The Effect of Corticotomy in En-mass Retraction

NCT03180151 | Completed

• 1 other identifier: 078-16
• Study Type: interventional
• Target: 26
• Locations: 0 countries
• Sites: N/A

Brief Summary

• To compare patients who will undergo orthodontics treatment involving upper premolar extraction for space of time whether with or without corticotomy by Piezotome.
• Assess the safety of both methods of retraction in regard to the quality of the surrounding periodontium and roots of anterior teeth.
• Monitor postoperative pain.

Conditions

Accelerate Tooth Movement

Keywords

corticotomy; enmass retraction; mini implant

Outcome Measures

Primary Outcomes (1)

• rate of tooth movement per time

  4 months

Study Arms (2)

Orthodontic tooth movement group

NO INTERVENTION

This is the control group in which pateints will be treated by conventional orthodontic treatment and extraction of premolars without piezotome

Corticotomy assisted orthodontic group

EXPERIMENTAL

This is the study group in which patients will be treated by conventional orthodontic treatment aided by corticotomy procedure perfumed by using a piezotome.(piezotome assisted orthodontic tooth movement)

Procedure: piezotome assisted orthodontic tooth movement

Interventions

piezotome assisted orthodontic tooth movement PROCEDURE

Surgical procedure 1. After local anesthesia, vertical interproximal incisions will be done under the interdental papilla, on the labial aspect of upper arch using a blade No. 15. 2. The incisions will be kept minimal. 3. The incisions go though the periosteum, which permit the blade to reach to the alveolar bone. 4. A Piezo surgical knife will be used to make the cortical alveolar incision through the gingival incisions to a depth of approximately 3mm. 5. As we will not use bone graft so we don't need use suturing after cortication. 6. We give patient antibiotic and analgesic cover.

Also known as: corticotomy assisted tooth movement

Corticotomy assisted orthodontic group

Eligibility Criteria

• Age: 18 Years - 26 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• On the basis of the diagnosis of the malocclusion, individuals who have Class I and Class II malocclusions and requiring extraction of premolars and retraction of anterior teeth will be selected (maxillary/mandibular or both).
• Good oral hygiene, healthy gingiva and no evidence of bone loss as seen in radiograph.
• Healthy systemic conditions.
• No previous orthodontic treatment.
• Patient needs to be in permanent dentition (hence, we need to define their age range).

You may not qualify if:

• Patient with systemic disease.
• Patient having any signs of active periodontal disease.
• Patients on long-term corticosteroid therapy.
• Persons taking medications that slows down bone metabolism.
• Craniofacial anomalies.

Sponsors & Collaborators

• King Abdulaziz University: lead

Related Publications (1)

• Hatrom AA, Howait MS, Zawawi KH, Al-Turki GA, Alansari RA, Almehayawi NF, Alammari SH, Mohammed RA, Hassan AH. Pulp volume changes after piezocision-assisted tooth movement: a randomized clinical trial. BMC Oral Health. 2021 Jan 13;21(1):28. doi: 10.1186/s12903-020-01382-2.

  PMID: 33435897 DERIVED

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor in orthodontic department

Study Record Dates

• First Submitted: December 25, 2016
• First Posted: June 8, 2017
• Study Start: September 1, 2016
• Primary Completion: January 1, 2018
• Study Completion: January 1, 2018
• Last Updated: October 3, 2023

Record last verified: 2023-10