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Evaluation of the Effect of Corticotomy and Low Level Laser Therapy on Orthodontic Tooth Movement

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ClinicalTrials.gov Identifier: NCT03906084
Recruitment Status : Completed
First Posted : April 8, 2019
Last Update Posted : April 8, 2019
Sponsor:
Information provided by (Responsible Party):
Karim Ahmed Farid Shehab, Cairo University

Brief Summary:
The aim of the present study was to compare, a standard efficient technique in accelerating OTM as surgical corticotomy as a gold standard versus surgical corticotomy combined with LLLT in an attempt for further acceleration of OTM.

Condition or disease Intervention/treatment Phase
Dental Malocclusion Procedure: Corticotomy and low laser therapy Procedure: Corticotomy facilitated Orthodontics Not Applicable

Detailed Description:
The study design was a randomized split mouth design to compare, clinically and radiographically, between the two interventions (Corticotomy and Laser versus Corticotomy only) by assessing the rate of maxillary canine retraction achieved in 4 months. Secondary outcomes were to evaluate 1st maxillary molar anchorage loss, changes in tipping, torque and rotations values of maxillary canine and 1st molar. In addition, the impact of both interventions on root resorption was assessed. The present study was carried on 16 female patients. All patients required maxillary 1st premolar extraction and subsequent maxillary canine retraction.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 16 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Masking Description: Single Blind Endpoint Classification: Efficacy Study
Primary Purpose: Treatment
Official Title: Evaluation of the Combined Effect of Corticotomy and Low Level Laser Therapy on the Rate of Orthodontic Tooth Movement: Split Mouth Randomized Clinical Trial
Actual Study Start Date : April 2015
Actual Primary Completion Date : May 2018
Actual Study Completion Date : May 2018

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Orthodontia

Arm Intervention/treatment
Active Comparator: Corticotomy facilitated orthodontics.
Corticotomy is carried out under local anesthesia in right side.
Procedure: Corticotomy and low laser therapy
Corticotomy is carried out under local anesthesia followed by low-intensity laser therapy that is started on the selected experimental side on the same day as placement of the coil spring

Experimental: Corticotomy and low level laser therapy
Corticotomy is carried out under local anesthesia followed by low-intensity laser therapy that is started on the selected experimental side on the same day as placement of the coil spring
Procedure: Corticotomy facilitated Orthodontics
Corticotomy is carried out under local anesthesia in right side.




Primary Outcome Measures :
  1. Rate of canine retraction [ Time Frame: 4 months ]
    Rate of canine retraction using a digital caliper, units of mm, readings extracted from digital models reading each month.


Secondary Outcome Measures :
  1. Root resorption [ Time Frame: after 4 months from start of clinical trial ]
    Root resorption using CBCT in mm after the end of canine retraction period (at the end of 4 months)



Information from the National Library of Medicine

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Ages Eligible for Study:   17 Years to 25 Years   (Child, Adult)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  1. Post pubertal patients with age more than 17 years.
  2. Class I or Class II (Angles' classification) malocclusion cases requiring 1st premolar extraction with moderate anchorage.

Exclusion Criteria:

  1. Patients having missing permanent canine teeth in maxillary arch.
  2. History of trauma or root canal treatment in maxillary canines.
  3. History of previous orthodontic treatment.
  4. History of hormonal disorder or syndrome.
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Responsible Party: Karim Ahmed Farid Shehab, Assistant lecturer, Orthodontics department, Faculty of Dentistry-MSA University, Cairo University
ClinicalTrials.gov Identifier: NCT03906084    
Other Study ID Numbers: CEBD-CU-2015-03-17
First Posted: April 8, 2019    Key Record Dates
Last Update Posted: April 8, 2019
Last Verified: April 2019

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Additional relevant MeSH terms:
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Malocclusion
Tooth Diseases
Stomatognathic Diseases