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Failure Rate of Infra-Zygomatic Orthodontic Mini-Screws

18. juni 2026 opdateret af: Tanzila Rafique

Factors Associated With the Failure Rate of Infra-Zygomatic Orthodontic Mini-Screws

The goal of this randomized clinical study is to assess the factors associated with the failure rate of infra-zygomatic crest orthodontic mini-screws used for anchorage reinforcement during orthodontic treatment.

Studieoversigt

Detaljeret beskrivelse

Researchers will evaluate the influence of mini-screw length, diameter, oral hygiene status, age, sex, and loading time on the failure rate of infra-zygomatic mini-screws. Mini-screw failure will be assessed clinically by the presence of mobility or loss of stability.

Participants will:

  • Receive fixed orthodontic treatment with a pre-adjusted edgewise appliance system.
  • Receive infra-zygomatic mini-screws bilaterally for maxillary anchorage reinforcement.
  • Receive a 10 mm × 1.8 mm mini-screw on one side with immediate loading.
  • Receive a 12 mm × 2.0 mm mini-screw on the contralateral side with delayed loading.
  • Receive standardized orthodontic force using elastic power chain.
  • Undergo CBCT assessment to evaluate the position of the inserted mini-screws.
  • Be evaluated at baseline and at one-month intervals for three consecutive months to assess mini-screw mobility or failure.

Undersøgelsestype

Interventionel

Tilmelding (Anslået)

30

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

      • Dhaka, Bangladesh, 1000
        • Bangladesh Medical University (BMU), Dhaka,1000

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

  • Voksen

Tager imod sunde frivillige

Ja

Beskrivelse

Inclusion Criteria:

  • Participants aged 19 to 35 years.
  • Both male and female participants.
  • Patients requiring absolute anchorage for maxillary arch and orthodontic tooth movement.
  • Patients undergoing fixed orthodontic treatment.
  • Patients in whom infra-zygomatic mini-screws are indicated for anchorage reinforcement.
  • Participants whose oral hygiene status can be clinically assessed.
  • Participants willing to provide written informed consent.

Exclusion Criteria:

  • Patients with incomplete history or records
  • Patients with a history of previous orthodontic treatment.
  • Patients with a history of maxillofacial surgery.
  • Patients with a history of head or facial trauma.
  • Patients with temporomandibular joint disorder.
  • Medically compromised patients.
  • Patients with diagnosed syndromes, congenital defects, or facial deformities.

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Aktiv komparator: Immediate loading mini-screw group
A 10 mm length and 1.8 mm diameter infra-zygomatic mini-screw will be placed on one side of the maxillary arch and loaded immediately with orthodontic force.
A 10 mm length and 1.8 mm diameter infra-zygomatic mini-screw will be placed on one side of the maxillary arch and loaded immediately with orthodontic force.
Aktiv komparator: Delayed loading mini-screw group
A 12 mm length and 2.0 mm diameter infra-zygomatic mini-screw will be placed on the contralateral side of the maxillary arch and loaded after a delayed period.
A 12 mm length and 2.0 mm diameter infra-zygomatic mini-screw will be placed on the contralateral side of the maxillary arch and loaded after a delayed period

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
To assess the failure rate of infra-zygomatic orthodontic mini-screws over a three-month follow-up period. Failure will be defined as any degree of clinical mobility or loss of stability of the mini-screw.
Tidsramme: over a three-month follow-up period
This is a split-mouth randomized clinical study in which each participant will receive infra-zygomatic mini-screws bilaterally. One side will receive a 10 mm × 1.8 mm mini-screw with immediate loading, while the contralateral side will receive a 12 mm × 2.0 mm mini-screw with delayed loading. The failure rate will be assessed clinically over a three-month follow-up period.Mini-screw failure will be assessed clinically by the presence of mobility or loss of stability.
over a three-month follow-up period

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
To assess the failure rate of infra-zygomatic orthodontic mini-screws over a three-month follow-up period. Failure will be defined as any degree of clinical mobility or loss of stability of the mini-screw
Tidsramme: Over a three-month follow-up period.
  • To compare the failure rate of infra-zygomatic mini-screws according to age and sex of the participants.
  • To evaluate the influence of mini-screw length on failure rate.
  • To evaluate the influence of mini-screw diameter on failure rate.
  • To assess the relationship between oral hygiene status and mini-screw failure.
  • To compare the effect of immediate and delayed loading on mini-screw failure.
  • To assess the position of inserted mini-screws using CBCT.
  • To evaluate the clinical usefulness of infra-zygomatic mini-screws as temporary anchorage devices in orthodontic treatment.
Over a three-month follow-up period.

Andre resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Factors Associated with the Failure Rate of Infra-Zygomatic Orthodontic Mini-Screws
Tidsramme: From October 25 to September 26

This randomized clinical study will assess the factors associated with the failure rate of infra-zygomatic crest orthodontic mini-screws used for anchorage reinforcement during orthodontic treatment. Researchers will evaluate the influence of mini-screw length, diameter, oral hygiene status, age, sex, and loading time on the failure rate of infra-zygomatic mini-screws. Mini-screw failure will be assessed clinically by the presence of mobility or loss of stability.

Participants will receive:

  • fixed orthodontic treatment with a pre-adjusted edgewise appliance system
  • infra-zygomatic mini-screws bilaterally for maxillary anchorage reinforcement
  • 10 mm × 1.8 mm mini-screw on one side with immediate loading
  • a 12 mm × 2.0 mm mini-screw on the contralateral side with delayed loading
  • standardized orthodontic force using elastic power chain CBCT will be carried out at baseline and at one-month intervals for three consecutive months to assess mini-screw mobility or failure.
From October 25 to September 26

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Efterforskere

  • Studieleder: Mahmood Sajedeen, BDS,FCPS, Bangladesh Medical University (BMU)

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

1. september 2025

Primær færdiggørelse (Anslået)

30. december 2026

Studieafslutning (Anslået)

8. februar 2027

Datoer for studieregistrering

Først indsendt

11. juni 2026

Først indsendt, der opfyldte QC-kriterier

18. juni 2026

Først opslået (Faktiske)

22. juni 2026

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

22. juni 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

18. juni 2026

Sidst verificeret

1. juni 2026

Mere information

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