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The study aims to compare the anchorage control using arch wire stopper versus mini-screws in post-pubertal patients with maxillary dentoalveolar protrusion
The study begins with patient selection according to inclusion and exclusion criteria, followed by treatment planning, and then bonding of orthodontic brackets of the upper and lower arches, including the second maxillary molars.
After leveling and alignment for all participants, the extraction of the maxillary first premolars will be performed.
• In the "Intervention Group" Canine retraction will be performed on 0.017×0.025 ss archwire with an archwire stopper mesial to the upper first molar.
Afterwards, anterior segment retraction will be done using T-loop on 0.017x0.025 TMA archwire
• In the "Comparator Group" Canine retraction on 0.017×0.025 ss archwire with the upper first molars indirectly anchored to inter-radicular mini screws Afterwards, anterior segment retraction will be done using T-loop on 0.017x0.025 TMA archwire
Lastly, the anchorage control in both groups and the secondary outcomes will be assessed using the obtained digital models and lateral cephalometric radiographs.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| arch wire stopper mesial to the maxillary first molar group | Experimental | In postpubertal female patients with maxillary dentoalveolar protrusion, canine retraction after the extraction of the maxillary first premolars with archwire stoppers mesial to the maxillary first molars followed by anterior segment retraction using T-loop on 0.017x0.025 TMA arch wire. |
|
| maxillary first molar indirectly anchored to the inter-radicular mini-screw group | Active Comparator | In postpubertal female patients with maxillary dentoalveolar protrusion, canine retraction after the extraction of the maxillary first premolars, with the maxillary first molars indirectly anchored to the inter-radicular mini-screw followed by anterior segment retraction using T-loop on 0.017x0.025 TMA arch wire. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| archwire stopper mesial to the maxillary first molar group | Device | canine retraction after the extraction of the maxillary first premolars with archwire stoppers is mesial to the maxillary first molars. |
| Measure | Description | Time Frame |
|---|---|---|
| Amount of anchorage loss of the maxillary first molars | After full canine retraction, the amount of anchorage loss (mesial movement) of the maxillary first molars of will be assessed on the digital models | 6 months from the start of the canine retraction and after anterior segment retraction (12 months) |
| Measure | Description | Time Frame |
|---|---|---|
| Tipping of the maxillary first molar. | the degree of tipping of the maxillary first molars will be assessed on the lateral cephalometric radiograph | 6 months from the start of the canine retraction and after anterior segment retraction (12 months) |
| Maxillary incisors inclination |
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Inclusion Criteria:
Exclusion Criteria:
female patients 15-25 years
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| Name | Affiliation | Role |
|---|---|---|
| Mennatallah Ali | Cairo University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of Dentistry, Cairo University | Cairo | 12613 | Egypt |
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| inter-radicular mini-screw | Device | canine retraction after the extraction of the maxillary first premolars, with the maxillary first molars indirectly anchored to the inter-radicular mini-screw. |
|
The change in the maxillary incisors inclination will be assessed on the lateral cephalometric radiograph |
| 6 months from the start of the canine retraction and after anterior segment retraction (12 months) |
| Maxillary incisors anteroposterior position | The change in the maxillary incisors anteroposterior position will be assessed on the lateral cephalometric radiograph and digital models | 6 months from the start of the canine retraction and after anterior segment retraction (12 months) |