Influence of Low-level Laser Therapy Versus Low-intensity Pulsed Ultrasound on Different Orthodontic Tooth Movements
Study Details
Study Description
Brief Summary
The aim of this prospective clinical project will be to compare the effect of low-level laser therapy versus low intensity pulsed ultrasound on the rate of different orthodontic tooth movements
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Detailed Description
The aim of this prospective clinical project will be to compare the effect of low-level laser therapy versus low intensity pulsed ultrasound on the rate of different orthodontic tooth movements, specifically; canine retraction, incisors' leveling and alignment, maxillary molar distalization, and incisors' intrusion
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: Lipus side: canine retraction application of LIPUS with translation of maxillary canine that will be performed on intervention sides according to a standardized protocol |
Device: low-level laser therapy
LLLT and LIPUS has been found to speed up OTM by stimulating the RANK/RANKL/OPG system to initiate osteoclast formation.
Other Names:
|
| No Intervention: LIPUS side control side LIPUS side:canine retraction control side |
|
| Experimental: LLLT side canine retraction translation of maxillary canine that will be performed with LLLT application according to a standardized protocol |
Device: low-level laser therapy
LLLT and LIPUS has been found to speed up OTM by stimulating the RANK/RANKL/OPG system to initiate osteoclast formation.
Other Names:
|
| No Intervention: LLLT side canine retraction control side LLLT side canine retraction control side wihout intervention |
|
| Experimental: LIPUS groupMolar distalization group inrervention side distalization assisted with LIPUS according to a standardized protocol |
Device: low-level laser therapy
LLLT and LIPUS has been found to speed up OTM by stimulating the RANK/RANKL/OPG system to initiate osteoclast formation.
Other Names:
|
| No Intervention: LIPUS groupMolar distalization group control side distalization without LIPUS intervention |
|
| Experimental: LLLT group: distalization intervntion side distalization will be commenced with application of LLLT according to a standardized protocol |
Device: low-level laser therapy
LLLT and LIPUS has been found to speed up OTM by stimulating the RANK/RANKL/OPG system to initiate osteoclast formation.
Other Names:
|
| No Intervention: LLLT group: distalization control side distalization will be commenced without application of LLLT according to a standardized protocol |
|
| Experimental: LIPUS group: leveling and alignment leveling and alignment assisted with LIPUS according to a standardized protocol |
Device: low-level laser therapy
LLLT and LIPUS has been found to speed up OTM by stimulating the RANK/RANKL/OPG system to initiate osteoclast formation.
Other Names:
|
| Experimental: LLLT group: leveling and alignment leveling and alignment be commenced with application of LLLT according to a standardized protocol |
Device: low-level laser therapy
LLLT and LIPUS has been found to speed up OTM by stimulating the RANK/RANKL/OPG system to initiate osteoclast formation.
Other Names:
|
| No Intervention: leveling and alignment without intervention leveling and alignment without intervention |
|
| Experimental: LIPUS group: Intrusion intrusion assisted with LIPUS according to a standardized protocol |
Device: low-level laser therapy
LLLT and LIPUS has been found to speed up OTM by stimulating the RANK/RANKL/OPG system to initiate osteoclast formation.
Other Names:
|
| Experimental: LLLT group: Intrusion intrusion assisted with application of LLLT according to a standardized protocol |
Device: low-level laser therapy
LLLT and LIPUS has been found to speed up OTM by stimulating the RANK/RANKL/OPG system to initiate osteoclast formation.
Other Names:
|
| No Intervention: intrusion control group intrusion without intervention |
Outcome Measures
Primary Outcome Measures
- Influence of low-level laser therapy versus low-intensity pulsed ultrasound on rate of different orthodontic tooth movements by millimeter [post interventionalal at 6months]
rate of orthodontic tooth movement by millimeter
Eligibility Criteria
Criteria
Inclusion Criteria:
- A- leveling and alignment Eligibility criteria
- Age ranges from 14 to 17 years. 2. Bilateral Class II molar relationship. 3. Skeletal Class I or mild Class II relationship. 4. Normal or decreased vertical height. 5. No posterior crowding or spaces. 6. Fully erupted maxillary first and second molars. 7. Congenitally missing or extracted third molars. 8. Good oral hygiene. 9. Absence of any periodontal disease and alveolar bone loss. 10. Absence of medications that may inhibit orthodontic movement
Lower incisor leveling and alignment Inclusion criteria Complete permanent dentition (third molars not included); Moderate mandibular anterior crowding (with little's irregularity index score greater than 4 mm) who required non-extraction approach in the mandibular arch; No tooth size, shape or root abnormalities visible on the patient's radiographic records; No spaces in the mandibular arch; No blocked out tooth that did not allow for placement of the bracket at the
initial bonding appointment; 6. No required management with interproximal stripping, inter-maxillary elastics, open NiTi springs, and removable or extra-oral devices. Canine retraction Eligibility criteria
Age, 15 to 25 years; Class ii division 1 malocclusion with mild or no crowding; No previous orthodontic treatment; No systemic disease that might have affected bone formation or density, such as osteoporosis, hyperparathyroidism, or vitamin d deficiency; Adequate oral hygiene; Probing depth values not exceeding 3 mm across the Entire dentition; Adequate thickness of the attached gingiva (1-2 mm); No radiographic evidence of bone loss
Exclusion Criteria:
- Patients who required surgery to correct skeletal discrepancies. Patients with congenital dentoskeletal disorders. Missed or mutilated teeth in maxillary arch. Patients with poor oral hygiene and/or periodontally compromised patients Severe dental crowding that necessitates an extraction approach 2. Abnormal anteroposterior and vertical relationships;
- Patients with cleft lip and palate, anomalies, and syndromes; 4. Previous orthodontic 5. Treatment; 6. Regular medications intake that could interfere with otm. -
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | AlAzhar university | Cairo | Egypt |
Sponsors and Collaborators
- Al-Azhar University
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 926/91