FULL DETAILS (Read-only)  -> Click Here to Create PDF for Current Dataset of Trial
CTRI Number  CTRI/2024/05/067624 [Registered on: 20/05/2024] Trial Registered Prospectively
Last Modified On: 11/08/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Other 
Public Title of Study   Changes in face profile and front upper teeth after removal of two upper back teeth during braces treatment 
Scientific Title of Study   Effect of maxillary first premolar extraction on soft tissue profile and incisor position in patients with Class ll division 2 malocclusion 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Vinay Kumar Chugh 
Designation  Professor 
Affiliation  All India Institute of Medical Sciences Jodhpur 
Address  Room number-210, OPD block- 2nd floor, Department of Dentistry Basni phase 2 AIIMS Jodhpur Rajasthan

Jodhpur
RAJASTHAN
342005
India 
Phone  9413155103  
Fax    
Email  drvinaychd@yahoo.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Nisha Meena 
Designation  Junior Resident 
Affiliation  All India Institute of Medical Sciences Jodhpur 
Address  Room number-210, OPD block- 2nd floor, Department of Dentistry Basni phase 2 AIIMS Jodhpur Rajasthan

Jodhpur
RAJASTHAN
342005
India 
Phone  8700022921  
Fax    
Email  meena000nisha@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Nisha Meena 
Designation  Junior Resident 
Affiliation  All India Institute of Medical Sciences Jodhpur 
Address  Room number-210, OPD block- 2nd floor, Department of Dentistry Basni phase 2 AIIMS Jodhpur Rajasthan

Jodhpur
RAJASTHAN
342005
India 
Phone  8700022921  
Fax    
Email  meena000nisha@gmail.com  
 
Source of Monetary or Material Support  
All India Institute of Medical Sciences Basni industrial area phase 2 AIIMS Jodhpur Rajasthan 342005 India 
 
Primary Sponsor  
Name  All India Institute of Medical Sciences Jodhpur 
Address  Basni industrial area phase 2 AIIMS Jodhpur Rajasthan 342005 Indis 
Type of Sponsor  Government medical college 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Vinay Kumar Chugh  All India Institute of Medical Sciences  Room number-210, OPD block- 2nd floor, Department of Dentistry Basni phase 2 AIIMS Jodhpur Rajasthan
Jodhpur
RAJASTHAN 
9413155103

drvinaychd@yahoo.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
AIIMS Jodhpur Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M263||Anomalies of tooth position of fully erupted tooth or teeth, (2) ICD-10 Condition: K088||Other specified disorders of teethand supporting structures, (3) ICD-10 Condition: K088||Other specified disorders of teethand supporting structures,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Class II Div 1 patients treated with extraction of maxillary first premolars will be selected as controls  Class II Div 1 patients treated with extraction of maxillary first premolars will be selected as controls 
Intervention  Extraction of maxillary first premolars  Patient will be called for separator placement, following which sequential banding and bonding of maxillary first molars will be done respectively. Bonding of maxillary arch with MBT prescription 0.022-inch slot brackets will be done. A transpalatal arch will be given on the palatal aspect for transverse control. Alignment and leveling will be done following extraction of maxillary first premolars. At the end of extraction space closure(T1), lateral cephalograms will be taken. Linear and angular changes will be measured on lateral cephalograms obtained before treatment (T0) and after space closure (T1). The total duration of the intervention will be approximately two years. Class II Div 1 patients treated with extraction of maxillary first premolars will be selected as controls. Data so obtained will be subjected to statistical evaluation.  
 
Inclusion Criteria  
Age From  14.00 Year(s)
Age To  30.00 Year(s)
Gender  Both 
Details  1.Patients older than 14 years to minimize the confounding factors of growth.
2.Patients with Angle’s Class II division 2 malocclusion.
3.Treatment involving camouflage with maxillary first premolar extraction.
4.Crowding more than or equal to 5 mm in maxillary arch
5.Overbite more than 60%
6.Fully erupted permanent dentition except third molar.
7.Good oral hygiene.
 
 
ExclusionCriteria 
Details  1.Missing permanent teeth other than third molars.
2.Patient with minimal crowding.
3.History of previous orthodontic treatment.
4.Patients with any systemic disease or syndromes or any other craniofacial abnormalities.
5.Patient under medications that may affect orthodontic tooth movement.
6.Patient requiring surgical orthodontic treatment for correction of malocclusion
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Soft tissue profile will be evaluated by comparing lateral cephalograms taken before treatment (T0) and after space closure (T1).  T0- Before treatment
T1- After space closure 
 
Secondary Outcome  
Outcome  TimePoints 
Linear and angular changes in maxillary incisors will be evaluated by comparing lateral cephalograms taken before treatment (T0) and after space closure (T1).  T0- Before treatment
T1- After space closure 
 
Target Sample Size   Total Sample Size="29"
Sample Size from India="29" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 4 
Date of First Enrollment (India)   30/05/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Closed to Recruitment of Participants 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   In this prospective study, the changes in the soft tissue profile and maxillary incisor position will be evaluated after extraction of maxillary first premolars and space closure in Class II division 2 patients treated with fixed orthodontic treatment. Class II Div 1 patients treated with extraction of maxillary first premolars will be selected as controls.

Linear and angular changes will be measured on the lateral cephalograms obtained before treatment (T0) and after space closure (T1) using Dolphin imaging software. Data so obtained will be subjected to statistical evaluation. 
Close