Improving the Treatment Outcome Related to Inclination of Mandibular Incisors by Separating Aligning and Leveling Phases.

Dow University of Health Sciences36 enrolled

Overview

Study Summary The goal of this clinical trial is to determine whether separating the aligning and leveling phases during fixed orthodontic treatment improves the treatment outcome related to the inclination of mandibular incisors in patients undergoing comprehensive orthodontic treatment. The main questions it aims to answer are: Does separating the aligning and leveling phases result in better control of mandibular incisor inclination compared with the conventional simultaneous approach? Does the modified treatment approach reduce unwanted proclination of mandibular incisors during the initial phase of orthodontic treatment? Researchers will compare patients treated with a separated aligning and leveling protocol to those treated with the conventional simultaneous aligning and leveling protocol to determine whether the modified approach provides superior control of mandibular incisor inclination. Participants will: Undergo a clinical examination and baseline orthodontic records, including dental casts and lateral cephalometric radiographs. Be randomly assigned to either the experimental (separated aligning and leveling) group or the conventional treatment group. Receive fixed orthodontic treatment according to the allocated treatment protocol. Attend regular follow-up appointments for archwire changes and treatment monitoring. Undergo post-treatment assessment of mandibular incisor inclination and other relevant treatment outcomes using lateral cephalometric radiographs.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

OTHER

Masking

TRIPLE

Enrollment

Conditions

Alignment Leveling and Alignment of Teeth

Interventions

Separating phases of alignment and leveling using heat activated niti archwireOTHER

6 months

Eligibility

Sex: ALLMin age: 18 YearsMax age: 30 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Patients aged 18-30 years age * Skeletal Class 1 * Angle class 1 malocclusion * Little's irregularity index falls between 4-8mm * Curve of spee depth 3-4mm * Non-extraction Orthodontic plan Exclusion Criteria: * Previous Orthodontic treatment * Advanced periodontal problem * Drug used that modify bone metabolism * Growing patients * Patient with anterior mandibular spacing * Systemic Disease (uncontrolled diabetes Mellitus etc )

Locations (1)

Dr Ishrat ul Ebad Khan Institute of Oral Health Sciences

Karachi, Sindh, Pakistan

Outcomes

Primary Outcomes

to Control mandibular incisor inclination

control mandibular incisor inclination using heat activated niti archwire. It will be checked through cephalometric radiographs using the angles: Incisor Mandibular Plane Angle (IMPA) at T0: baseline, T1: 3 months follow up and T2: 6 month follow up.

Time frame: 6 months

Secondary Outcomes

TO flatten curve of spee

Flattening of curve of spee using heat activated niti archwires. It will be checked at cast by placing a flat object on the occlusal surface and measuring the deepest point from the premolar to the flat surface at T0: baseline, T1: 3 months follow up and T2: 6 month follow up.

Time frame: 6 months

Data from ClinicalTrials.gov

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