Effect of Implant Driver Facilitated Micro-osteo Perforation on the Rate of Tooth Movement.

Study Overview
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Brief Summary
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we have conducted a split-mouth randomized clinical trial to study effects of implant induced micro-osteoperforations on the rate of tooth movement during canine retraction.

Detailed Description
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The experimental group will receive implant driver facilitated microosteoperforation on one side of the mouth( according to split mouth design) decided by random allocation. After 3 months of extraction of upper first premolar ( according to planned orthodontic treatment), 3 microosteoperforation will be done with implant in an implant driver distal to canine. Surgical procedure will be done in local anesthesia, no flap will be raised. Alginate impressions will be taken before the procedure and 28 days after canine retraction has started, to measure the difference between rate of canine retraction on both sides. Measurement was done by a digital vernier caliper,

Official Title
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Effect of Implant Driver Facilitated Micro-osteo Perforations on the Rate of Tooth Movement.

Conditions
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Tooth Movement Techniques

Intervention / Treatment
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* Procedure: implant driver facilitated micro-osteoperforations


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: • Male and female Age 18- 45 years Class 2 div 1 No systemic disease No radiographic evidence of bone loss No history of periodontal therapy No current active periodontal disease No smoking No gingivitis or untreated caries Probing depth < 4mm in all teeth Gingival index < 1mm Plaque index < 1mm Exclusion Criteria: Long term use of antibiotics, phenytoin,cyclosporine, anti inflammatory drugs, systemic corticosteroids and calcium channel blockers. Poor oral hygiene for more than 2 visits. Extreme skeletal class 2 malocclusion, overjet > 10mm, anb> 7 Systemic disease Evidence of bone loss Past periodontal disease Current periodontal disease Smoking Gingivitis and caries Probing depth > 4mm

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 45 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: mop group<br>a group of patients with a class 2 divsion 1 dental malocclusion, overjet greater than 9 mm, extraction of upper first premolars planned, and it has been 3 months post extraction and before canine retraction is commenced. | Procedure: implant driver facilitated micro-osteoperforations<br>* 3 micro-osteoperforations(in a vertical pattern) are done on the randomly allocated experimental side , distal to canine under local anesthesia. the other side of the mouth is used as a control. alginate impression is taken before the intervention .<br>* Other names: micro-osteoperforations by any other means.;|
| Active Comparator: mop group ( same)<br>a group of patients with a class 2 divsion 1 dental malocclusion, overjet greater than 9 mm, extraction of upper first premolars planned, and it has been 3 months post extraction and before canine retraction is commenced. | Procedure: implant driver facilitated micro-osteoperforations<br>* 3 micro-osteoperforations(in a vertical pattern) are done on the randomly allocated experimental side , distal to canine under local anesthesia. the other side of the mouth is used as a control. alginate impression is taken before the intervention .<br>* Other names: micro-osteoperforations by any other means.;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Comparing rate of canine retraction between intervention and non-intervention side. | distance from cusp tip of canine to mesio-buccal cusp tip of molar taken by digital vernier caliper. | 28 days | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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micro-osteoperforations, tooth movement, implant driver