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This study evaluates the profile changes and torque control using lingual lever arm vs conventional lingual mechanics. Half of the patients will receive lever arms and the other half will receive conventional lingual orthodontics.
Conventional lingual orthodontic biomechanics leads to torque loss during en masse retraction of the anterior segment in the bimaxillary proclination cases treated by first premolar extraction. Torque loss affects the final outcome of the treatment negatively.
Adding a lever arm to the lingual wire will transmit the point of force application at or apical to the center of rotation which will reduce or eliminate toqrue loss during anterior segment retraction.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Conventional lingual mechanics | Active Comparator |
| |
| Lever arm lingual mechanics | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Lingual orthodontics | Procedure | A coil spring will be attached from the lever arm to the first molar tube |
|
| Measure | Description | Time Frame |
|---|---|---|
| Nasolabial angle | Soft tissue lateral cephalometric radiograph measurement | 12 months |
| Profile convexity reduction | N'-sn -Pog' soft tissue angle | 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Torque control | U1 - Palatal plane angle | 12 months |
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Inclusion Criteria:
Exclusion Criteria:
.Systemic disease.
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Ahmed Kandil Al Asfar, Masters | Contact | 01008087762 | 20 | Kandilahmed04@gmail.com |
| Sherif Kordy, PhD | Contact | 01224015821 | 20 | sherif-kordi@hotmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Amr Abuelezz, Professor | Cairo University | Study Chair |
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