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Carriere Motion appliance (CMA) was designed to correct 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 revoke the adverse effects of CMA with class II elastics, we can use the CMA to distalize the maxillary posterior segment with TADs anchorage using miniscrews. The aim of this study is to evaluate TADs anchored CMA vs. conventionally anchored CMA for distalization of the maxillary buccal segment.
Twenty class II malocclusion patients with age (11-16) years will be randomly allocated in the two groups:
Group I: Patients will be treated by Carriere Motion Appliance using passive lingual arch.
Group II: Patients will be treated by Carriere Motion Appliance using direct mini-screw.
For each patient, two CBCT will be obtained: one preoperatively and another after completion of distalization.
Comparing skeletal and dental measurements obtained from CBCT radiographs obtained prior to treatment (T0) and immediately after correction of class II and remval of the appliance (T1).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group I: Patients will be treated by Carriere Motion Appliance using passive lingual arch . | Active Comparator | Conventional mandibular anchorage 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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| Group II: Patients will be treated by Carriere Motion Appliance using direct mini-screw. | Active Comparator | TADs mandibular anchorage. 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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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Carriere Motion Appliance | Device | Patient will be randomly allocated into two groups: Group I: conventional mandibular anchorage using passive lingual arch. Group II: anchorage by direct mini-screws. In the group I, Class II elastics will be attached from the maxillary canine to the mandibular first molar bilaterally with passive lingual arch in the lower arch as anchorage means. In the group I, Class II elastics will be attached from the maxillary canine to mandiular miniscrews bilaterally. For each patient, two CBCT radiographs will be obtained: one preoperatively and another after completion of distalization. |
| 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 |
|---|---|---|
| Saleh Anwar El-sayed, professor | saleh.anwar@azhar.edu.eg | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Alazhar university | Asyut | Egypt |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 15115896 | Background | Carriere L. A new Class II distalizer. J Clin Orthod. 2004 Apr;38(4):224-31. No abstract available. | |
| 21785202 | Background | Rodriguez HL. Unilateral application of the Carriere Distalizer. J Clin Orthod. 2011 Mar;45(3):177-80. No abstract available. |
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| ID | Term |
|---|---|
| D057887 | Overbite |
| ID | Term |
|---|---|
| D008312 | Malocclusion, Angle Class II |
| D008310 | Malocclusion |
| D014076 | Tooth Diseases |
| D009057 | Stomatognathic Diseases |
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data will be sent blinded for statistical analysis
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| 33560300 | Background | Wilson B, Konstantoni N, Kim KB, Foley P, Ueno H. Three-dimensional cone-beam computed tomography comparison of shorty and standard Class II Carriere Motion appliance. Angle Orthod. 2021 Jul 1;91(4):423-432. doi: 10.2319/041320-295.1. |