Randomized, Blinded, Controlled Clinical Trial of Surgically Facilitated Orthodontic Treatment

Randomized, Blinded, Controlled Clinical Trial of Surgically Facilitated Orthodontic Treatment in the Mandibular Anterior Region

The purpose of this investigation is intended to evaluate the efficacy of surgically facilitated orthodontic treatment (SFO) in terms of treatment time, incidence of root shortening, and occurrence of mucogingival side effects compared to conventional orthodontic therapy in patients undergoing orthodontic treatment to correct crowding and/or retroclination of their mandibular anterior dentition.

The null-hypothesis for this research project is that there will be no difference in the rate of orthodontic movement among patients requiring proclination or alignment of their mandibular anterior teeth with SFO (TEST group) as compared to conventional orthodontic treatment (CONTROL group). A null-hypothesis is that there will be no difference between both treatment groups in the occurrence of dental (root shortening) or periodontal (mucogingival defects, alveolar bone resorption) complications associated with orthodontic treatment.

Inclusion Criteria:

-Adults (18-65 y.o.) who seek orthodontic treatment for proclination and/or de-crowding of mandibular anterior teeth.

Exclusion Criteria:

• Bone-related diseases

• Previous or current use of biphosphate therapy

• Previous mucogingival surgery in the area

• Genetic syndromes, craniofacial anomalies, or cleft lip and/or palate

  - History of previous orthodontic treatment less than 4 years ago

• Smoking >10 cigarettes/day )

• Medical history that contraindicates surgical treatment,

• People who are not cognitively able to give consent,

• Pregnancy