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Evaluation of root resorption following different mandibular incisors intrusive mechanics : A randomized clinical trial
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Mini-screw | Active Comparator | 7 patients will receive an intrusive force delivered by elastics from 2 mini-screws between mandibular lateral incisor and mandibular canine. |
|
| Utility arch | Active Comparator | 7 patients will receive an intrusive force delivered by intrusive utility arch. |
|
| Nitinol reverse curve wire | Active Comparator | 7 patients will receive an intrusive force delivered by Nitinol reverse curve wire. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Mini-screw | Other | 7 patients will receive an intrusive force delivered by elastics from 2 mini-screws between mandibular lateral incisor and mandibular canine. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Linear amount of root resorption | Cone beam computed tomography linear measurements | Change in Linear Root resorption at 6 months |
| Volumetric amount of root resorption | Cone beam computed tomography volumetric measurements | Change in Volumetric Root resorption at 6 months |
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Inclusion Criteria:
Patient will be included in this study if has:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Mahmoud S Nassar, student | Al-Azhar University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Al Azhar University | Cairo | Egypt |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 25737942 | Background | Goel P, Tandon R, Agrawal KK. A comparative study of different intrusion methods and their effect on maxillary incisors. J Oral Biol Craniofac Res. 2014 Sep-Dec;4(3):186-91. doi: 10.1016/j.jobcr.2014.11.007. Epub 2014 Dec 6. | |
| 31306077 | Background | Hamdan AM, Lewis SM, Kelleher KE, Elhady SN, Lindauer SJ. Does overbite reduction affect smile esthetics? Angle Orthod. 2019 Nov;89(6):847-854. doi: 10.2319/030819-177.1. Epub 2019 Jul 15. |
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| ID | Term |
|---|---|
| D012391 | Root Resorption |
| ID | Term |
|---|---|
| D014091 | Tooth Resorption |
| D014076 | Tooth Diseases |
| D009057 | Stomatognathic Diseases |
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The total sample of patients will be randomly divided into three equal groups: Miniscrew: 7 patients will receive an intrusive force delivered by elastics from 2 miniscrews between mandibular lateral incisor and mandibular canine. Utility arch: 7 patients will receive an intrusive force delivered by intrusive utility arch. Nitinol reverse curve wire: 7 patients will receive an intrusive force delivered by Nitinol reverse curve wire.
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Observation:
Each patient will be followed up on periodic base for progress evaluation and integrity checks, as well as root resorption will be evaluated using CBCT images taken before and after the intrusion.
Ethical considerations:
An informed consent form (attached copy) that explains every step in the research will be given and discussed carefully with the patient and his/her parents before participation in the study and should be signed freely. The objectives of the study will be discussed and explained with the patients and / or their guardians and they will receive a copy of the consent form as well.
Data management and analysis:
The data will be collected, tabulated, and statistically analyzed using Statistical Package for Social Sciences (SPSS program, version 18, Inc., Chicago, III).
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| Utility arch | Other | 7 patients will receive an intrusive force delivered by intrusive utility arch. |
|
| Nitinol reverse curve wire | Other | 7 patients will receive an intrusive force delivered by Nitinol reverse curve wire |
|
| 35330027 | Background | Piancino MG, Tortarolo A, Di Benedetto L, Crincoli V, Falla D. Chewing Patterns and Muscular Activation in Deep Bite Malocclusion. J Clin Med. 2022 Mar 19;11(6):1702. doi: 10.3390/jcm11061702. |
| 1763835 | Background | Nielsen IL. Vertical malocclusions: etiology, development, diagnosis and some aspects of treatment. Angle Orthod. 1991 Winter;61(4):247-60. doi: 10.1043/0003-3219(1991)0612.0.CO;2. |
| 18684706 | Background | Sonnesen L, Svensson P. Temporomandibular disorders and psychological status in adult patients with a deep bite. Eur J Orthod. 2008 Dec;30(6):621-9. doi: 10.1093/ejo/cjn044. Epub 2008 Aug 5. |
| 32284893 | Background | Guven BA, Ciger S. Evaluation of the Effect of Fixed Anterior Biteplane Treatment on Temporomandibular Joint in Patients with Deep Bite. Turk J Orthod. 2020 Mar 1;33(1):8-12. doi: 10.5152/TurkJOrthod.2020.19108. eCollection 2020 Mar. |
| 29390172 | Background | Millett DT, Cunningham SJ, O'Brien KD, Benson PE, de Oliveira CM. Orthodontic treatment for deep bite and retroclined upper front teeth in children. Cochrane Database Syst Rev. 2018 Feb 1;2(2):CD005972. doi: 10.1002/14651858.CD005972.pub4. |
| 6937401 | Background | Nanda R. The differential diagnosis and treatment of excessive overbite. Dent Clin North Am. 1981 Jan;25(1):69-84. No abstract available. |
| 267433 | Background | Burstone CR. Deep overbite correction by intrusion. Am J Orthod. 1977 Jul;72(1):1-22. doi: 10.1016/0002-9416(77)90121-x. |