Effectiveness of Methods to Remove Residual Orthodontic Adhevsie

NCT05929391 | Completed

• 1 other identifier: recycling orthodontic
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this study is to compare the clinical efficacy of different residual orthodontic adhesive removing methods for rebonding debonded metal attachments.

Conditions

Orthodontic Appliance Complication

Keywords

Recycling, Sandblasting, Metal Bracket.

Outcome Measures

Primary Outcomes (1)

• The number of bonding failures will be compared using the chi-square test.

  evaluate and compare the bond failure rates. different quadrants and arches.To evaluate and compare the bond failure rates of rebonded attachments(brackets and molar tubes)using two methods (Tungsten carbide bur and sandblasting)) to remove the adhesive remnant and comparing them with contralateral teeth.

  baselines

Secondary Outcomes (1)

• The bonding failure between each quadrant will be compared by one way ANOVA.

  bsaelines

Study Arms (4)

sandblasted group (T1)

EXPERIMENTAL

the side of mouth patient that receives fixed orthodontic appliance that renewed by sandblast

Procedure: Recycling orthodontic brackets

control group (T3)

PLACEBO COMPARATOR

the side of mouth patient that receives new fixed orthodontic appliance.

Procedure: Recycling orthodontic brackets

tungsten bur group (T0)

EXPERIMENTAL

the side of mouth patient that receives fixed orthodontic appliance that renewed by tungsten bur.

Procedure: Recycling orthodontic brackets

control group (T2)

PLACEBO COMPARATOR

the side of mouth patient that receives new fixed orthodontic appliance.

Procedure: Recycling orthodontic brackets

Interventions

Recycling orthodontic brackets PROCEDURE

T0: The adhesive removal will be performed by high-speed hand piece with tungsten carbide bur. the bur will be changed every five attachments. T1: Control group of T0. T2: The adhesive removal will be performed by sandblasting via Micro-etcher. T3: Control group of T2.

control group (T2); control group (T3); sandblasted group (T1); tungsten bur group (T0)

Eligibility Criteria

• Age: 12 Years - 25 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Patients need metal fixed orthodontic appliance treatment;
• Complete set of permanent dentition with fully erupted teeth on both arches;
• Intact teeth and mainly their buccal surfaces are free from caries, fillings, or gingival hyperplasia;
• No occlusal interferences that can affect the ideal position of attachments, especially in the lower arch.

You may not qualify if:

• patients have crown, missing teeth, or craniofacial anomalies.
• patients have congenital enamel defects specially their buccal surface.

Sponsors & Collaborators

• University of Baghdad: lead

Study Sites (1)

2 private dental clinics in Iraq and special center in Karbala.

Baghdad, Iraq

Location

Related Publications (3)

• Ahmed T, Rahman NA, Alam MK. Assessment of in vivo bond strength studies of the orthodontic bracket-adhesive system: A systematic review. Eur J Dent. 2018 Oct-Dec;12(4):602-609. doi: 10.4103/ejd.ejd_22_18.

  PMID: 30369810 BACKGROUND

• Alessandri Bonetti G, Zanarini M, Incerti Parenti S, Lattuca M, Marchionni S, Gatto MR. Evaluation of enamel surfaces after bracket debonding: an in-vivo study with scanning electron microscopy. Am J Orthod Dentofacial Orthop. 2011 Nov;140(5):696-702. doi: 10.1016/j.ajodo.2011.02.027.

  PMID: 22051490 BACKGROUND

• Eminkahyagil N, Arman A, Cetinsahin A, Karabulut E. Effect of resin-removal methods on enamel and shear bond strength of rebonded brackets. Angle Orthod. 2006 Mar;76(2):314-21. doi: 10.1043/0003-3219(2006)076[0314:EORMOE]2.0.CO;2.

  PMID: 16539561 BACKGROUND

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, CARE PROVIDER
• Masking Details: The attachments will carry out by main investigator who give each side coded key then the attachments will be rebond by blind specialist. The participants will be blinded to group assignment and interventions (double-blinded trial).
• Purpose: SCREENING
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: College of Dentistry/University of Baghdad

Model Details: split-mouth, cross-quadrant

Study Record Dates

• First Submitted: June 8, 2023
• First Posted: July 3, 2023
• Study Start: May 1, 2023
• Primary Completion: February 1, 2024
• Study Completion: March 1, 2024
• Last Updated: July 8, 2024

Record last verified: 2024-07

Locations

IR (1)