Use of Osteo-perforations for faster Maxillary Canine retraction.

Completed

• Conditions: class II division 1 malocclusion

• Registration Number: CTRI/2017/10/010290
• Lead Sponsor: sachin parashar

Brief Summary

**Objective**: To evaluate the effect of Transmucosal Micro Osteo-perforations on the rate of canine retraction.

**metod:**18 patients with the mean age of 20.4 + 1.8 years, who had a Class II Division 1 malocclusion and requires extraction of maxillary first premolars were selected and their maxillary halves were randomized in experimental and control group. Treatment was initiated by bonding 0.022†slot MBT straight wire appliance.Individual Canine retraction was done   on 0.017â€Ã— 0.025†stainless steel arch wire. Transmucosal MOP were done on experimental side with 3 perforations mesial and 3  distal to canine. Active intervention for each side is done using 8mm dentaurum mini implant screw and driver. Impressions records were taken at   4th , 8th , and 12th   & 16th weeks  of canine retraction. CBCT was taken before initiation of retraction and post 12th week of canine retraction, for assessment of changes in the marginal bone height and apical root resorption.

Results/findings:

1.      There was significant difference in the rate of canine retraction between the Transmucosal Micro Osteo-Peroration  assisted and standard orthodontic technique .

2.      Transmucosal MOP shows rate of canine retraction 1.6 times faster or 66% higher in the first 4 weeks that tends to decrease after 8th week than the conventional technique.

3.      There is minimal root resorption and marginal bone loss.

4.      The difference in the level of pain, ease and satisfaction with the procedure seems insignificant between the MOP assisted and conventional orthodontics.

Detailed Description

Not available

Study Timeline

• Study Start: 2015-05-20
• Study Completion: 2015-11-12
• Last Update Posted: 2017-10-28

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 18

Inclusion Criteria

• 1.Patients with class II div.1 malocclusion requiring bilateral extraction of maxillary first premolars.
• 2.Overjet of less than 10mm.
• 3.No debilitating systemic disease.
• 4.No radiographic evidence of bone loss.
• 5.No history of periodontal disease/ therapy.
• 6.No smoking habit.
• 7.No gingivitis or untreated caries.

Exclusion Criteria

• 1.overjet more than 10mm 2.Presence of any signs and symptoms of gingival and periodontal diseases.
• 3.History of Long-term medication 4.Systemic diseases.
• 5.Evidence of bone loss.
• 6.Smoking habit.
• 7.Any carious Lesions.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
The rate of canine movement was 66% or 1.66times and 32% or 1.3 times faster in experimental side during first four and eighth week respectively, as compared to the control side.	The rate of canine movement was 66% or 1.66times and 32% or 1.3 times faster in experimental side during first four and eighth week respectively, as compared to the control side.

Secondary Outcome Measures

Name	Time	Method
1.There is minimal root resorption and marginal bone loss.	2.The difference in the level of pain, ease and satisfaction with the procedure seems insignificant between the MOP assisted and conventional orthodontics.

Trial Locations

Locations (1)

POST GRADUATE INSTITUTE OF DENTAL SCIENCES (PGIDS), Rohtak; 🇮🇳 Rohtak, HARYANA, India

POST GRADUATE INSTITUTE OF DENTAL SCIENCES (PGIDS), Rohtak

🇮🇳Rohtak, HARYANA, India

Dr Rekha Sharma

Principal investigator

9999362277

rajsringari@gmail.com