Comparing the efficiency of two different types of bracket system in correcting irregularly placed teeth without removal of teeth

Not yet recruiting

• Conditions: Other specified diseases of hard tissues of teeth,

• Registration Number: CTRI/2021/10/037227
• Lead Sponsor: DR A C Dechamma

Brief Summary

Anchorage plays a vital role in orthodontic treatment and anchorage planning helps in achieving stable treatment objectives. Anchorage loss is said to be a potential side effect from the orthodontic mechanotherapy and may lead to suboptimal results. The sliding mechanisms used in  conventional brackets such as MBT develops frictional forces between arch wire and bracket and 60% of the applied force is dissipated as friction resulting in inhibited tooth movement thereby leading to anchorage loss.

Self ligating brackets develop less frictional forces, use lighter forces and align the arch form by arch expansion. However alleviation of crowding in non-extraction cases treated with Damon self ligating brackets is associated with significant changes in the maxillary and mandibular incisor positions and anchorage loss. Only fewer studies have been conducted comparing the changes in incisor position in non-extraction cases treated with Damon self ligating and Conventional MBT brackets.

Therefore the present study will be conducted to assess and compare the changes in  incisor position, amount of anchorage loss and intensity of pain experienced by the patients in non-extraction orthodontic cases treated with Damon Q self ligating brackets and Conventional MBT  Brackets. Anchorage plays a vital role in orthodontic treatment and anchorage planning helps in achieving stable treatment objectives. Anchorage loss is said to be a potential side effect from the orthodontic mechanotherapy and may lead to suboptimal results. The sliding mechanisms used in  conventional brackets such as MBT develops frictional forces between arch wire and bracket and 60% of the applied force is dissipated as friction resulting in inhibited tooth movement thereby leading to anchorage loss.

Hence the need for the present study is to

1.      To assess the changes in  incisor position with self ligating brackets and conventional brackets in non-extraction cases

2.      To assess the amount of anchorage loss with self ligating brackets and conventional brackets in non-extraction cases

3.      To assess the intensity of  pain experienced by the patients with self ligating brackets and conventional brackets in non-extraction cases

4.      To compare the changes in  incisor position, amount of anchorage loss and intensity of  pain experienced between self ligating brackets and conventional brackets in non-extraction cases

5.      To draw clinical inferences from the above

Detailed Description

Not available

Study Timeline

• Last Update Posted: 2021-08-09
• Study Start: 2021-10-25

Recruitment & Eligibility

• Status: Not Yet Recruiting
• Sex: All
• Target Recruitment: 20

Inclusion Criteria

• 1.Patients with mild to moderate maxillary and mandibular dental arch crowding.
• 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.

Exclusion Criteria

• 1.Previous history of any orthodontic or orthopedic treatment 2.Presence of supernumerary tooth or any congenital anomalies 3.Any bone pathology, ankylosed teeth.
• 4.Patients taking drugs modifying normal bone physiology (i.e., bisphosphonates) on or before a period of 3 months.
• 5.Patients with evidence of bone loss.
• 6.Patients who have undergone periodontal treatment within three months of baseline examination 7.Systemic disorder that could influence periodontal health.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
1.Assess the changes in incisor position and anchorage loss in non extraction cases treated with self ligating brackets.	18 months
2.Assess the changes in incisor position and anchorage loss in non extraction cases treated with conventional brackets.	18 months

Secondary Outcome Measures

Name	Time	Method
Compare the changes in incisor position and anchorage loss in non extraction cases treated with self ligating brackets and conventional brackets.	18 months

Trial Locations

Locations (1)

Coorg Institute Of Dental Sciences; 🇮🇳 Kodagu, KARNATAKA, India

Coorg Institute Of Dental Sciences

🇮🇳Kodagu, KARNATAKA, India

DR A C Dechamma

Principal investigator

8105908512

dechammaashik@gmail.com