted all of the cephalometric images used in the study using the WedCeph (https://webceph.com/). Data were analyzed by linear regression and T-Test statistical test using R software version 4.3.0 (R Foundation for Statistical Computing, Vienna, Austria) by a blinded statistician.

Eligibility

Sex/Gender
ALL
Age
15 Years to 25 Years
Healthy volunteers
Yes

Inclusion criteria

* Patients (≥ 15 years) with indicated Angle class I malocclusion and missing space ≤9mm * Cervical vertebral maturation stages 5, 6, (CS5, CS6): cervical vertebrae 2, 3, and 4 have a concave curved lower border and have at least one rectangle C3, C4 cervical vertebra upright or at least square * No prior orthodontic treatment * Fully erupted permanent teeth (except third molars) * Voluntary research participation

Exclusion criteria

Face soft tissue surgical procedures, periodontal disease, and maxillofacial congenital anomalies

Design outcomes

Primary

MeasureTime frameDescription
We aimed to evaluate the effectiveness of non-extraction orthodontic treatment for Angle class I malocclusion.Cephalometric radiographs, and extraoral and intraoral photographs, cast impressions and PAR Index (Peer Assessment Rating) were collected before and after intervention through study completion, an average of 2 yearsCephalometric radiographs, and extraoral and intraoral photographs, and cast impressions were collected before and after intervention. The weighted PAR Index (Peer Assessment Rating) employed to determine outcome of orthodontic treatment

Countries

Vietnam

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026