Clinical trial NCT05780788: Characterizing Orthodontic Tooth Movement With Photographic Scans
Official title: Characterizing Orthodontic Tooth Movement in Real Time Using Dental Monitoring Scans: a Pilot Study
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Canine Retraction
Lead sponsor: UConn Health
Sponsor class: OTHER
First posted: 2023-03-23
Enrollment: 30
Sex: ALL
Minimum age (years): 11
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: TREATMENT

Brief summary: Characterizing orthodontic tooth movements in real time by using photographic scans to monitor teeth movement. The photographic scans will also be compared to 3D model scans. Canine retraction over the course of 1 orthodontic visit will be measured.

Detailed description: The accuracy and reliability of Dental Monitoring scans is be evaluated and compared to that of iTero digital scans during maxillary canine retraction. The magnitude and type of tooth movement occurring in a one month period in patients undergoing maxillary canine retraction will be measured. Patients undergoing orthodontic treatment in the Center for Orthodontic Care at UConn Health will be evaluated for the inclusion criteria. A total of twenty patients whose orthodontic treatment plan required extraction of at least one premolar in the maxillary arch will be recruited. The patient will be required to take photographs and video scans as dictated by Dental Monitoring (DM) on the first and final days of the study period (four weeks), while iTero scans are taken by the provider in clinic on these same days. Patient will also be periodically taking photographic scans at home using Dental Monitoring. The DM scans taken by the patient will be compared to the iTero digital scans taken by the provider. This can be done by superimposing the stereolithographic (STL) files created from each scan and assessing the amount of deviation between the 3D models. The types of tooth movement occurring during canine retraction in buccolingual, mesiodistal, and incisogingival planes will be quantified using Doctor Dashboard software available in DM. DM's 3D matching technology allows superimposition of teeth from each 3D model created per scan. Each tooth and its movements are graphed in a detailed manner to provide precise information about its type of movement.

Eligibility criteria: Inclusion Criteria:

* Patients with fixed orthodontic appliances
* Treatment plan requiring extraction of at least one maxillary premolar
* Male and female
* Permanent dentition from first molar to first molar in the maxilla
* Teeth with normal crown morphology
* Fully erupted canines
* Above 11 years of age
* Patients with any cellular phone with a camera

Exclusion Criteria:

* Lack of extraction in orthodontic treatment plan
* Syndromic patients
* Cleft lip/palate patients
* Removable appliances

Primary outcomes:
measure: Accuracy between patient-taken DM scan and provider-taken iTero scan
timeFrame: 1 month
Secondary outcomes:
measure: Tracking tooth movement
timeFrame: 1 month
Other outcomes:
Locations:
city: Farmington
country: United States
facility: UConn Health
state: Connecticut
Study officials:
affiliation: UConn Health
name: Flavio Uribe, DDS
role: PRINCIPAL_INVESTIGATOR
References: