Comparison of Posttreatment Periodontal Status of Palatally Impacted Canines Aligned by Conventional Versus Accelerated Minimally-invasive Corticotomy-assisted Orthodontic Traction Treatment: A Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 46
- 试验地点
- 1
- 主要终点
- Changes in the periodontal pocket depth (PPD)
研究概览
简要总结
Impacted canine causes many problems for patients, such as damage to the adjacent teeth roots, effects on gingival tissues, aesthetic problems, difficulty, and prolonged orthodontic treatment duration. Therefore, solutions to accelerate the movement of impacted canines with the help of surgical procedures to reduce treatment time will be investigated, such as intra-operative alveolar perforations and piezocision. We also aimed to evaluate periodontal changes associated with such accelerating procedures compared with the conventional traction method.
详细描述
Patients with palatally impacted maxillary canines will be treated using fixed appliances assisted by some surgical procedures. The effects of this treatment approach on the periodontal status will be assessed using periodontal measurements.
There are two groups :
- conventional treatment group
- minimally-invasive corticotomy-assisted treatment group Patients will be allocated to the two groups randomly. Data will be collected using periodontal variables.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 28 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age of patients: 18-28 years.
- •Palatal or Mid-alveolar impacted canine.
- •There is no previous orthodontic treatment.
- •Healthy periodontal tissues and good oral health (i.e., the Plaque Index is less or equal to 1 according to Loe and Silness(1963).
- •The patient does not take any drug that may interfere with the tooth movement (Cortisone, NSAIDs ...).
- •Mild or no crowding on the upper jaw.
- •No history of previous trauma to the maxillofacial region or surgical interventions.
排除标准
- •Any systemic diseases that would affect tooth movement
- •Antidepressant prevents oral surgery
- •Any congenital syndromes or cleft lip and palate cases
- •Bad oral health
- •Previous orthodontic treatment
结局指标
主要结局
Changes in the periodontal pocket depth (PPD)
时间窗: Time 1: immediately before the surgical exposure; Time 2: immediately at the end of the active treatment
The distance from the gingival margin to the base of the pocket of the first premolar, canine, and lateral incisor.
Changes in the width of the keratinized tissue (KT)
时间窗: Time 1: immediately before the surgical exposure; Time 2: immediately at the end of the active treatment
The distance from the gingival margin to the mucogingival junction of the first premolar, canine, and lateral incisor
Changes in the gingival margin (GM)
时间窗: Time 1: immediately before the surgical exposure; Time 2: immediately at the end of the active treatment
The distance from the cementoenamel junction (CEJ) to the gingival margin of the first premolar, canine, and lateral incisor.
次要结局
- Changes in the Gingival Index (GI)(Time 1: immediately before the surgical exposure; Time 2: immediately at the end of the active treatment)
- Changes in the Bleeding Index (BI)(Time 1: immediately before the surgical exposure; Time 2: immediately at the end of the active treatment)