Improving the Treatment Outcome Related to Inclination of Mandibular Incisors by Separating Aligning and Leveling Phases. (Alignment)
Improving the Treatment Outcome Related to Inclination of Mandibular Incisors by Separating Aligning and Leveling Phases During Fixed Orthodontic Treatment: A Randomized Clinical Trial
Study Summary
The goal of this clinical trial is to determine whether separating the aligning and leveling phases during fixed orthodontic treatment improves the treatment outcome related to the inclination of mandibular incisors in patients undergoing comprehensive orthodontic treatment.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Summary
The goal of this clinical trial is to determine whether separating the aligning and leveling phases during fixed orthodontic treatment improves the treatment outcome related to the inclination of mandibular incisors in patients undergoing comprehensive orthodontic treatment.
The main questions it aims to answer are:
Does separating the aligning and leveling phases result in better control of mandibular incisor inclination compared with the conventional simultaneous approach? Does the modified treatment approach reduce unwanted proclination of mandibular incisors during the initial phase of orthodontic treatment?
Researchers will compare patients treated with a separated aligning and leveling protocol to those treated with the conventional simultaneous aligning and leveling protocol to determine whether the modified approach provides superior control of mandibular incisor inclination.
Participants will:
Undergo a clinical examination and baseline orthodontic records, including dental casts and lateral cephalometric radiographs.
Be randomly assigned to either the experimental (separated aligning and leveling) group or the conventional treatment group.
Receive fixed orthodontic treatment according to the allocated treatment protocol.
Attend regular follow-up appointments for archwire changes and treatment monitoring.
Undergo post-treatment assessment of mandibular incisor inclination and other relevant treatment outcomes using lateral cephalometric radiographs.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Sindh
-
Karachi, Sindh, Pakistan, 75300
- Dr Ishrat ul Ebad Khan Institute of Oral Health Sciences
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Patients aged 18-30 years age
- Skeletal Class 1
- Angle class 1 malocclusion
- Little's irregularity index falls between 4-8mm
- Curve of spee depth 3-4mm
- Non-extraction Orthodontic plan
Exclusion Criteria:
- Previous Orthodontic treatment
- Advanced periodontal problem
- Drug used that modify bone metabolism
- Growing patients
- Patient with anterior mandibular spacing
- Systemic Disease (uncontrolled diabetes Mellitus etc )
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Experimental: separated phases of leveling and alignment
Separated phases of leveling and alignment using heat activated niti archwires
|
6 months
|
|
No Intervention: Combined leveling alignment
Combined levelling and alignment
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
to Control mandibular incisor inclination
Time Frame: 6 months
|
control mandibular incisor inclination using heat activated niti archwire.
It will be checked through cephalometric radiographs using the angles: Incisor Mandibular Plane Angle (IMPA) at T0: baseline, T1: 3 months follow up and T2: 6 month follow up.
|
6 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
TO flatten curve of spee
Time Frame: 6 months
|
Flattening of curve of spee using heat activated niti archwires.
It will be checked at cast by placing a flat object on the occlusal surface and measuring the deepest point from the premolar to the flat surface at T0: baseline, T1: 3 months follow up and T2: 6 month follow up.
|
6 months
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
to check alignment
Time Frame: 6 months
|
to check alignment of lower incisors through littles irregularity index
|
6 months
|
Collaborators and Investigators
Investigators
- Study Director: Sadia Rizwan, BDS, FCPS, CHPE, Dr Ishrat ul Ebad Khan Institute of Oral Health Sciences
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
- Dr Sadaf Zehra
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Study Data/Documents
-
Study Protocol
Information identifier: shahsadaf939@gmail.comInformation comments: will be provided upon request
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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