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Acceleration of Tooth Movement Using PRP and Photobiomodulation With Clear Aligners
Evaluation and Comparison of Acceleration of Tooth Movement Using Platelet-Rich Plasma (PRP) and Photobiomodulation (PBM) With Clear Orthodontic Appliances (Aligners): A Randomized Controlled Clinical Trial
Studie Overzicht
Toestand
Conditie
Gedetailleerde beschrijving
This randomized controlled clinical trial evaluates the acceleration orthodontic tooth movement using two adjunct biological stimulation modalities in patients under going clear aligners therapy participant are allocated into three groups:
- Clear aligner + photobiomodulation (PBM) : receives low-level laser therapy at specific intervals to stimulate cellular turnover and bone remodeling
- Clear aligner +platelet-rich plasma (PRP) :receives localized autologous injections in the target tooth movement area to facilitate biological response
- Clear aligners alone: (control group )receiving standard clear aligners treatment without additional interventions.
Outcomes will be evaluated periodically using digital intra-oral scanning to measure tracking, accuracy, rate of orthodontic tooth movement, and soft tissue - periodontal health throughout the active treatment period.
Studietype
Inschrijving (Geschat)
Fase
- Fase 2
- Fase 1
Contacten en locaties
Studiecontact
- Naam: Naela M Al-mogahed, Prof
- Telefoonnummer: +967777962002
- E-mail: almogahed2000@yahoo.com
Studie Locaties
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Sanaa Governorate
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Sanaa, Sanaa Governorate, Jemen, 009671
- Faculty of Dentistry Sanaa university
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-
Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
- Volwassen
Accepteert gezonde vrijwilligers
Beschrijving
Inclusion Criteria:
- Age 18- 25 years requiring clear aligner therapy
- good oral hygiene and health periodontal status
- full permanent dentition (excluding third molars)
- willingness to comply with clear aligner wear schedules and follow -up visits.
Exclusion Criteria:
- history of previous orthodontic treatment
- Systemic diseases or conditions affecting bone metabolism
- Ongoing pharmacological treatment able to influence orthodontic movement (e.g. prostaglandin inhibitors or biphosphonates)
- Active periodontal disease or poor oral hygiene
- history of photosensitivity or diseases triggered by light exposure
- contraindication to PRP blood extraction
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Behandeling
- Toewijzing: Gerandomiseerd
- Interventioneel model: Parallelle opdracht
- Masker: Enkel
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
|---|---|
|
Experimenteel: Clear Aligner + Photobiomodulation
under a reduced wear-time framework.
|
extra-oral application of photobiomodulation (PBM) Therapy to the targeted alveolar site to evaluate its clinical effectiveness in accelerating orthodontic tooth movement
Clear aligner worn for 22-hour on the first day of each aligner stage, followed by a daily wear duration of 12-hour per day for the remaining period in combination with acceleration modalities
|
|
Experimenteel: Clear Aligner + Plasma Injection
under a reduced wear-time framework
|
Clear aligner worn for 22-hour on the first day of each aligner stage, followed by a daily wear duration of 12-hour per day for the remaining period in combination with acceleration modalities
local submucosal injection of Autologous Platelet Rich Plasma (PRP) into the targeted alveolar site to evaluate its clinical effectiveness in accelerating orthodontic tooth movement
|
|
Actieve vergelijker: Clear Aligner Control Group
without any accelerator intervention
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Clear aligners worn for the standard conventional duration of 22-hour per day without additional acceleration interventions
|
Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
|
Rate of clinical tooth movement via intraoral digital scans
Tijdsspanne: Every 4 weeks from baseline up to 6 months
|
Quantitative measurement of cumulative linear displacement and dental crown movement (in millimeters) calculated after every 2- aligners sequence (every 4 weeks) measurement will be obtained using digital intra-oral scan superimposed across all three study groups.
|
Every 4 weeks from baseline up to 6 months
|
Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
|
Root apex displacement
Tijdsspanne: Baseline and 6 months
|
Assessment of root apex displacement in millimeters using CBCT superimposition
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Baseline and 6 months
|
|
Patient-Reported Pain Level
Tijdsspanne: At baseline, 24 hours, 48 hours, day 3, day 7 and day at aligner change up to 6 months.
|
Pain intensity is evaluated using the Visual Analog Scale from 0 to 10, where 0 indicates no pain and 10 represents the worst possible pain.
Higher scores indicate worse pain.
|
At baseline, 24 hours, 48 hours, day 3, day 7 and day at aligner change up to 6 months.
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Root resorption
Tijdsspanne: Baseline and 6 months
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Assessment of root resorption in millimeters using CBCT superimposition
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Baseline and 6 months
|
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Peri-tooth alveolar bone density
Tijdsspanne: Baseline and 6 months
|
Assessment of peri-tooth alveolar bone density changes in Hounsfield Unit (HU) using CBCT superimposition.
|
Baseline and 6 months
|
Medewerkers en onderzoekers
Sponsor
Onderzoekers
- Hoofdonderzoeker: Arij L Abdulmajid, MSc, Sanaa University
Studie record data
Bestudeer belangrijke data
Studie start (Geschat)
Primaire voltooiing (Geschat)
Studie voltooiing (Geschat)
Studieregistratiedata
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Werkelijk)
Updates van studierecords
Laatste update geplaatst (Werkelijk)
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Aanvullende relevante MeSH-voorwaarden
Andere studie-ID-nummers
- Acceleration Clear Aligner
Informatie over medicijnen en apparaten, studiedocumenten
Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel
Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct
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