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The aim of this Randomized clinical trial is to compare the efficacy of the double slot brackets compared to single slot-brackets in producing a controlled rate of upper canine retraction into premolar extraction space.
patients will be randomly divided into one of the two groups, CBCT (cone beam computed tomography) and dental models will be taken for each patient Pre-retraction and following the study completion.
The rate of retraction will be evaluated for both groups as well as Amount of canine root movement and molar anchorage loss will be also assessed.
Eligible patients will be examined for fulfilling the inclusion criteria. All the recruited patients need extraction of upper first premolars followed by canine retraction with maximum anchorage.
The patients will be randomly allocated to one of the two groups; either Double slot brackets or single slot-brackets group.
In Double slot bracket group, Canine retraction will be made on two 0.016'' StSt (stainless steel) round wires, each in one of the slots of the double slot brackets. while in single slot-bracket group, Retraction will be made on one 0.017''×0.025'' rectangular StSt arch wire .
The patients will be seen on a monthly basis for follow up visit for reactivation of retraction to maintain constant force during the study. An impression will be taken for the patients every visit, fabricated dental models will be digitally scanned. The scanned models will be used to monitor the rate of canine retraction.
Every patient will be asked to take a CBCT image of the upper arch pre Retraction and after the completion of study duration (3 months). After data collection, assessors will carry on the measurements blindly. Statistical analysis of the data will be done and the results will be compared to evaluate the effectiveness of both techniques for canine retraction.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Single-slot brackets | Active Comparator | Bonding of the upper arch up to second molars with Roth prescription 0.022x.028" single slot brackets (MINI MS-American orthodontics) |
|
| Double-slot brackets | Experimental | Double slot brackets (SORTECH-South Orthodontic Technology) will be Bonded on the upper arch up to the second molars. The brackets are of Roth prescription & have two slots, cervical 0.018x.025" slot and incisal/occlusal 0.022x.028" slot |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Double-slot brackets | Device | Miniscrews will be inserted in the buccal alveolar bone between first and second molars bilaterally and ligated to second premolar. Canine Retraction using Nickel titanium closed-coil springs delivering a force of 150 gram, extending the spring between the canine and first molar hooks. retraction on double 0.016'' Stainless steel round wires in both slots of the double slot brackets. Re-activation of the coil spring will be done in the follow up visits to maintain a constant force through the study. |
| Measure | Description | Time Frame |
|---|---|---|
| rate of canine retraction | millimeters through superimposed digital models taken for each patient monthly at the follow up visits. | 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| Total distance moved by the maxillary canine tip | movement in millimeters through superimposed pre- and post-retraction digital models. | 3 months |
| Amount of canine root movement | millimeters through pre and post retraction CBCT (cone beam computed tomography) images of the upper arch |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Amr R El Beialy, Assoc.Prof | Orthodontic department, Faculty of Dentistry, Cairo University | Study Chair |
| Nada O El Zawahry, lecturer | Orthodontic department, Faculty of Dentistry, Cairo University | Study Director |
| Noha A El Ashmawi, lecturer | Orthodontic department, Faculty of Dentistry, Cairo University | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cairo University | Giza | 12613 | Egypt |
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study is a randomized clinical trial, single-center, parallel group, two-arms with 1:1 allocation ratio
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Due to the nature of the intervention, neither participants nor investigators can be blinded.
|
| Single-slot brackets | Device | Miniscrews will be inserted in the buccal alveolar bone between first and second molars bilaterally and ligated to second premolar. Canine Retraction using Nickel titanium closed-coil springs delivering a force of 150 gram, extending the spring between the canine and first molar hooks. retraction on single 0.017x0.022'' Stainless steel wire. Re-activation of the coil spring will be done in the follow up visits to maintain a constant force through the study. |
|
| 3 months |
| the change in Maxillary canine Torque | angular change through comparing pre- and post-retraction CBCT | 3 months |
| change in maxillary canine tipping | angular change through comparing pre- and post-retraction CBCT | 3 months |
| The changes in maxillary canine rotation | angular change through superimposed pre- and post-retraction digital models. | 3 months |
| Amount of maxillary canine root resorption | millimeters through pre and post retraction CBCT (cone beam computed tomography) images of the upper arch | 3 months |
| Molar cusp anchorage loss | millimeters through superimposed digital models taken for each patient monthly at the follow up visits. and pre and post retraction CBCT images | 3 months |