Evaluation and Comparison of the effects Of SONIC toothbrush with Manual toothbrush on the rate of Enmasse retraction of anterior teeth in the patients undergoing fixed Orthodontic treatment: A Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 16
- 试验地点
- 1
- 主要终点
- To evaluate and compare the effects of sonic toothbrush with manual toothbrush on the rate of en-masse retraction of anterior teeth for six months in the patients undergoing fixed orthodontic treatment.
研究概览
简要总结
Introduction:- The average duration of orthodontic treatment with fixed appliances extends from 18-24months, despite of having various advances and innovation in orthodontic appliances and their design1. Accelerating the rate of tooth movement can significantly reduce the duration of orthodontic treatment2. There are several methods of accelerating tooth movement, such as:1) Pharmacological-(corticosteroids, vitamin D3, prostaglandins )3.
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Surgical-(distraction osteogenesis, piezocision, alveolar corticotomy) 4.
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Physical or mechanical-(electric currents, resonant vibration, low level laser therapy, photobiomodulation) 5.
However, pharmacological method has certain undesirable side effects and surgical method being invasive causing discomfort to the patient3. High frequency resonance vibration combined with orthodontic tooth movement results in release of inflammatory biomarkers like IL1 beta, PGE2, TNF alpha leading to bone remodeling and periodontal tissue adaptability6.
A number of in vivo and in vitro studies have suggested that high frequency vibration are noninvasive and can affect the bone metabolism and increase rate of tooth movement7. There are various commercially available devices like AcceleDentTM, VPro5®, Orthopulse that have been tried to accelerate orthodontic tooth movement. AcceleDent has used 30Hz of vibrational forces on to the human subject for 20 minutes per day for six months similarly, there is another commercial device, but with high-frequency mechanical vibration (HFMV), is the VPro5® device at 120 Hz, 5 min per day8,9.
Leethanakul et al reported that light orthodontic force along with electric toothbrush (Colgate Motion-Multi Action) with rotating and vibratory head having frequency of 125 Hz enhanced the release of biomarkers like interleukin 1 beta from the gingival crevicular fluid and accelerated orthodontic tooth movement10. There are different types of toothbrushes available in the market such as manual, powered with oscillating head and sonic toothbrush11. In the recent era, sonic toothbrush has been routinely used for maintaining oral hygiene.
**Objectives: -**To evaluate and compare the effects of sonic toothbrush on the rate of en-masse retraction of anterior teeth for six months in the patients undergoing fixed orthodontic treatment.
研究设计
- 研究类型
- Interventional
- 分配方式
- Other
- 盲法
- Participant and Investigator Blinded
入排标准
- 年龄范围
- 18.00 Year(s) 至 30.00 Year(s)（—）
- 性别
- All
入选标准
- •Patients in the age group of 18-30 years.
- •Patients with bimaxillary protrusion having minimal crowding or crowding less than 3mm and requiring 1st premolar extraction with absolute anchorage.
- •Patients with average growth pattern.
- •Systemically healthy patients.
- •Patients with healthy periodontium with generalized probing depth of 3 mm(Williams Probe) and no radiographic bone loss.
排除标准
- •Patients who had taken NSAIDs or opioids within a month before the study.
- •Patients with poor oral hygiene (Gingival index scores less than 1) and periodontal disease were excluded from this study.
- •Patients with systemic illnesses, syndromes, oral lesions, bony disease or pathologies.
- •Patients with grade I,II,III mobility.
- •Patients with dental implants.
- •Patients with horizontal and vertical growth pattern.
- •Patients with hyperactive mentalis muscle.
- •Patients with oral habits.
结局指标
主要结局
To evaluate and compare the effects of sonic toothbrush with manual toothbrush on the rate of en-masse retraction of anterior teeth for six months in the patients undergoing fixed orthodontic treatment.
时间窗: The rate of enmasse retraction will be assessed at 30days, 60days, 90days, 120days, 150days,180 days
次要结局
未报告次要终点
研究者
Dr Sneha Bhaisare
Swargiya Dadasaheb Kalmegh Smruti Dental College And Hospital