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Retention has been defined as "the holding of teeth following orthodontic treatment in the treated position for the period of time necessary for the maintenance of the result". Controversies regarding retention regime exist due to lack of high quality evidence regarding duration, type and timing of different type retainer.The present randomised controlled trial will be undertaken to assess the changes and compare if there is any difference in movement of teeth in post orthodontic treatment cases with immediate and delayed (post 7 days) delivery using beggs retainer and change in level of bone biomarker over 6 months period of retention .
The proposed study will be a prospective, non-pharmacological, single blind, randomized clinical trial to evaluate if there is a difference in transverse (X-axis), A-P(Y-axis) and Vertical plane(Z-axis) of dentition in two group of post orthodontic treatment patients with immediate retainer delivery(Beggs wrap around retainer ) in one group and post 7 days retainer delivery( beggs wrap around retainer) in other group of patients. The present study will be conducted in the Department of Orthodontic and Dentofacial Orthopedics, P.G.I.D.S, Pt. B.D Sharma University of health sciences, Rohtak. The study will be carried out after the institutional approval obtained from ethical committee.
A sample size of 18 patients was calculated keeping confidence interval 95% with power 80%. Accounting for a 10% drop out rate, 20 patients will be enrolled in each group. Patient will be randomly allocated to the study group by a person not involved in the trial using computer generated randomization list. Changes in the tooth movement in transverse(X-axis), A-P(Y-axis), Vertical plane(Z-axis) will be compared in terms of intercanine width, intermolar width, overjet, overbite and contact point displacement between the two groups at following time intervals. These parameters will be charted at T0, T1, T2,T3 and T4 for each patient.Changes in the tooth movement in transverse(X-axis), A-P(Y-axis), Vertical plane(Z-axis) will be compared in terms of intercanine width, intermolar width, overjet, overbite and contact point displacement between the two groups at following time intervals. These parameters will be charted at T0, T1, T2,T3 and T4 for each patient. T0 - Baseline records, at the time of debonding. T1 - Records obtained at the time of retainer delivery. T2 - Records obtained after 1 month of retainer delivery. T3 - Records obtained after 3 months of retainer delivery. T4 - Records obtained after 6 months of retainer delivery
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| control group | Other | beggs wrap around Retainer will be given to the patients immediately [Just after debonding]. |
|
| experimental group | Active Comparator | beggs wrap around Retainer will be delivered to the patients 7 days post debonding. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| immediate orthodontic retainer delivery | Other | post orthodontic treatment patients will be given orthodontic retainer immediately after debonding |
|
| Measure | Description | Time Frame |
|---|---|---|
| overjet | sagittal distance between upper and lower incisors | T0 - baseline on the day of debonding |
| overjet | sagittal distance between upper and lower incisors | T1 - 7 days after debonding |
| overjet | sagittal distance between upper and lower incisors | T2 - 1 month after debonding |
| Overjet | sagittal distance between upper and lower incisors | T3 - 6 month after debonding |
| contact point displacement | displacement of contact points in anterior teeth | T0 - baseline on the day of debonding |
| contact point displacement | displacement of contact points in anterior teeth | T1 - 7 days after debonding |
| contact point displacement | displacement of contact points in anterior teeth | T2 - 1 month after debonding |
| contact point displacement | displacement of contact points in anterior teeth | T3 - 6 month after debonding |
| Measure | Description | Time Frame |
|---|---|---|
| GCF - elisa | BALP AND CTX TYPE 1 BIOMARKER | Tb - 1 month before debonding |
| GCF - elisa | BALP AND CTX TYPE 1 BIOMARKER | T0 - on the day of debonding |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Dr. Rekha sharma MDS | Contact | 8076190296 | rajsringari@gmail.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Pgids Rohtak | Recruiting | Rohtak | Haryana | 124001 | India |
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| delayed orthodontic retainer delivery | Other | post orthodontic treatment patients will be given orthodontic retainer after 7 days of debonding |
|
| overbite |
vertical overlap of upper and lower incisors |
| T0 - baseline on the day of debonding |
| overbite | vertical overlap of upper and lower incisors | T1 - 7 days after debonding |
| overbite | vertical overlap of upper and lower incisors | T2 - 1 month after debonding |
| overbite | vertical overlap of upper and lower incisors | T3 - 6 month after debonding |
| intermolar width | transverse distance between the first molars | T0 - baseline on the day of debonding |
| intermolar width | transverse distance between the first molars | T1 - 7 days after debonding |
| intermolar width | transverse distance between the first molars | T2 - 1 month after debonding |
| intermolar width | transverse distance between the first molars | T3 - 6 month after debonding |
| intercanine width | transverse distance between the canine | T0 - baseline on the day of debonding |
| intercanine width | transverse distance between the canine | T1 - 7 days after debonding |
| intercanine width | transverse distance between the canine | T2 - 1 month after debonding |
| intercanine width | transverse distance between the canine | T3 - 6 month after debonding |
| GCF - elisa | BALP AND CTX TYPE 1 BIOMARKER | T1 - 1 week after debonding |
| GCF - elisa | BALP AND CTX TYPE 1 BIOMARKER | T2 - 1 month after debonding |
| ID | Term |
|---|---|
| D012008 | Recurrence |
| ID | Term |
|---|---|
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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