BRIUS Vs FFA Efficiency
Alignment and Discomfort Using Non-Sliding Lingual Orthodontic Technique (BRIUS) and Conventional Bracket Systems: A Single-Center Randomized Clinical Trial
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
This is a randomized controlled trial which aims to identify the effectiveness of alignment in the BRIUS group when compared to the full fixed appliance group.
The secondary aim of the study is to identify any difference in discomfort experienced by the patients when undergoing treatment using the two appliances
The investigators also aim to quantify the extent of tooth movement that is achieved through each appliance within a given time frame
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
New York
-
Buffalo, New York, United States, 14214
- Department of Orthodontics, School of Dental Medicine, SUNY at Buffalo
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- 10 to 18 years old
- Angle Class I and Cl II (up to half cusp) molar and canine relationship.
- Fully erupted permanent dentition (excluding third molars).
- Crowding of 7 mm or less.
- Must be able to maintain good oral hygiene assessed by the orthodontist during their visits.
Exclusion Criteria:
- Previous history of orthodontic treatment or orthognathic surgery
- Subjects who require extractions or orthognathic surgery
- Multiple missed appointments
- Deteriorating oral hygiene and craniofacial syndromes or disorders
- Severe gag reflex resulting from the use of intra-oral scanners
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: BRIUS
BRIUS orthodontic appliance (wire) will be used to treat the patients.
BRIUS appliance will be engaged to regular orthodontic brackets intra-orally to initiate orthodontic treatment at the University at Buffalo Orthodontic Clinic.
|
This is a device that is designed based on movements planned virtually on a computer program.
Then all the planned movements are embedded into the wire causing the wire to have the necessary bends to move every tooth into its pre-planned final position.
This causes the pre-activated wire to consistently express a low force over a long period of time onto all the teeth.
This allows the teeth to move into the final position and treatment progresses towards completion
|
|
Active Comparator: Preadjusted edgewise full fixed appliance
regular full fixed orthodontic appliance (FFA) appliances will be used to treat patients.
These are regular orthodontic brackets with standard orthodontic wires used to treat patients at the University at Buffalo Department of Orthodontics
|
This is a device that is designed based on movements planned virtually on a computer program.
Then all the planned movements are embedded into the wire causing the wire to have the necessary bends to move every tooth into its pre-planned final position.
This causes the pre-activated wire to consistently express a low force over a long period of time onto all the teeth.
This allows the teeth to move into the final position and treatment progresses towards completion
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Overall 3D Movement
Time Frame: 18 weeks
|
absoluate measurement of extent of movement of teeth
|
18 weeks
|
|
Little's Irregularity Index
Time Frame: 18 weeks
|
Little's irregularity index.
The index measures the alignment discrepancy in the five contact points of the lower anterior region in millimeteres.
The minimum score is zero and the maximum is 10 or above.
The greater the score the worse the outcome
|
18 weeks
|
|
Discomfort
Time Frame: 18 weeks
|
Online survey will evaluate discomfort arising from the orthodontic brackets between patients in the two groups.
A visual analog scale from 0-10 millimeter will be applied.
The greater the score the worse the discomfort level.
|
18 weeks
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Mohammed h alzainal, BDS, Orthodontic resident
Publications and helpful links
General Publications
- S.M.R. Peikar, J.S. Wratten Jr, Teeth repositioning systems and methods, Google Patents, 2019.
- Ioshida M, Munoz BA, Rios H, Cevidanes L, Aristizabal JF, Rey D, Kim-Berman H, Yatabe M, Benavides E, Alvarez MA, Volk S, Ruellas AC. Accuracy and reliability of mandibular digital model registration with use of the mucogingival junction as the reference. Oral Surg Oral Med Oral Pathol Oral Radiol. 2019 Apr;127(4):351-360. doi: 10.1016/j.oooo.2018.10.003. Epub 2018 Oct 16.
- Grauer D, Proffit WR. Accuracy in tooth positioning with a fully customized lingual orthodontic appliance. Am J Orthod Dentofacial Orthop. 2011 Sep;140(3):433-43. doi: 10.1016/j.ajodo.2011.01.020.
- Scott P, DiBiase AT, Sherriff M, Cobourne MT. Alignment efficiency of Damon3 self-ligating and conventional orthodontic bracket systems: a randomized clinical trial. Am J Orthod Dentofacial Orthop. 2008 Oct;134(4):470.e1-8. doi: 10.1016/j.ajodo.2008.04.018.
- Wu AK, McGrath C, Wong RW, Wiechmann D, Rabie AB. A comparison of pain experienced by patients treated with labial and lingual orthodontic appliances. Eur J Orthod. 2010 Aug;32(4):403-7. doi: 10.1093/ejo/cjp117. Epub 2009 Dec 16.
- Wu A, McGrath C, Wong RW, Wiechmann D, Rabie AB. Comparison of oral impacts experienced by patients treated with labial or customized lingual fixed orthodontic appliances. Am J Orthod Dentofacial Orthop. 2011 Jun;139(6):784-90. doi: 10.1016/j.ajodo.2009.07.027.
- Talaat S, Kaboudan A, Bourauel C, Ragy N, Kula K, Ghoneima A. Validity and reliability of three-dimensional palatal superimposition of digital dental models. Eur J Orthod. 2017 Aug 1;39(4):365-370. doi: 10.1093/ejo/cjx008.
Helpful Links
- manufacturer website for intervention device with more information relevant to patients
- Video from the manufacturer showing a 3D illustration of how the device works
- Link with photos of before and after cases showing how the device is used regularly by orthodontists around the world to treat patients
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- BRvFFA
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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