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CTRI Number  CTRI/2025/07/091477 [Registered on: 23/07/2025] Trial Registered Prospectively
Last Modified On: 21/07/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   To observe the impact of Sonic toothbrush on the rate of orthodontic tooth movement: A Randomized Controlled Trial 
Scientific Title of Study   Evaluation and Comparison of the effects Of SONIC toothbrush with Manual toothbrush on the rate of Enmasse retraction of anterior teeth in the patients undergoing fixed Orthodontic treatment: A Randomized Controlled Trial  
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 Sneha Bhaisare 
Designation  PG student 
Affiliation  Swargiya Dadasaheb Kalmegh Smruti Dental College And Hospital 
Address  Department of Orthodontics and Dentofacial Orthopaedics, Swargiya Dadasaheb Kalmegh Smruti Dental College And Hospital, Nagpur.

Nagpur
MAHARASHTRA
441110
India 
Phone  9579719993  
Fax    
Email  snehabhaisare9993@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Akanksha Kumar 
Designation  Associate Professor 
Affiliation  Swargiya Dadasaheb Kalmegh Smruti Dental College And Hospital 
Address  Department of Orthodontics and Dentofacial Orthopaedics, Swargiya Dadasaheb Kalmegh Smruti Dental College And Hospital, Nagpur.

Nagpur
MAHARASHTRA
441110
India 
Phone  7798629818  
Fax    
Email  akankshakumar04@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Sneha Bhaisare 
Designation  PG student 
Affiliation  Swargiya Dadasaheb Kalmegh Smruti Dental College And Hospital 
Address  Department of Orthodontics and Dentofacial Orthopaedics, Swargiya Dadasaheb Kalmegh Smruti Dental College And Hospital, Nagpur.

Nagpur
MAHARASHTRA
441110
India 
Phone  9579719993  
Fax    
Email  snehabhaisare9993@gmail.com  
 
Source of Monetary or Material Support  
Swargiya Dadasaheb Kalmegh Smruti Dental College Dental College And Hospital, Nagpur,India 441110 
 
Primary Sponsor  
Name  Dr Sneha Bhaisare 
Address  Swargiya Dadasaheb Kalmegh Smruti Dental College Dental College And Hospital, Wadhamna Road Wanadongri Hingna, Nagpur,India 441110 
Type of Sponsor  Other [Private Dental 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 
Sneha Deepak Bhaisare  swargiya dadasaheb kalmegh smruti dental hospital  201,Department of Orthodontics and Dentofacial Orthopaedics
Nagpur
MAHARASHTRA 
9579719993

snehabhaisare9993@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethical Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K006||Disturbances in tooth eruption,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Manual Toothbrush  It is used in the study to compare the rate of Enmasse retraction of anterior teeth in the patients undergoing fixed Orthodontic treatment in comparison to the Sonic toothbrush. 
Intervention  Sonic Toothbrush  It is used in the study to look for its effects on the rate of enmasse retraction of anterior teeth in the patients undergoing fixed orthodontic treatment. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  30.00 Year(s)
Gender  Both 
Details  1. Patients in the age group of 18-30 years.
2. Patients with bimaxillary protrusion having minimal crowding or crowding less than 3mm and requiring 1st premolar extraction with absolute anchorage.
3. Patients with average growth pattern.
4. Systemically healthy patients.
5. Patients with healthy periodontium with generalized probing depth of 3 mm(Williams Probe) and no radiographic bone loss.
 
 
ExclusionCriteria 
Details  1. Patients who had taken NSAIDs or opioids within a month before the study.
2. Patients with poor oral hygiene (Gingival index scores less than 1) and periodontal disease were excluded from this study.
3. Patients with systemic illnesses, syndromes, oral lesions, bony disease or pathologies.
4. Patients with grade I,II,III mobility.
5. Patients with dental implants.
6. Patients with horizontal and vertical growth pattern.
7. Patients with hyperactive mentalis muscle.
8. Patients with oral habits.
 
 
Method of Generating Random Sequence   Other 
Method of Concealment   Other 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
To evaluate and compare the effects of sonic toothbrush with manual toothbrush on the rate of en-masse retraction of anterior teeth for six months in the patients undergoing fixed orthodontic treatment.  The rate of enmasse retraction will be assessed at 30days, 60days, 90days, 120days, 150days,180 days 
 
Secondary Outcome  
Outcome  TimePoints 
nil  nil 
 
Target Sample Size   Total Sample Size="16"
Sample Size from India="16" 
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   N/A 
Date of First Enrollment (India)   07/08/2025 
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="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
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   Introduction:- The average duration of orthodontic treatment with fixed appliances extends from 18-24months, despite of having various advances and innovation in orthodontic appliances and their design1. Accelerating the rate of tooth movement can significantly reduce the duration of orthodontic treatment2. There are several methods of accelerating tooth movement, such as:

 1) Pharmacological-(corticosteroids, vitamin D3, prostaglandins )3.

 2) Surgical-(distraction osteogenesis, piezocision, alveolar corticotomy) 4.

 3) Physical or mechanical-(electric currents, resonant vibration, low level laser therapy, photobiomodulation) 5.          

     However, pharmacological method has certain undesirable side effects and surgical method being invasive causing discomfort to the patient3. High frequency resonance vibration combined with orthodontic tooth movement results in release of inflammatory biomarkers like IL1 beta, PGE2, TNF alpha leading to bone remodeling and periodontal tissue adaptability6.

     A number of in vivo and in vitro studies have suggested that high frequency vibration are noninvasive and can affect the bone metabolism and increase rate of tooth movement7. There are various commercially available devices like AcceleDentTM, VPro5®, Orthopulse that have been tried to accelerate orthodontic tooth movement. AcceleDent has used 30Hz of vibrational forces on to the human subject for 20 minutes per day for six months similarly, there is another commercial device, but with high-frequency mechanical vibration (HFMV), is the VPro5® device at 120 Hz, 5 min per day8,9.

    Leethanakul et al reported that light orthodontic force along with electric toothbrush (Colgate Motion-Multi Action) with rotating and vibratory head having frequency of 125 Hz enhanced the release of biomarkers like interleukin 1 beta from the gingival crevicular fluid and accelerated orthodontic tooth movement10. There are different types of toothbrushes available in the market such as manual, powered with oscillating head and sonic toothbrush11. In the recent era, sonic toothbrush has been routinely used for maintaining oral hygiene.

Objectives: -To evaluate and compare the effects of sonic toothbrush on the rate of en-masse retraction of anterior teeth for six months in the patients undergoing fixed orthodontic treatment.

 
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