Effectiveness of a modified intraoral photobiomodulator for increasing the orthodontic tooth movement

Recruiting

Conditions: angles class1 malocclusion with bimaxillary protrusion

Registration Number: CTRI/2021/09/036454

Lead Sponsor: Dr Manoghna Subramanya H

Brief Summary: One of the common deterrents to orthodontic treatment is the length of time for active phase. In literature, authors have reported about 20-30 months to complete the orthodontic treatment. Although there are many methods to increase the rate of tooth movement, they are associated with discomfort, pain and invasiveness. Hence, there is a need for a non- invasive, cost effective and user friendly method of reducing the treatment time. Photobiomodulation (PBM), also known as low-level light therapy (LLLT), attempts to use low energy lasers or light-emitting diodes (LED) to modify cellular biology by exposure to light in the red to near-infrared (NIR) range (600â€“1000 nm). NIR light therapy has been linked to increase mitochondrial metabolism, wound healing and the promotion of angiogenesis in skin, bone, muscle, and nervous tissues. In this study, a customized intraoral photo-biomodulator made of acrylic and near-infrared LED lights incorporated into it will be used. The patients will be subjected to experiment based on randomly assigned split mouth design to prevent individual biologic variation. Pre-adjusted edgewise MBT prescription bracket system will be used with 0.022 slot and anchorage reinforcement by auxiliaries like Transpalatal arch and lingual arch or 2nd molar banding will be decided. After levelling and aligning, during the retraction phase photobiomodulation will be used. Patients are advised to use this photobio-modulator everyday for 3mins in the morning after brushing and before breakfast for an interval of 4 months.

Detailed Description: Not available

Recruitment & Eligibility

Status: Open to Recruitment

Sex: All

Target Recruitment: 15

Inclusion Criteria

Class I Bimaxillary cases needing all 4 extraction Between age group of 14 to 30years.

Exclusion Criteria

Patients under any other medication which affects tooth movement Patients with craniofacial anomalies Patients with periodontal disease Patients with any kind of systemic disease that affects tooth movement.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Rate of the tooth movement in photobiomodulator treated patients and non photobiomodulator treated patients will be measured and compared	time frame :4 months \| every month the amount of tooth movement will be evaluated by measuring from the distal aspect of canine to mesial aspect of second premolar and compared with control side

Secondary Outcome Measures

Name	Time	Method
1. Effect of photobiomodulator on root resoption	2. Effect of photobiomodulator on pulp vitality status

Trial Locations

Locations (1): faculty of dental sciences, ramaiah university of applied sciences
🇮🇳
Bangalore, KARNATAKA, India
faculty of dental sciences, ramaiah university of applied sciences
🇮🇳Bangalore, KARNATAKA, India
Dr Manoghna Subramanya H
Principal investigator
7829333356
manuhs_1995@yahoo.com