Teeth Decrowding With and Without Fixed Appliances

Samer Mheissen

Status: Enrolling

Conditions: Tooth Crowding

Treatments: Device: Fixed appliances

Study type: Interventional

Funder types: Other

Identifiers

NCT06416189

Ortho-0001

Details and patient eligibility

About

In orthodontics, the teeth tend to move to the extraction space. This tooth movement becomes of larger importance when there is a crowding. During the COVID lockdown period, It was noted that some cases have a significant improvement and almost all the crowding was relieved without appliance activation.

Full description

In this randomized controlled trial, a sufficient number of patients would be randomly assigned into two groups; one with braces and one without fixed braces.

Enrollment: 40 estimated patients

Sex: All

Ages: 13 to 30 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Patients with permanent dentition between age group of 13 - 30 years.

• Maxillary or mandibular crowding >4.1mm and requiring extraction of maxillary first premolars or mandibular first premolars. The crowding will be measured using a caliper one cast models.
• Fully erupted teeth from 1st molar to the 1st molar.
• Patients with periodontally sound dentition.
• Patients with good general health. No previous history of extraction or orthodontic tooth movement.

Exclusion criteria

• Cases requiring orthognathic surgery.

  • History of systemic and medical illness.
  • Contraindication of extraction.
  • Previous history of orthodontic treatment.
  • Poor oral hygiene.
  • Nickel allergy.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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40 participants in 2 patient groups

Braces

Active Comparator group

Description:

Fixed appliance would be bonded post teeth extraction (premolars). subsequently, leveling and alignment using sequence of archwires would be followed. The measurements would be done using models each month.

Treatment:

Device: Fixed appliances

Without braces

No Intervention group

Description:

Extraction of premolars and only observing the case over time. The measurements would be done using models each month.