Effects of Flapless Laser Corticotomy in Canine Retraction

NCT04631419 | Completed

• 1 other identifier: Flapless Laser Corticotomy
• Study Type: interventional
• Target: 14
• Locations: 1 country
• Sites: 1

Brief Summary

This study is conducted to evaluate the effects of flapless laser corticotomy on the rate of canine retraction.

Conditions

Dental Malocclusion; Bimaxillary Protrusion

Keywords

Flapless laser corticotomy; Canine retraction

Outcome Measures

Primary Outcomes (1)

• Rate of canine retraction.

  distal movement of the canine , measurement unit mm divided by time unit month , using scanned digital models

  3 months of canine retraction , distance (mm) moved by the canine distally per month

Secondary Outcomes (5)

• Canine rotation

  3 months, assessed at the beginning of treatment (base line ), and at the end of 3 months of canine retraction

• First molar anchorage loss

  3 months, assessed immediately before canine retraction and at the end of 3 months of canine retraction

• Root resorption

  3 months , assessed at the beginning of treatment (base line ), and at the end of 3 months of canine retraction

• Periodontal condition

  3 months , immediately before canine retraction , and at the end of 3 months of canine retraction

• Pulp vitality

  3 months, assessed immediately before canine retraction , and at the end of 3 months of canine retraction

Study Arms (4)

Maxillary flapless laser corticotomy group

EXPERIMENTAL

Flapless laser corticotomy will randomly be assigned to one side of the 14 maxillary arches (experimental side) before canine retraction.

Other: Flapless laser corticotomy; Other: Canine retraction

Maxillary control group

ACTIVE COMPARATOR

Canine retraction will be done on the other side without Laser corticotomy .

Other: Canine retraction

Mandibular flapless laser corticotomy group

EXPERIMENTAL

Flapless laser corticotomy will randomly be assigned to one side of the 14 mandibular arches (experimental side) before canine retraction.

Other: Flapless laser corticotomy; Other: Canine retraction

Mandibular control group

ACTIVE COMPARATOR

Canine retraction will be done on the other side without Laser corticotomy .

Other: Canine retraction

Interventions

Flapless laser corticotomy OTHER

The flapless laser corticotomy will be done by Er, Cr: YSGG laser as a series of circular holes will be made along with the planned position. The depth of laser cutting will be measured and controlled continuously during the operation by the periodontal probe with stopper read to each 3mm depth in addition to a few parts of a millimetre depth into the medullary bone to enhance bleeding. Canine retraction will be started after this procedure.

Mandibular flapless laser corticotomy group; Maxillary flapless laser corticotomy group

Canine retraction OTHER

canine retraction will be done on 17x25 stst archwire using coil spring adjusted to 150 gm, and miniscrews will be used as an indirect method of anchorage reinforcement

Mandibular control group; Mandibular flapless laser corticotomy group; Maxillary control group; Maxillary flapless laser corticotomy group

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Full complement of teeth with no congenitally missing teeth except 3rd molars.
• Minor or no crowding cases requires four premolars extraction, canine retraction \& maximum anchorage with bimaxillary dentoalveolar protrusion.
• No history of previous orthodontic treatment
• Clinically healthy patients with no history of drug intake and\\or no history for any systemic illness, syndromes, craniofacial deformities.
• Vital teeth with normal periodontium and no root resorption.
• Adequate oral hygiene; probing depth values not exceeding 3 mm across the entire dentition; adequate thickness of the attached gingiva (1-2 mm).
• No radiographic evidence of bone loss.

You may not qualify if:

• Systemic disease that might have affected bone formation or density, such as osteoporosis, hyperparathyroidism, or vitamin D deficiency.
• Presence of any local or systemic surgical contraindication.
• Extracted or missing permanent tooth/teeth except for 3rd molars.
• Facial asymmetry

Sponsors & Collaborators

• Suez Canal University: lead

Study Sites (1)

Orthodontic department , Faculty of dentistry , Suez Canal University

Ismailia, Egypt

Location

Related Links

• Acceleration of canine movement by laser assisted flapless corticotomy \[An innovative approach in clinical orthodontics
• Evaluation of piezocision and laser-assisted flapless corticotomy in the acceleration of canine retraction: a randomized controlled trial

MeSH Terms

Conditions

Malocclusion

Condition Hierarchy (Ancestors)

Tooth Diseases; Stomatognathic Diseases

Study Officials

• Abubakr R Bakr, Msc Assistan lecturer

  Faculty of dentistry , Suez canal university , Ismailia , Egypt

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: single-blind
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant lecturer , PhD student

Model Details: The 14 patients maxillary and mandibular arches will be allocated into a split-mouth design, so the sample will be set up each patient to act as his/her own control

Study Record Dates

• First Submitted: October 30, 2020
• First Posted: November 17, 2020
• Study Start: June 1, 2018
• Primary Completion: December 1, 2020
• Study Completion: December 30, 2020
• Last Updated: November 1, 2022

Record last verified: 2022-10

Locations

EG (1)