"Effects of Piezocision vs Micro-osteoperforations on the Rate of Maxillary Canine Retraction

NCT04743700 | Unknown DMC

• 1 other identifier: Karan.mahendru
• Study Type: interventional
• Target: 20
• Locations: 1 country
• Sites: 1

Brief Summary

Acceleration of orthodontic tooth movement persuades tremendous rise in the interest of adolescents and aduts, as it not only shortens the treatment duration but also lessens the incidence of white spot lesions, root resorption, periodontal and other soft tissue problems. Minimal invasive techniques i.e.both piezocision and micro-osteoperforations had promising results in accelerating tooth movement. Therefore current study will provide evidence for better minimal invasive technique in terms of reducing treatment time and patient comfort.

Conditions

Angle Class II, Division 1 Malocclusion

Outcome Measures

Primary Outcomes (4)

• Measurement of rate of canine retraction

  Distal movement of maxillary canine is measured in mm with the help of electric digital caliper or acrylic plug method after beginning of maxillary canine retraction

  4th week

• Measurement of rate of canine retraction

  Distal movement of maxillary canine is measured in mm with the help of electric digital caliper or acrylic plug method after beginning of maxillary canine retraction

  8th week

• Measurement of rate of canine retraction

  Distal movement of maxillary canine is measured in mm with the help of electric digital caliper or acrylic plug method after beginning of maxillary canine retraction

  12th week

• Measurement of rate of canine retraction

  Distal movement of maxillary canine is measured in mm with the help of electric digital caliper or acrylic plug method after beginning of maxillary canine retraction

  16th week

Secondary Outcomes (4)

• Assessment of pain/discomfort level

  at the beginning of canine retraction

• Assessment of pain/discomfort level

  24 hours

• Assessment of pain/discomfort level

  7th day

• Assessment of pain/discomfort level

  28th day

Study Arms (2)

Piezocision on Experimental Side A

EXPERIMENTAL

Piezocisions with the help of piezotome , mesial and distal to a canine (in a vertical line) with the help of piezotome to accelerate maxillary canine retraction

Procedure: Piezocision

Micro-osteoperforations on Experimental side B

EXPERIMENTAL

Three MOPs with the help of mini-implant screw driver,mesial and distal to canine(in a vertical line) with the help of minisrew implant driver to accelrate maxillary canine retraction

Procedure: Micro-osteoperforations

Interventions

Piezocision PROCEDURE

Piezocisions with the help of piezotome , mesial and distal to a canine (in a vertical line) with the help of piezotome. These piezocisions will be performed on the buccal cortical bone only, 2-3mm below the alveolar crest level, 2mm deep into the bone under local anaesthesia (2% lidocaine with 1:100,000 epinephrine) and with standard asepsis, and gingival overlying will be incised first with blade number 15 in a Bard Parker handle . The exact location of incision will be determined by transgingival probing mesial and distal to the canine to know the alveolar crest level and to this measurement 2-3 mm is added and then 5mm incision is given in gingiva and overlying mucoperiosteum in a vertical line apically to expose the underlying bone.

Piezocision on Experimental Side A

Micro-osteoperforations PROCEDURE

Three MOPs mesial and three MOPs distal to canine(in a vertical line) with the help of minisrew implant driver (fig.2). These MOPs will be performed on the buccal cortical bone only, 2-3 mm below the alveolar crest level, 2mm deep into the bone under local anaesthesia (2% lidocaine with 1:100,000 epinephrine) and with standard asepsis, and no flap will be raised. The exact location of first MOP will be determined by transgingival probing mesial and distal to the canine to know the alveolar crest level and to this measurement 2-3 mm is added. The location of second MOP at 5mm apically in a vertical line and third MOP at 5 mm apically to second MOP

Micro-osteoperforations on Experimental side B

Eligibility Criteria

• Age: 16 Years - 25 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Patients with age between 16-25 years
• Patients with Angle's class II division 1 malocclusion requiring bilateral extraction of maxillary first premolars.
• Overjet of ≤ 10mm
• No debilitating systemic disease.
• No radiographic evidence of bone loss.
• No history of periodontal disease/ therapy.
• No smoking habit.
• Probing depth of not more than 3mm in all teeth.

You may not qualify if:

• Presence of any signs and symptoms of gingival and periodontal diseases.
• Overjet more than 10mm.
• Long-term drug history.
• Systemic diseases.
• Evidence of bone loss.
• Smoking habit.

Sponsors & Collaborators

• Postgraduate Institute of Dental Sciences Rohtak: lead

Study Sites (1)

Post Graduate Institute of Dental Sciences

Rohtak, Haryana, 124001, India

RECRUITING

MeSH Terms

Conditions

Malocclusion, Angle Class II

Condition Hierarchy (Ancestors)

Malocclusion; Tooth Diseases; Stomatognathic Diseases

Central Study Contacts

Manisha Kamal Kukreja, MDS

CONTACT

9215650617; mk3pgids@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: December 14, 2020
• First Posted: February 8, 2021
• Study Start: December 25, 2020
• Primary Completion: September 1, 2021
• Study Completion: December 1, 2021
• Last Updated: February 8, 2021

Record last verified: 2021-02

Data Sharing

• IPD Sharing: Will not share

Locations

IN (1)