Root Resorption and Alveolar Bone Changes in the Maxillary Canine Retraction Using Ni Ti Closed-coil Springs Versus Elastomeric Chains (A Split -Mouth Cone Beam CT Study)

N/ANot Yet RecruitingNCT07116954

Al-Azhar University22 enrolled

Overview

This study will be carried out to asses root resorption and alveolar bone changes in the maxillary canine retraction using NiTi closed-coil springs versus elastomeric chains with cone beam CT

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

OTHER

Masking

SINGLE

Enrollment

Conditions

Orthodontic Patients Indicated for Upper First Premolar Extraction Orthodontic Patients Indicated for Maxillary Canine Retraction

Interventions

Twenty-Two adult Patients who indicated for bilateral maxillary first premolar extraction will be randomly assigned into two equal group.PROCEDURE

Group1: Elastomeric chains will be used on the right side, and NiTi closed-coil springs will be used on the left side. Group2: NiTi closed-coil springs will be used on the right side, Elastomeric chains will be used on the left side.

Canin retraction with NiTi Closed-Coil Springs and elastomeric chainsPROCEDURE

Comparison between canine retraction using NiTi closed-coil springs versus elastomeric chains

Eligibility

Sex: ALLMin age: 16 Years

Medical Language ↔ Plain English

* Inclusion Criteria: * Patients aged 16 years or older * Patients indicated for fixed orthodontic appliances * Patients indicated for bilateral extraction of maxillary first premolars * Patients who have not undergone any previous orthodontic treatment * Exclusion Criteria: * Patients with a history of craniofacial trauma, anomalies, or congenital defects * Patients currently taking anticoagulant drugs affecting bone metabolism * Patients with a history of trauma or pathology involving the maxillary canines * Patients with periodontally compromised teeth

Outcomes

Primary Outcomes

Change in Apical Root Length After Canine Retraction

Measurement of apical root length (in millimeters) using CBCT images at T1 and T2 to assess root resorption on both retraction methods.

Time frame: Baseline (prior to canine retraction) and 6 months after retraction

Change in Alveolar Bone Thickness After Canine Retraction

Quantitative measurement of alveolar bone thickness (in millimeters) using CBCT images taken at baseline (T1) and post-treatment (T2) in both NiTi closed-coil spring and elastomeric chain sides.

Time frame: Baseline (prior to canine retraction) and 6 months after retraction

Secondary Outcomes

Change in Probing Depth

Measurement of probing depth (in millimeters) on both sides at baseline and 6 months

Time frame: Baseline and 6 months post-treatment

Change in Plaque Index

Scoring of plaque accumulation using the Silness-Löe Plaque Index (score range: 0 to 3; higher score = worse outcome)

Time frame: Baseline and 6 months post-treatment

Change in Bleeding Index

Evaluation using the Gingival Bleeding Index (score range: 0 to 3; higher score = worse outcome)

Time frame: Baseline and 6 months post-treatment

Central Contacts

Ahmed Mohamed Hassan Mahdy, Bds

CONTACT

+201119808935 Ah4723045@gmail.com

Data from ClinicalTrials.gov

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