- ICH GCP
- Amerikanska kliniska prövningsregistret
- Klinisk prövning NCT07795073
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
Studieöversikt
Status
Betingelser
Detaljerad beskrivning
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.
Studietyp
Inskrivning (Beräknad)
Fas
- Fas 2
- Fas 1
Kontakter och platser
Studiekontakt
- Namn: Naela M Al-mogahed, Prof
- Telefonnummer: +967777962002
- E-post: almogahed2000@yahoo.com
Studieorter
-
-
Sanaa Governorate
-
Sanaa, Sanaa Governorate, Jemen, 009671
- Faculty of Dentistry Sanaa university
-
-
Deltagandekriterier
Urvalskriterier
Åldrar som är berättigade till studier
- Vuxen
Tar emot friska volontärer
Beskrivning
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
Studieplan
Hur är studien utformad?
Designdetaljer
- Primärt syfte: Behandling
- Tilldelning: Randomiserad
- Interventionsmodell: Parallellt uppdrag
- Maskning: Enda
Vapen och interventioner
Deltagargrupp / Arm |
Intervention / Behandling |
|---|---|
|
Experimentell: 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
|
|
Experimentell: 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
|
|
Aktiv komparator: Clear Aligner Control Group
without any accelerator intervention
|
Clear aligners worn for the standard conventional duration of 22-hour per day without additional acceleration interventions
|
Vad mäter studien?
Primära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
|
Rate of clinical tooth movement via intraoral digital scans
Tidsram: 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
|
Sekundära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
|
Root apex displacement
Tidsram: Baseline and 6 months
|
Assessment of root apex displacement in millimeters using CBCT superimposition
|
Baseline and 6 months
|
|
Patient-Reported Pain Level
Tidsram: 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.
|
|
Root resorption
Tidsram: Baseline and 6 months
|
Assessment of root resorption in millimeters using CBCT superimposition
|
Baseline and 6 months
|
|
Peri-tooth alveolar bone density
Tidsram: Baseline and 6 months
|
Assessment of peri-tooth alveolar bone density changes in Hounsfield Unit (HU) using CBCT superimposition.
|
Baseline and 6 months
|
Samarbetspartners och utredare
Sponsor
Utredare
- Huvudutredare: Arij L Abdulmajid, MSc, Sanaa University
Studieavstämningsdatum
Studera stora datum
Studiestart (Beräknad)
Primärt slutförande (Beräknad)
Avslutad studie (Beräknad)
Studieregistreringsdatum
Först inskickad
Först inskickad som uppfyllde QC-kriterierna
Första postat (Faktisk)
Uppdateringar av studier
Senaste uppdatering publicerad (Faktisk)
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
Senast verifierad
Mer information
Termer relaterade till denna studie
Ytterligare relevanta MeSH-villkor
Andra studie-ID-nummer
- Acceleration Clear Aligner
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