Comparison Between the Effectiveness of Different Commercial Bracket Brands

Study Overview
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Brief Summary
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There's a scarcity in literature concerning the comparison of the effectiveness of brackets in its torque and tip ability, the time takes for leveling and alignment comparing between different orthodontic bracket brands, and its effect on the rate of tooth movement. The purpose of this study is to determine, In orthodontic patients with Class I molar relation and teeth crowding, in which different bracket brands will be compared.

Detailed Description
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Bracket effectiveness can be measured in a variety of ways, including torque, tip, time required for levelling and alignment, bracket failure, and the patient's visual analogue scale. All are viable options; therefore, we want to complete the orthodontic treatment and determine which brackets fulfilled the built-in bracket prescription and achieved success in terms of aesthetics, better smiles, better patient judgement, and function.

Official Title
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Comparison Between the Effectiveness of Different Commercial Bracket Brands, Having Roth Prescription and 0.022 Bracket Slot: A Randomized Clinical Trial

Conditions
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Crowding, Tooth, Class I

Intervention / Treatment
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* Other: Brackets


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patient with full set of permanent teeth Male and female (14-19 years old). Positive patients' acceptance for the study Patients have no history of previous orthodontic treatment. Exclusion Criteria: Patients with enamel or dentin defect or any teeth anomaly will be eliminated. Patients having canine or lateral incisors peg shaped will be excluded from the research. - Medically compromised patients Patients unable to give an informed consent Patient with periodontal disease Patient taking long term medication Patients with any parafunctional habits (i.e. Bruxism, tongue thrusting, mouth Breathing)

Ages Eligible for Study
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Minimum Age: 14 Years
Maximum Age: 19 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

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 |
| --- | --- |
| Active Comparator: American orthodontics brackets<br>Roth prescription, 0.022 slot size | Other: Brackets<br>* Levelling and alignment for the bonded teeth through following the wire sequence: 0.014 NiTi, 16 NiTi, 0.016×0.022 NiTi and 0.017×0.025 StSt. (Wires from American Orthodontics) • After levelling and aligning is completed the patient will be referred for the uptake of post intervention records; a standardized dental photograph and CBCT after 6- 9 months)<br>|
| Active Comparator: FANTA brackets<br>Roth prescription, 0.022 slot size | Other: Brackets<br>* Levelling and alignment for the bonded teeth through following the wire sequence: 0.014 NiTi, 16 NiTi, 0.016×0.022 NiTi and 0.017×0.025 StSt. (Wires from American Orthodontics) • After levelling and aligning is completed the patient will be referred for the uptake of post intervention records; a standardized dental photograph and CBCT after 6- 9 months)<br>|
| Active Comparator: MATT brackets<br>Roth prescription, 0.022 slot size | Other: Brackets<br>* Levelling and alignment for the bonded teeth through following the wire sequence: 0.014 NiTi, 16 NiTi, 0.016×0.022 NiTi and 0.017×0.025 StSt. (Wires from American Orthodontics) • After levelling and aligning is completed the patient will be referred for the uptake of post intervention records; a standardized dental photograph and CBCT after 6- 9 months)<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Tip | The principle investigator will examine pre and post CBCT radiographs in relation to lines and reference planes (measurements in degrees and mm) | From pre to post levelling and alignment (an average of 6 - 8 months) | 
| torque | The principle investigator will examine pre and post CBCT radiographs in relation to lines and reference planes (measurements in degrees and mm) | 3 months after reaching 19x25 stainless steel wire (an average of 6 - 8 months) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Levelling and alignment | The incisal edges of the anterior teeth and the buccal cusps of the posterior teeth are placed on the same horizontal level; and alignment is the lining up of teeth of an arch in order to achieve normal contact point relationships will be assessed by measuring Little's Irregularity Index (LII) using study models taken of the patients (measured in mm) | upto 6 months from the start of orthodontic treatment. | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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orthodontic bracket brands, torque prescription, tip prescription, levelling and Alignment, Lateral Cephalometric Radiographs, CBCT, VAS