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Carriere Motion appliance (CMA) was designed to change a Class II molar relationship into a Class I relationship by distalizing the whole posterior maxillary segment by means of class II elastics and mandibular anchorage. To eliminate the adverse effects of CMA with class II elastics, we can use the CMA to distalize the maxillary posterior segment with intra-arch anchorage using infrazygomatic miniscrews. The aim of this study is to evaluate skeletaly anchored CMA for distalization of the maxillary buccal segment vs. conventionally anchored CMA by comparing skeletal and dental measurements obtained from lateral cephalometric radiographs obtained prior to treatment (T0) and immediately after correction of class II and remval of the appliance (T1).
Thirty-two class II malocclusion patients with age (11-16) years will be randomly allocated in the two groups:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Conventional anchorage | Active Comparator | Buccal tubes will be bonded on the lower first molars, an alginate impression will be taken for the lower arch with the buccal tubes in place, and a cast will be poured. A hard vacuum sheet of 1.5- mm thickness will be used to fabricate the Essix appliance. The posterior end of the buccal surface will be trimmed in each lower first molar region, creating a window to allow for attachment of the elastics. Class II elastics will be attached from the maxillary canine to the mandibular first molar bilaterally. During the first month, 1/4-inch heavy elastics will be used. In the following months, 3/16-inch heavy elastics will be used. The patients will be instructed to wear the elastics 24 hours per day, except during mealtimes, and to change them daily. |
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| Skeletal anchorage | Experimental | Closing coil springs will be attached from the maxillary canine to the infrazygomatic miniscrews bilaterally |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Carriere motion appliance | Device | The CMA will be bonded on the permanent maxillary canine and first molar, and the correct size is chosen according to the manufacturer's instructions. |
| Measure | Description | Time Frame |
|---|---|---|
| Treatment duration | months | from date of appliance delivery to date of removal after reaching class I molar relationship (about 4-6 months) |
| Skeletal changes | degrees | from date of appliance delivery to date of removal after reaching class I molar relationship (about 4-6 months) |
| Dental changes | degrees | from date of appliance delivery to date of removal after reaching class I molar relationship (about 4-6 months) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Eglal A. Ghozy, BDS, MDS | Mansoura University | Principal Investigator |
| Ahmed A. El-bialy, PhD | Mansoura University | Study Chair |
| Marwa S. Shamaa, PhD | Mansoura University | Study Director |
| Nehal F. Albelasy, PhD | Mansoura University | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| MansouraU, faculty of dentistry, orthodontics department | Al Mansurah | Egypt |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 38297285 | Derived | Ghozy EA, Albelasy NF, Shamaa MS, El-Bialy AA. Cephalometric and digital model analysis of dentoskeletal effects of infrazygomatic miniscrew vs. Essix- anchored Carriere Motion appliance for distalization of maxillary buccal segment: a randomized clinical trial. BMC Oral Health. 2024 Jan 31;24(1):152. doi: 10.1186/s12903-024-03925-3. |
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| Type | Date | Date Unknown |
|---|---|---|
| Release | Jan 2, 2025 | |
| Reset | Jan 27, 2025 |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| Jan 2, 2025 | Jan 27, 2025 |
| ID | Term |
|---|---|
| D008312 | Malocclusion, Angle Class II |
| ID | Term |
|---|---|
| D008310 | Malocclusion |
| D014076 | Tooth Diseases |
| D009057 | Stomatognathic Diseases |
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Subjects will be randomly allocated into two groups:
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data will be sent blinded for statistical analysis