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Brief summary: there's a scarcity in literature concerning time needed to retract anterior segment following premolars extraction. the purpose of this study is to determine, in orthodontic patients with maxillary protrusion, which form of technique of retraction offers a faster treatment duration of retraction : en-masse or two step techniques
Anterior segment retraction can be done in one of two ways: through En masse or two step techniques. Both are viable options, but, ideally, the investigator wanted 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 techniques results in a decreased treatment time is still up for debate.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| En masse retraction | Experimental | six anterior teeth are retracted by en masse technique using a crimpable hook distal to upper lateral incisor and a power chain. |
|
| two step retraction | Experimental | six anterior teeth are retracted by two step technique by canine retraction followed by four anterior teeth retraction using a crimpable hook distal to upper lateral incisor and a power chain. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| En masse retraction | Procedure | Retraction stated on a 0.017''x 0.025'' Stainless steel wire using elastomeric chain ( force applied 200 g per side) extending between the crimpable hooks and the mini-screw. |
| Measure | Description | Time Frame |
|---|---|---|
| Time to close extraction space | the antero-posterior movement of anterior teeth are assessed by monthly taken models and patient record sheets | from pre to post retraction ( an average of 10 - 12 months) |
| Measure | Description | Time Frame |
|---|---|---|
| Anchorage loss | Digitalized dental models taken before and after 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 10- 12 months) |
| pain of intervention |
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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 | Cairo | 11835 | Egypt |
All collected IPD sharing statement
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 | Nov 14, 2019 | Jun 4, 2021 | Prot_SAP_000.pdf |
| ICF | No | No | Yes | Informed Consent Form | Nov 14, 2019 | Jun 4, 2021 | ICF_001.pdf |
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single ( Outcomes Assessor) 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
| Two-Step retraction | Procedure | Retraction of canine started on a 0.017''x0.025'' Stainless steel wire using elastomeric chain ( force applied 150 g per side) followed by anterior teeth retraction on 0.017''x0.025'' Stainless steel wire using elastomeric chain ( force applied 160 g per side) extending between crimpable hooks and the mini-screw. |
|
Each patient was informed to fill a questionnaire regarding treatment experience in Visual analogue scale scoring from (0 -10) 0 means no pain and 10 means severe pain |
| From pre to post retraction ( an average of 10 - 12 months) |