Side Effects of Different Treatment Methods

Bezmialem Vakif University

Status: Completed

Conditions: Root Resorption; Chewing Function; Pain

Treatments: Other: orthodontic metal bracket; Other: clear aligners

Study type: Observational

Funder types: Other

Identifiers

NCT06709287

17/2

Details and patient eligibility

About

this study aimed to compare the effects of fixed orthodontic treatment and clear aligner therapy on root resorption, periodontal status, pain experience and chewing performance.

Full description

The aim of the study is to compare the potential side effects of fixed orthodontic treatment and clear aligner therapy. 27 individuals who were treated with clear aligners (20 Female, 7 Male; mean age: 22.57 ± 7.37) and 22 patients treated with braces (14 Female, 8 Male; mean age: 17.05 ± 4.51) formed the study group. The periodontal statuses of the patients(Probing depth, bleeding on probing, plaque index) were evaluated before treatment (T0), 3 months (T1) after, and at 6th month (T2) following the beginning of the treatment. The amount of root resorption in maxillary & mandibular incisors was evaluated on periapical radiographies taken with the paralleling technique. Pain experience and chewing function were also recorded during treatment.

Enrollment: 49 patients

Sex: All

Ages: 12 to 29 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• patients treated with fixed braces or clear aligners
• patients with mild to moderate crowding
• patients without root canal treatment or resorption in anterior teeth
• patients with completed root development
• patients with good periodontal health at the beginning of the treatment
• patients with no congenitally missing or impacted tooth.

Exclusion criteria

• history of orthodontic therapy
• poor patient compliance
• presence of any craniofacial syndrome or systemic disease
• presence of cleft lip and palate
• trauma history
• mental retardation
• use of oral antiseptic solutions during orthodontic treatment
• need for scaling and root planning during treatment
• clear aligner patients with delayed movement of the anterior teeth.

Trial design

49 participants in 2 patient groups

fixed orthodontic treatment

Description:

The patients in this group were treated with conventional braces.The patients were treated with 0.018-inch slot metal Roth brackets. Pretreatment (T0) digital lateral cephalometric radiographs were taken from the patients to compare pretreatment characteristics between the groups.The digital periapical radiographs taken with the paralleling technique were obtained.The digital periapical radiographs taken with the paralleling technique were obtained from the maxillary and mandibular incisors at the beginning of the treatment (T0) and after 6 months (T2).Probing depth, plaque index, and bleeding on probing were record at T0, after 3 months of treatment(T1), and at 6months(T2) to evaluate the periodontal status of the patients.A 5-question survey was used to evaluate pain levels, and a 9-question survey was used to evaluate chewing performance.

Treatment:

Other: orthodontic metal bracket

clear aligners

Description:

The patients in this group were treated with clear aligners. Anterior teeth movement started from the first pair of aligners. Microfill and brace paste primers were used for bonding the attachments. Pretreatment (T0) digital lateral cephalometric radiographs were taken from the patients to compare pretreatment characteristics between the groups.The digital periapical radiographs taken with the paralleling technique were obtained.The digital periapical radiographs taken with the paralleling technique were obtained from the maxillary and mandibular incisors at the beginning of the treatment (T0) and after 6 months (T2).Probing depth, plaque index, and bleeding on probing were record at T0, after 3 months of treatment(T1), and at 6months(T2) to evaluate the periodontal status of the patients.A 5-question survey was used to evaluate pain levels, and a 9-question survey was used to evaluate chewing performance.

Treatment:

Other: clear aligners