COMPARAING THE SPEED OF TOOTH MOVEMENT IN TWO TYPES OF FASTEN TOOTH MOVEMENTS.

Not yet recruiting

Conditions: Other specified diseases of hard tissues of teeth,

Registration Number: CTRI/2023/05/052211

Lead Sponsor: DR POOJA SHARMA

Brief Summary: The long duration of orthodontictreatment is one of the most frequent complaints of orthodontic patients.It results from the use of traditional mechanical forces to induce movement bystimulation of resorption modelling in the paradental tissue (1). Long term orthodontic treatment causes increase inthe risk of dental caries, gingival recession and root resorption. Shorterduration of orthodontic treatment is the need of the hour in current practiceas huge number of adult patients demand results within a short span of time. Asa result, there is an increased number of studies focusing on methods thataccelerate orthodontic tooth movement.

Several noninvasive or invasivetechniques have been proposed clinically or experimentally for acceleratingorthodontic tooth movement (2). The noninvasivetechniques include (a) biomechanical approach such as the self-ligationbrackets (b) physiological approach such as the direct electric currentstimulation, the low-level laser therapy, vibration or photo modulation and (c)pharmacological approach such as the injection of prostaglandin or relaxin (3).

Keser and Dibart, introduced the Piezocision technique, a novel minimallyinvasive technique for accelerated tooth movement (4). One of the recently usedlocal agents to accelerate the rate of orthodontic tooth movement isplatelet-rich plasma (PRP). PRP is defined as an autologous concentration ofplatelets in a minute volume of plasma.

Through this study, we will be assessingand comparing the rate of enmasse retraction between Piezocision and Platelet-rich plasma (PRP) inducedaccelerated tooth movement in bimaxillary protrusion cases.

Detailed Description: Not available

Recruitment & Eligibility

Status: Not Yet Recruiting

Sex: All

Target Recruitment: 16

Inclusion Criteria

1.Angleâ€™s class I malocclusion indicated for bilateral maxillary first premolar extraction.
2.Male and female patients between the age group of 18 and 45 years.
3.Patients with no clinical signs of periodontal diseases.
4.Patients with no gingivitis or untreated caries 5.Patients with no history of periodontal therapy.

Exclusion Criteria

1.Previous history of any orthodontic or orthopedic treatment 2.Any bone pathology, ankylosed teeth.
3.Patients taking drugs modifying normal bone physiology (i.e., bisphosphonates) on or before a period of 3 months.
4.Long term use ofanti-biotics, phenytoin, cyclosporine, anti-inflammatory drugs, systemic corticosteroids and calcium channel blockers.
5.Smokers 6.Patients with evidence of bone loss.
7.Patient having a pacemaker or any other active implant.
8.Patients who have undergone periodontal treatment within three months of baseline examination.
9.Systemic disorder that could influence periodontal health.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
â€¢To assess the rate of enmasse retraction with Platelet rich plasma (PRP) induced accelerated orthodontic tooth movement in bimaxillary protrusion cases.	T0 - Beginning of enmasse retraction \| T1 - After 90 days of enmasse retraction.
â€¢To assess the rate of enmasse retraction with Piezocision induced accelerated orthodontic tooth movement in bimaxillary protrusion cases.	T0 - Beginning of enmasse retraction \| T1 - After 90 days of enmasse retraction.

Secondary Outcome Measures

Name	Time	Method
â€¢To compare the rate of enmasse retraction between Piezocision induced and Platelet rich plasma (PRP) induced accelerated orthodontic tooth movement in bimaxillary protrusion cases.	T0 - Beginning of enmasse retraction

Trial Locations

Locations (1): COORG INSTITUTE OF DENTAL SCIENCES
🇮🇳
Kodagu, KARNATAKA, India
COORG INSTITUTE OF DENTAL SCIENCES
🇮🇳Kodagu, KARNATAKA, India
DR POOJA SHARMA
Principal investigator
9008601770
pooja1stapril@gmail.com