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There's a scarcity in literature concerning en-masse retraction and its effect on the rate of tooth movement. The purpose of this study is to determine, In orthodontic patients with maxillary protrusion, which form of mechanics in en-masse retraction offers a faster rate of retraction; Friction or Frictionless Mechanics.
The en-masse technique can be done in one of two ways: through friction or frictionless mechanics. Both are viable options, but, ideally, we want to retract and complete the orthodontic treatment as quickly as possible, in order to decrease the negative effects that may occur during treatment. Which of these mechanics results in a decreased treatment time is still up for debate.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| En-Masse Retraction using sliding mechanics (Friction) | Experimental | 6 anterior teeth (en-Masse) retracted using a crimpable hook distal to the upper lateral incisor and a power chain |
|
| En-Masse Retraction using segmental mechanics (Frictionless) | Experimental | 6 anterior teeth (en-Masse) retracted using a T- loop |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Power chain and Crimpable hook for En-Masse Retraction | Procedure | Retraction will start on a 0.017"x0.025" Stainless steel wire using elastomeric chain (force applied will be 212 g per side) extending between the crimpable hooks and the miniscrew |
| Measure | Description | Time Frame |
|---|---|---|
| Retraction Rate | The antero-posterior movement of anterior teeth and first molars will be assessed by measuring the digitilized study models taken of the patients monthly (measured in mm) | From pre to post retraction (an average of 6 - 8 months) |
| Measure | Description | Time Frame |
|---|---|---|
| Anchorage Loss | Digitilized dental models taken before and after the completion of retraction will be measured by identifying landmarks and reference lines and planes (measured in mm) | From pre to post retraction (an average of 6 - 8 months) |
| Molar Rotation |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Yehia Mostafa, Professor and Chairman | Future University in Egypt | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Future University in Egypt | New Cairo | Cairo Governorate | Egypt |
All collected IPD
Data will be available after publication
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Dec 1, 2019 | May 12, 2021 | Prot_SAP_000.pdf |
| ICF | No | No | Yes | Informed Consent Form | Dec 1, 2019 | May 22, 2021 | ICF_001.pdf |
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Only the outcome assessors will be blind. The patients name will be sealed from pre and post radiographs and study models. Then two assessors will carry out, blindly and independently, the measurements and analysis of the study
| T- Loop | Procedure | Closing retraction T-loops will be fabricated using 0.017 x 0.025 TMA wire. The loop will be positioned halfway the extraction space and the canine |
|
Study models that are taken pre and post retraction (then digitilized) will be used to assess the rotation of the maxillary first molars in relation to a reference line (measurement of the angles in degrees) |
| From pre to post retraction (an average of 6 - 8 months) |
| Pain of intervention | Each patient will fill a questionnaire regarding his treatment experience in a VAS scoring from 1-10 | From pre to post retraction/intervention (an average of 6 - 8 months) |
| Anterior teeth torque, extrusion/intrusion | The principle investigator will examine pre and post lateral cephalometric radiographs in relation to lines and reference planes (measurements in degrees and mm) | From pre to post retraction (an average of 6 - 8 months) |