Measurement of orthodontic tooth movement with dental magnetic resonance imaging

ISRCTN ISRCTN12689212
DOI https://doi.org/10.1186/ISRCTN12689212
Secondary identifying numbers CPMS1090
Submission date
11/04/2024
Registration date
11/04/2024
Last edited
16/05/2025
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Oral Health
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Background and study aims
The objective of this clinical investigation is to examine different types of gums before starting orthodontic treatment and to analyze how the soft and hard tissues around the lower front teeth change during the process of moving them with braces. We will be using a new technique called dental MRI, which doesn't involve radiation like traditional CBCT imaging, to examine the dimensions of both soft and hard tissues around the lower front teeth..

Who can participate?
Adolescent (aged 12 - 18 years) patients with substantial treatment need and crowding in the mandible.

What does the study involve?
In this study, we will examine different types of gums using both clinical assessments and imaging techniques such as CBCT scans and intraoral scans. Additionally, we will use a new method called dental magnetic resonance imaging (MRI), which can show both soft and hard tissues. We will compare the measurements obtained from CBCT and intraoral scanning with those from dental MRI. We're particularly interested in the thickness of the free gingiva, the gingiva above and below the crest of the bone, and the size of the bone around the lower front teeth. Throughout the treatment process, we will monitor the lower front teeth of the patients for five months using dental MRI.

What are the possible benefits and risks of participating?
Benefits of participation are the combination of radiologically assessed soft tissue dimensions and their monitoring throughout the initial treatment phase, ensuring that patients do not undergo unnecessary surgical procedures such as soft tissue augmentation, while at the same time selecting those who do require such a procedure.
Risks associated with the study interventions include patients experiencing claustrophobia during the MRI scan.

Where is the study run from?
Medical University of Vienna (Austria)

When is the study starting and how long is it expected to run for?
May 2021 to May 2024

Who is funding the study?
Investigator initiated and funded

Who is the main contact?
Dr Linda Schwarz, linda.schwarz@meduniwien.ac.at

Contact information

Dr Linda Schwarz
Public, Scientific, Principal Investigator

Sensengasse 2a
Vienna
1090
Austria

ORCiD logoORCID ID 0000-0003-0565-1155
Phone +43 1400704301
Email linda.schwarz@meduniwien.ac.at

Study information

Study designProspective pilot study
Primary study designObservational
Secondary study designLongitudinal study
Study setting(s)Dental clinic, University/medical school/dental school
Study typeDiagnostic, Treatment
Participant information sheet Not available in web format, please use the contact details to request a patient information sheet.
Scientific titleA novel approach for measurement of orthodontic tooth movement with dental magnetic resonance imaging
Study objectivesThere is no statistical significant difference in tissue dimensions in patients before, and after start of orthodontic treatment
Ethics approval(s)

Approved 06/07/2021, Ethics Committee of the Medical University of Vienna (Borschkegasse 8b, Vienna, 1090, Austria; +43 1 40400 21470; ethik-kom@meduniwien.ac.at), ref: 1654/2021

Health condition(s) or problem(s) studiedModerate to severe crowding in the mandible
Intervention2 MRI examinations, one before (T0) and one five months after (T1) start of orthodontic treatment.
Intervention typeOther
Primary outcome measureGingiva and bone thickness around the lower anterior teeth measured using MRI before (T0) and one five months after (T1) start of orthodontic treatment
Secondary outcome measuresTooth movement measured using MRI before (T0) and one five months after (T1) start of orthodontic treatment
Overall study start date01/05/2021
Completion date01/05/2024

Eligibility

Participant type(s)Patient
Age groupChild
Lower age limit12 Years
Upper age limit18 Years
SexBoth
Target number of participants40
Key inclusion criteria1. Crowding in the mandible of >3mm
2. All permanent teeth in the mandible, no missing teeth in the mandible
3. >12 years of age, orthodontic treatment need (IOTN 4 or 5)
Key exclusion criteria1. Claustrophobia
2. Systemic diseases
3. Cranio-facial anomalies
4. Smoking
Date of first enrolment01/01/2022
Date of final enrolment15/01/2025

Locations

Countries of recruitment

  • Austria

Study participating centre

Medical University of Vienna
Sensengasse 2a
Vienna
1090
Austria

Sponsor information

Medical University of Vienna
University/education

Spitalgasse 23
1090
1090
Austria

Phone +43 1 40160-0
Email contact@meduniwien.ac.at
Website https://www.meduniwien.ac.at/web/
ROR logo "ROR" https://ror.org/05n3x4p02

Funders

Funder type

Other

Investigator initiated and funded

No information available

Results and Publications

Intention to publish date15/05/2025
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot expected to be made available
Publication and dissemination planPlanned publication in a high-impact peer-reviewed journal
IPD sharing planThe datasets generated during and analysed during the current study are not expected to be made avaiable due to the highly sensitive nature of radiologic datasets.

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article 15/05/2025 16/05/2025 Yes No

Editorial Notes

16/05/2025: The following changes were made to the trial record:
1. The overall end date was changed from 01/05/2025 to 01/05/2024.
2. Publication reference added.
31/01/2025: The recruitment end date was changed from 01/01/2025 to 15/01/2025.
11/04/2024: Trial's existence confirmed by Ethics Committee of the Medical University of Vienna.