Orthodontic Patients Indicated for Maxillary Canine Retraction, Orthodontic Patients Indicated for Upper First Premolar Extraction
Conditions
Keywords
Niti coil springs, Canine Retraction, Elastomeric Chains, Root resorption, CBCT
Brief summary
This study will be carried out to asses root resorption and alveolar bone changes in the maxillary canine retraction using NiTi closed-coil springs versus elastomeric chains with cone beam CT
Interventions
Group1: Elastomeric chains will be used on the right side, and NiTi closed-coil springs will be used on the left side. Group2: NiTi closed-coil springs will be used on the right side, Elastomeric chains will be used on the left side.
Comparison between canine retraction using NiTi closed-coil springs versus elastomeric chains
Sponsors
Study design
Eligibility
Inclusion criteria
* Inclusion Criteria: * Patients aged 16 years or older * Patients indicated for fixed orthodontic appliances * Patients indicated for bilateral extraction of maxillary first premolars * Patients who have not undergone any previous orthodontic treatment *
Exclusion criteria
* Patients with a history of craniofacial trauma, anomalies, or congenital defects * Patients currently taking anticoagulant drugs affecting bone metabolism * Patients with a history of trauma or pathology involving the maxillary canines * Patients with periodontally compromised teeth
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Apical Root Length After Canine Retraction | Baseline (prior to canine retraction) and 6 months after retraction | Measurement of apical root length (in millimeters) using CBCT images at T1 and T2 to assess root resorption on both retraction methods. |
| Change in Alveolar Bone Thickness After Canine Retraction | Baseline (prior to canine retraction) and 6 months after retraction | Quantitative measurement of alveolar bone thickness (in millimeters) using CBCT images taken at baseline (T1) and post-treatment (T2) in both NiTi closed-coil spring and elastomeric chain sides. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Probing Depth | Baseline and 6 months post-treatment | Measurement of probing depth (in millimeters) on both sides at baseline and 6 months |
| Change in Plaque Index | Baseline and 6 months post-treatment | Scoring of plaque accumulation using the Silness-Löe Plaque Index (score range: 0 to 3; higher score = worse outcome) |
| Change in Bleeding Index | Baseline and 6 months post-treatment | Evaluation using the Gingival Bleeding Index (score range: 0 to 3; higher score = worse outcome) |