NCT04881786

Brief Summary

The purpose of this study was to quantify the effect of moderate and severe orthodontic forces on Calcitonin gene-related peptide expression in the healthy human periodontal ligament. Methodology: 90 human periodontal ligament samples were obtained from healthy premolars where extraction was indicated for orthodontic reasons. Prior to extraction, teeth were divided into 3 groups of 30 samples each: I) Untreated teeth control group; II) Moderate force group: A 56 g force was applied to the premolars for 7 days; and III) Severe force group: A 224 g force was applied to the premolars for 24 hours. All periodontal ligament samples were processed and CGRP was measured by radioimmunoassay.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
90

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Jun 2019

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

June 4, 2019

Completed
5 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 7, 2019

Completed
4 months until next milestone

Study Completion

Last participant's last visit for all outcomes

March 10, 2020

Completed
1.2 years until next milestone

First Submitted

Initial submission to the registry

May 5, 2021

Completed
6 days until next milestone

First Posted

Study publicly available on registry

May 11, 2021

Completed
Last Updated

May 13, 2021

Status Verified

May 1, 2021

Enrollment Period

5 months

First QC Date

May 5, 2021

Last Update Submit

May 10, 2021

Conditions

Keywords

Orthodontics forcesCalcitonin gene-related peptidePeriodontal ligament

Outcome Measures

Primary Outcomes (1)

  • Calcitonin gene-related peptide in periodontal ligament

    CGRP expression change in periodontal ligament

    24 hours stimulation and 7 days stimulation

Study Arms (3)

Untreated teeth control group

NO INTERVENTION

Premolars without orthodontic forces

Moderate force group

EXPERIMENTAL

Premolars were submitted to tipping and extrusion orthodontic movements, the activation angle was 45º with a force of 56 g. Forces were measured with an orthodontic dynamometer. For 7 days

Device: Orthodontic forces

Severe force group

EXPERIMENTAL

Premolars were submitted to tipping and extrusion orthodontic movements, the activation angle was 90º with a force of 224 g. Forces were measured with an orthodontic dynamometer. For 24 hours

Device: Orthodontic forces

Interventions

56g force and 224g force

Moderate force groupSevere force group

Eligibility Criteria

Age18 Years - 27 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • \- Premolars extraction indicated for orthodontic reasons with complete root development determined radiographically (and confirmed visually after extraction)

You may not qualify if:

  • Medicated patients,
  • Smokers patients,
  • Premolars with caries or restorations,
  • Premolars with signs of periodontal disease or traumatic occlusion,
  • Premolars with previous orthodontic forces

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Universidad Santo Tomas

Bucaramanga, Metropolitana, Colombia

Location

Related Publications (12)

  • Beertsen W, McCulloch CA, Sodek J. The periodontal ligament: a unique, multifunctional connective tissue. Periodontol 2000. 1997 Feb;13:20-40. doi: 10.1111/j.1600-0757.1997.tb00094.x. No abstract available.

    PMID: 9567922BACKGROUND
  • McCulloch CA, Lekic P, McKee MD. Role of physical forces in regulating the form and function of the periodontal ligament. Periodontol 2000. 2000 Oct;24:56-72. doi: 10.1034/j.1600-0757.2000.2240104.x. No abstract available.

    PMID: 11276873BACKGROUND
  • Lekic P, McCulloch CA. Periodontal ligament cell population: the central role of fibroblasts in creating a unique tissue. Anat Rec. 1996 Jun;245(2):327-41. doi: 10.1002/(SICI)1097-0185(199606)245:23.0.CO;2-R.

    PMID: 8769671BACKGROUND
  • Roberts WE, Goodwin WC Jr, Heiner SR. Cellular response to orthodontic force. Dent Clin North Am. 1981 Jan;25(1):3-17.

    PMID: 6937399BACKGROUND
  • Sandy JR, Farndale RW, Meikle MC. Recent advances in understanding mechanically induced bone remodeling and their relevance to orthodontic theory and practice. Am J Orthod Dentofacial Orthop. 1993 Mar;103(3):212-22. doi: 10.1016/0889-5406(93)70002-6.

    PMID: 8456777BACKGROUND
  • Caviedes-Bucheli J, Munoz HR, Azuero-Holguin MM, Ulate E. Neuropeptides in dental pulp: the silent protagonists. J Endod. 2008 Jul;34(7):773-88. doi: 10.1016/j.joen.2008.03.010.

    PMID: 18570980BACKGROUND
  • Price TJ, Flores CM, Cervero F, Hargreaves KM. The RNA binding and transport proteins staufen and fragile X mental retardation protein are expressed by rat primary afferent neurons and localize to peripheral and central axons. Neuroscience. 2006 Sep 15;141(4):2107-16. doi: 10.1016/j.neuroscience.2006.05.047. Epub 2006 Jun 30.

    PMID: 16809002BACKGROUND
  • Vandevska-Radunovic V. Neural modulation of inflammatory reactions in dental tissues incident to orthodontic tooth movement. A review of the literature. Eur J Orthod. 1999 Jun;21(3):231-47. doi: 10.1093/ejo/21.3.231.

    PMID: 10407533BACKGROUND
  • Caviedes-Bucheli J, Azuero-Holguin MM, Correa-Ortiz JA, Aguilar-Mora MV, Pedroza-Flores JD, Ulate E, Lombana N, Munoz HR. Effect of experimentally induced occlusal trauma on substance p expression in human dental pulp and periodontal ligament. J Endod. 2011 May;37(5):627-30. doi: 10.1016/j.joen.2011.02.013.

    PMID: 21496661BACKGROUND
  • Krishnan V, Davidovitch Z. On a path to unfolding the biological mechanisms of orthodontic tooth movement. J Dent Res. 2009 Jul;88(7):597-608. doi: 10.1177/0022034509338914.

    PMID: 19641146BACKGROUND
  • Caviedes-Bucheli J, Azuero-Holguin MM, Gutierrez-Sanchez L, Higuerey-Bermudez F, Pereira-Nava V, Lombana N, Munoz HR. The effect of three different rotary instrumentation systems on substance P and calcitonin gene-related peptide expression in human periodontal ligament. J Endod. 2010 Dec;36(12):1938-42. doi: 10.1016/j.joen.2010.08.043. Epub 2010 Oct 15.

    PMID: 21092809BACKGROUND
  • Caviedes-Bucheli J, Moreno JO, Ardila-Pinto J, Del Toro-Carreno HR, Saltarin-Quintero H, Sierra-Tapias CL, Macias-Gomez F, Ulate E, Lombana-Sanchez N, Munoz HR. The effect of orthodontic forces on calcitonin gene-related peptide expression in human dental pulp. J Endod. 2011 Jul;37(7):934-7. doi: 10.1016/j.joen.2011.03.035. Epub 2011 May 18.

    PMID: 21689547BACKGROUND

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
SCREENING
Intervention Model
PARALLEL
Model Details: from 90 premolars that were randomly divided into 3 groups of 30 premolars each, as follows: I) Untreated teeth control group (without orthodontic forces); II) Moderate force group; III) Severe force group. Teeth in moderate and severe orthodontic force groups were submitted to tipping and extrusion orthodontic movements.
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Investigator

Study Record Dates

First Submitted

May 5, 2021

First Posted

May 11, 2021

Study Start

June 4, 2019

Primary Completion

November 7, 2019

Study Completion

March 10, 2020

Last Updated

May 13, 2021

Record last verified: 2021-05

Data Sharing

IPD Sharing
Will not share

Locations