Assessment of Root Parallelism Following Orthodontic Treatment in Adolescent vs Adult Patients Treated With Maxillary First Premolar Extraction

Study Overview
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Brief Summary
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Panoramic radiographs of finished orthodontic cases will be collected after fulfilling the inclusion and exclusion criteria. Then the collected data will be divided into two groups according to age either adolescent (12-18 years old) or adult group (after 18 years old). in the panoramic views the long axes of canines and second premolar will be traced digitally using Digital softwares (microDicom vierwer Simeo Antonov Stoykov 0.7.7) & (IC Measure 2.0.0.161). The objective of this study is to assess the root parallelism between maxillary canines and second premolars in adolescents versus adults group of patients requiring maxillary first premolar extraction during the orthodontic treatment.

Official Title
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Assessment of Root Parallelism Following Orthodontic Treatment in Adolescent vs Adult Patients Treated With Maxillary First Premolar Extraction: Observational -Analytical Study

Conditions
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Frequency of Root Paralellism

Intervention / Treatment
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* Procedure: first premolar extraction and complete canine retraction.


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Adults group of Patients (above 18 years old). . Adolescent group of patients (from 12 to 18 years old). Extraction of permanent maxillary first premolar in at least one quadrant. Same head position at scanning time. Same machine: Orthopantomograph Planmeca Promax 2P (Planmeca USA) with a kilovoltage of 55 to 85 and an exposure time of 15 seconds at a focal distance of 46 cm. Same type of bracket (Roth prescription, slot size #22). Full set of teeth (not necessarily including third molars) Exclusion Criteria: Systematic diseases. non extraction cases. severe divergence or convergence between roots of maxillary canine and second premolar.

Ages Eligible for Study
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Minimum Age: 12 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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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| adolescent group<br>Panoramic radiographs of finished orthodontic cases will be collected after fulfilling the inclusion and exclusion criteria. Then the collected data will be divided into two groups according to age either adolescent (12-18 years old) or adult group (after 18 years old). measurements will be done on the radiograph using digital software. | Procedure: first premolar extraction and complete canine retraction.<br>* measurements on panoramic radiograph will be done after first premolar extraction and complete canine retraction.<br>|
| adult group<br>Panoramic radiographs of finished orthodontic cases will be collected after fulfilling the inclusion and exclusion criteria. Then the collected data will be divided into two groups according to age either adolescent (12-18 years old) or adult group (after 18 years old). measurements will be done on the radiograph using digital software. | Procedure: first premolar extraction and complete canine retraction.<br>* measurements on panoramic radiograph will be done after first premolar extraction and complete canine retraction.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Frequency of Good Root Parallelism | root paralellism between canine and second premolar | 8 months |