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Influence of Low-level Laser Therapy Versus Low-intensity Pulsed Ultrasound on Different Orthodontic Tooth Movements

Not Applicable
Conditions
Effect of Low Level Laser Versus Low Intensity Pulsed Ultra Sound on Rate of Different Orthodontic Tooth Movement by Millimeter
Interventions
Device: low-level laser therapy
Registration Number
NCT06026930
Lead Sponsor
Al-Azhar University
Brief Summary

The aim of this prospective clinical project will be to compare the effect of low-level laser therapy versus low intensity pulsed ultrasound on the rate of different orthodontic tooth movements

Detailed Description

The aim of this prospective clinical project will be to compare the effect of low-level laser therapy versus low intensity pulsed ultrasound on the rate of different orthodontic tooth movements, specifically; canine retraction, incisors' leveling and alignment, maxillary molar distalization, and incisors' intrusion

Recruitment & Eligibility

Status
ENROLLING_BY_INVITATION
Sex
All
Target Recruitment
82
Inclusion Criteria
  • A- leveling and alignment Eligibility criteria
  1. Age ranges from 14 to 17 years. 2. Bilateral Class II molar relationship. 3. Skeletal Class I or mild Class II relationship. 4. Normal or decreased vertical height. 5. No posterior crowding or spaces. 6. Fully erupted maxillary first and second molars. 7. Congenitally missing or extracted third molars. 8. Good oral hygiene. 9. Absence of any periodontal disease and alveolar bone loss. 10. Absence of medications that may inhibit orthodontic movement

Lower incisor leveling and alignment Inclusion criteria Complete permanent dentition (third molars not included); Moderate mandibular anterior crowding (with little's irregularity index score greater than 4 mm) who required non-extraction approach in the mandibular arch; No tooth size, shape or root abnormalities visible on the patient's radiographic records; No spaces in the mandibular arch; No blocked out tooth that did not allow for placement of the bracket at the

initial bonding appointment; 6. No required management with interproximal stripping, inter-maxillary elastics, open NiTi springs, and removable or extra-oral devices. Canine retraction Eligibility criteria

Age, 15 to 25 years; Class ii division 1 malocclusion with mild or no crowding; No previous orthodontic treatment; No systemic disease that might have affected bone formation or density, such as osteoporosis, hyperparathyroidism, or vitamin d deficiency; Adequate oral hygiene; Probing depth values not exceeding 3 mm across the Entire dentition; Adequate thickness of the attached gingiva (1-2 mm); No radiographic evidence of bone loss

Exclusion Criteria
  • Patients who required surgery to correct skeletal discrepancies. Patients with congenital dentoskeletal disorders. Missed or mutilated teeth in maxillary arch. Patients with poor oral hygiene and/or periodontally compromised patients Severe dental crowding that necessitates an extraction approach 2. Abnormal anteroposterior and vertical relationships; 3. Patients with cleft lip and palate, anomalies, and syndromes; 4. Previous orthodontic 5. Treatment; 6. Regular medications intake that could interfere with otm. -

Study & Design

Study Type
INTERVENTIONAL
Study Design
FACTORIAL
Arm && Interventions
GroupInterventionDescription
LIPUS group: Intrusionlow-level laser therapyintrusion assisted with LIPUS according to a standardized protocol
Lipus side: canine retractionlow-level laser therapyapplication of LIPUS with translation of maxillary canine that will be performed on intervention sides according to a standardized protocol
LLLT group: distalization intervntion sidelow-level laser therapydistalization will be commenced with application of LLLT according to a standardized protocol
LLLT group: leveling and alignmentlow-level laser therapyleveling and alignment be commenced with application of LLLT according to a standardized protocol
LLLT side canine retractionlow-level laser therapytranslation of maxillary canine that will be performed with LLLT application according to a standardized protocol
LIPUS group: leveling and alignmentlow-level laser therapyleveling and alignment assisted with LIPUS according to a standardized protocol
LLLT group: Intrusionlow-level laser therapyintrusion assisted with application of LLLT according to a standardized protocol
LIPUS groupMolar distalization group inrervention sidelow-level laser therapydistalization assisted with LIPUS according to a standardized protocol
Primary Outcome Measures
NameTimeMethod
Influence of low-level laser therapy versus low-intensity pulsed ultrasound on rate of different orthodontic tooth movements by millimeterpost interventionalal at 6months

rate of orthodontic tooth movement by millimeter

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

AlAzhar university

🇪🇬

Cairo, Egypt

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