How orthodontic treatment without tooth removal affects dental alignment and bone structure

ISRCTN ISRCTN91404434
DOI https://doi.org/10.1186/ISRCTN91404434
Submission date
23/08/2024
Registration date
02/09/2024
Last edited
02/09/2024
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Oral Health
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
This study aims to explore the changes in teeth and surrounding bone when using a combination of a special orthodontic device (a modified lip bumper) and traditional braces to correct moderate crowding of the lower teeth. The goal is to see how this combination treatment affects the alignment of the teeth and the bone structure.

Who can participate?
Adults aged 18-27 years who have moderate crowding of the lower teeth are eligible to participate in this study.

What does the study involve?
Participants in the study will receive orthodontic treatment to correct their crowded teeth. They will either be treated with a combination of a modified lip bumper and traditional braces or with braces alone. The study will measure changes in the width of the dental arch and the surrounding bone structure during the treatment.

What are the possible benefits and risks of participating?
The combination treatment may help improve the way teeth move during orthodontic treatment, reducing some of the negative effects that can occur with tooth movement. There are no known risks associated with participating in this study.

Where is the study run from?
Damascus University (Syria)

When is the study starting and how long is it expected to run for?
May 2022 to December 2024

Who is funding the study?
Damascus University (Syria)

Who is the main contact?
Dr Moussab Allawe, moussab.allawe@damascusuniversity.edu.sy, moussab.allawe@gmail.com

Contact information

Dr Moussab Allawe
Public, Scientific, Principal Investigator

Damascus University
Damascus
-
Syria

ORCiD logoORCID ID 0009-0003-4360-1279
Phone +963 938919767
Email moussab.allawe@damascusuniversity.edu.sy

Study information

Study designinterventional two-arm randomized controlled study
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)University/medical school/dental school
Study typeEfficacy
Participant information sheet No participant information sheet available
Scientific titleDentoalveolar changes resulting from combination of modified lip bumper and fixed appliance -MBT prescription during the treatment of mandibular incisors crowding
Study objectivesUsing a combination of fixed appilance and lip bumper will alter the type of orthodontic movement and reduce dentoalveolar side effects
Ethics approval(s)

Approved 15/08/2022, Damascus University (Mazzeh highway, Damascus, -, Syria; +963 (11) 339 23223; ap.srd@damascusuniversity.edu.sy), ref: 4069

Health condition(s) or problem(s) studiedAdult patients with moderate crowding in mandible
InterventionParticipants are assigned into the following two groups using simple randomization:
Study group: fixed appliance _ MBT prescription_ and a modified lip bumper.
Control group: fixed appliance _ MBT prescription_ only
Each group will undergo leveling and alignment with the same archwire sequence
The records (cast models and CBCT images) will be obtained at:
T0: before treatment
T1: after 12 month
Intervention typeDevice
Pharmaceutical study type(s)Not Applicable
PhaseNot Specified
Drug / device / biological / vaccine name(s)Modified lip bumper
Primary outcome measureType of orthodontic movement determined upon cephalometric measurements, alveolar bone boundaries changes and root resorption determined on CBCT, arch dimensions changes detected on dental cast at T0: start of the treatment and T1: after one year
Secondary outcome measures1. Arch dimensions measured using dental casts at T0, T1
2. Bone height and thickness measured using CBCT images at T0, T1
Overall study start date31/05/2022
Completion date15/12/2024

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
Upper age limit27 Years
SexBoth
Target number of participants50
Total final enrolment50
Key inclusion criteria1. Adults 18 - 27 years
2. Mandibular crowding 4 - 6 mm
3. Normal or short face
4. No previous treatment
Key exclusion criteria1. Long face
2. Bad oral health
3. Drugs affect bone metabolism
4. Non compliant patients
Date of first enrolment04/09/2022
Date of final enrolment01/10/2023

Locations

Countries of recruitment

  • Syria

Study participating centre

Orthodontic department, Damascus university
Mazzeh highway
Damascus
-
Syria

Sponsor information

Damascus University
University/education

Mazzeh Highway
Damascus
-
Syria

Phone +963(11)2232152
Email damascusuniversity@edu.sy.com
Website http://www.damascusuniversity.edu.sy
ROR logo "ROR" https://ror.org/03m098d13

Funders

Funder type

University/education

Damascus University
Government organisation / Universities (academic only)
Alternative name(s)
University of Damascus, جَامِعَةُ دِمَشْقَ, DU
Location
Syria

Results and Publications

Intention to publish date01/01/2025
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryPublished as a supplement to the results publication
Publication and dissemination planPlanned publication in a peer-reviewed journal
IPD sharing planThe datasets generated during and/or analysed during the current study will be shared within planned publications.

Editorial Notes

02/09/2024: Study's existence confirmed by Damascus University.