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The goal of this prospective clinical trial is to evaluate the possible superiority of a treatment compared to the gold standard of reference in Orthodontics.
Apical external root resorption is defined as the loss of dental hard tissues such as dentine, cement and alveolar bone. This is considered an irrevocable effect associated to different factors, among which dental movement during orthodontic treatment is related.
This study suggest to compare root resorption after the use of two different types of alignment and levelling arches in orthodontics. Consecutive patients randomly chosen will be analysed after going through one of the two arches sequences:
All patients will be treated with multi-braces fixed appliances (0.022" technique and VictoryTM brackets).
Root resorption will be compared through CBCT (Cone Beam Computed Tomography) images made before the beginning of treatment (T0), after 8-9 months of the beginning of treatment (T1) and at the end of treatment (T2). Root resorption will be measured by the root volume and surface root morphology in each of the times scheduled.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Gold Standard Group | Active Comparator | Patients treated with multi-braces fixed appliances and a conventional sequence of aligning and levelling arches (Ni-Ti arches with the same force in all sections) |
|
| Intervention Group | Experimental | Patients treated with multi-braces fixed appliances and a different sequence of aligning and levelling arches (some arches provide individual forces for each group of teeth (incisors, premolars and molars)) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Maxillary and mandibular Cone Beam Computed Tomography record | Procedure | A Cone Beam Computed Tomography image of each patient of each group at three different moments of the study (baseline/T0, 8-9 months of treatment/T1 and end of treatment/T2) |
| Measure | Description | Time Frame |
|---|---|---|
| Difference of volume of the apical portion of the root | Measure of the 5 more apical mm3 of the root at each moment of treatment (T0, T1 and T2) | Baseline/beginning treatment (T0), 34 weeks after beginning treatment (T1) and through treatment completion (T2) |
| Measure | Description | Time Frame |
|---|---|---|
| Root volumen | Measure of the total volume of each root at momento of treatment (T0, T1 and T2) | Baseline/beginning treatment (T0), 34 weeks after beginning treatment (T1) and through treatment completion (T2) |
| Root surface area |
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Study Population: patients undergoing orthodontic treatment in Orthodontic Department at Dental School of Universidad Complutense de Madrid.
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Alejandro Iglesias Linares | Universidad Complutense de Madrid | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Facultad de Odontología de la Universidad Complutense de Madrid | Madrid | 28040 | Spain |
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Randomized clinical trial of two parallel arms, that analysed the possible superiority of one treatment compared to the gold standard of reference
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Measure of the outer surface of the root dentine at momento of treatment (T0, T1 and T2)
| Baseline/beginning treatment (T0), 34 weeks after beginning treatment (T1) and through treatment completion (T2) |