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Patients at the Orthodontic Department of University of Aleppo Dental School will be selected if they meet the inclusion criteria then fixed orthodontic treatment with 0.018-inch slot MBT appliances will be applied for those patients.
The aim of this study is to compare Two rebonding procedures by applying a split-mouth design. The clinical failure rates of the two rebonding procedures will be evaluated.
The sample of this study will be chosen after examination of patients referred to the Department of Orthodontics at the University of Aleppo Dental School then subjects who meet the inclusion criteria will be included in this trial.
An information sheet will be given to each possible candidate. Then consent forms will be obtained.
All patients will receive both rebonding procedures by applying split-mouth design. Each patient will be asked to select an opaque sealed envelope from a box with 20 ones. Ten envelopes will Include instructions for applying sandblasting prior to acid-etching on the right upper premolars and acid-etching alone on the left upper premolars. In contrast, the other ten envelopes will include opposite instructions.
A total sample of 80 premolars will be obtained to study the clinical failure rates of the two rebonding procedures.
The 80 premolars will be randomly divided into two groups:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Sandblasting | Experimental | The enamel surfaces will be subjected to sandblasting prior to acid etching |
|
| Acid Etching Alone | Active Comparator | Acid etching will be applied alone before the rebounding procedures |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Sandblasting | Procedure | Sandblasting will be applied onto the vestibular surfaces of the teeth before applying the etchant. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Bonding Failure Rate | Number of brackets loosing their bond to the enamel during the observation period divided by the total number of braces being applied. | After six month exactly of bonding the brackets onto the surfaces of the teeth |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Ahmad Rami Dirie, DDS MSc | Specialist and Clinical Lecturer, Department of Orthodontics, University of Aleppo | Principal Investigator |
| Heba M. Al-Ibrahim, DDS | MSc student in Orthodontics, University of Damascus | Principal Investigator |
| Jamal Dabbas, DDS MSc PhD | Professor of Orthodontics, Department of Orthodontics, University of Aleppo | Study Director |
| Mohammad Y Hajeer, DDS MSc PhD | Professor of Orthodontics, Department of Orthodontics, University of Damascus | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Orthodontics, University of Aleppo Dental School | Aleppo | Al88 74TR | Syria |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 8540484 | Background | Egan FR, Alexander SA, Cartwright GE. Bond strength of rebonded orthodontic brackets. Am J Orthod Dentofacial Orthop. 1996 Jan;109(1):64-70. doi: 10.1016/s0889-5406(96)70164-6. | |
| 12045771 | Background | Bishara SE, Laffoon JF, Vonwald L, Warren JJ. The effect of repeated bonding on the shear bond strength of different orthodontic adhesives. Am J Orthod Dentofacial Orthop. 2002 May;121(5):521-5. doi: 10.1067/mod.2002.123042. |
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| ID | Term |
|---|---|
| D000134 | Acid Etching, Dental |
| ID | Term |
|---|---|
| D045662 | Dental Etching |
| D019246 | Tooth Preparation |
| D003813 | Dentistry |
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Split-mouth design
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| Acid Etching | Procedure | Only acid etching will be applied onto the vestibular surfaces of the teeth before rebonding |
|
| 354405 | Background | Faust JB, Grego GN, Fan PL, Powers JM. Penetration coefficient, tensile strength, and bond strength of thirteen direct bonding orthodontic cements. Am J Orthod. 1978 May;73(5):512-25. doi: 10.1016/0002-9416(78)90241-5. No abstract available. |
| 7049010 | Background | Mizrahi E. Success and failure of banding and bonding. A clinical study. Angle Orthod. 1982 Apr;52(2):113-7. doi: 10.1043/0003-3219(1982)0522.0.CO;2. |
| 33422476 | Derived | Dirie AR, Hajeer MY, Dabbas J, Al-Ibrahim HM. Evaluation of sandblasting with acid etching versus acid etching alone in the preparation of enamel for rebonding orthodontic brackets: An in vitro study and a randomized controlled trial. J World Fed Orthod. 2021 Mar;10(1):3-8. doi: 10.1016/j.ejwf.2020.12.001. Epub 2021 Jan 7. |