NCT05891665

Evaluation of the Accelerated Traction of Impacted Canines in Terms of Speed and Changes in the Dental Arches

The Effectiveness of Minimally-invasive Corticotomy-assisted Orthodontic Treatment of Palatally Impacted Canines in Terms of Treatment Duration and Dentoalveolar Changes Compared to the Traditional Method: A Randomized Controlled Trial.

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 46 (actual)
• Sponsor: Damascus University · Academic / Other
• Sex: All
• Age: 18 Years – 28 Years
• Healthy volunteers: Not accepted

Summary

The time required for orthodontic traction of impacted canines after surgical exposure is a particularly troubling clinical problem because it prolongs the orthodontic treatment duration. During traction process, several complications could result in alveolar bone loss, root resorption of the adjacent teeth, ankylosis, discoloration, loss or vitality and gingival recession. Accordingly, and due to the lack of studies concerned with accelerating the traction movement of the impacted canines, we conducted this study to evaluate the effectiveness of some surgical interventions (corticotomy and Piezocision) in increasing the rate of orthodontic traction movement. We also aimed to evaluate dentoalveolar changes associated with the use of such accelerating procedures compared with the conventional traction method.

Detailed description

Adult patients with unilateral palatally impacted canines will be included in this study. One of patient groups will be treated using fixed orthodontic appliances in combination with some accelerated surgical interventions, while the second patient group will be treated using the traditional treatment method. The velocity of traction movement will be assessed in the two groups. The differences between the two groups in terms of the total treatment duration and the traction duration will be evaluated. Dentoalveolar changes associated with the use of such accelerating procedures will be assessed by several variables studied on cone-beam computed tomography (CBCT) images. In this study, two groups are going to be evaluated: (1) patients treated in the traditional manner, (2) patients will undergo corticotomy-assisted traction of the impacted canines.

Conditions

• Impacted Tooth With Abnormal Positioning

Interventions

Type	Name	Description
PROCEDURE	Corticotomy	A corticotomy procedure will be applied with some osteoperforations during the surgical exposure of the impacted canine. Then this will be followed after 8 weeks with another surgical stimulation using piezosurgery.
PROCEDURE	Traditional traction of the impacted canine without corticotomy	In this group of patients, the traction of the impacted canine will be performed traditionally without the involvement of additional surgical intervention.

Timeline

• Start date: 2020-01-15
• Primary completion: 2022-12-01
• Completion: 2023-03-12
• First posted: 2023-06-07
• Last updated: 2023-06-07

Locations

1 site across 1 country: Syria