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CTRI Number  CTRI/2021/10/037227 [Registered on: 11/10/2021] Trial Registered Prospectively
Last Modified On: 08/09/2021
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Comparing the efficiency of two different types of bracket system in correcting irregularly placed teeth without removal of teeth  
Scientific Title of Study   Comparative Evaluation of Changes In Incisor Position And Anchorage Loss With Self Ligating Brackets And Conventional Brackets In Non Extraction Cases – A Clinical Study 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  DR A C Dechamma 
Designation  Post Graduate Student 
Affiliation  Coorg Institute of Dental Sciences 
Address  Room No:6,Department Of Orthodontics ,Coorg Institute Of Dental Sciences, KK Campus,Maggula,Virajpet ,Kodagu-571218, Karnataka,India

Kodagu
KARNATAKA
571218
India 
Phone  8105908512  
Fax    
Email  dechammaashik@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  DR Sanju Somaiah 
Designation  Professor 
Affiliation  Coorg Institute Of Dental Sciences 
Address  Room No:6,Department Of Orthodontics ,Coorg Institute Of Dental Sciences, KK Campus,Maggula,Virajpet ,Kodagu-571218, Karnataka,India

Kodagu
KARNATAKA
571218
India 
Phone  9945527999  
Fax    
Email  drsanjusomaiah@yahoo.com  
 
Details of Contact Person
Public Query
 
Name  DR Sanju Somaiah 
Designation  PROFESSOR 
Affiliation  Coorg Institute Of Dental Sciences 
Address  Room No:6,Department Of Orthodontics ,Coorg Institute Of Dental Sciences, KK Campus,Maggula,Virajpet ,Kodagu-571218, Karnataka,India

Kodagu
KARNATAKA
571218
India 
Phone  9945527999  
Fax    
Email  drsanjusomaiah@yahoo.com  
 
Source of Monetary or Material Support  
NIL 
 
Primary Sponsor  
Name  DR A C Dechamma 
Address  Room No:6,Department Of Orthodontics ,Coorg Institute Of Dental Sciences, KK Campus,Maggula,Virajpet ,Kodagu-571218, Karnataka,India  
Type of Sponsor  Other [SELF] 
 
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 A C Dechamma  Coorg Institute Of Dental Sciences  Room No:6,Department Of Orthodontics ,Coorg Institute Of Dental Sciences, KK Campus,Maggula,Virajpet ,Kodagu-571218, Karnataka,India
Kodagu
KARNATAKA 
8105908512

dechammaashik@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
COORG INSTITUTE OF DENTAL SCIENCES  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K038||Other specified diseases of hard tissues of teeth,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Changes in incisor position and anchorage loss  Comparison of changes in incisor position and anchorage loss in non extraction cases treated with Damon self ligating brackets and conventional brackets 
Intervention  Orthodontic correction of malocclusion using conventional brackets  In group B malocclusion will be corrected by non extraction line of treatment using conventional brackets 
Intervention  Orthodontic correction of malocclusion using Damon self ligating brackets  In group A malocclusion will be corrected by non extraction line of treatment using Damon self ligating brackets 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  45.00 Year(s)
Gender  Both 
Details  1.Patients with mild to moderate maxillary and mandibular dental arch crowding.
2.Male and female patients between the age group of 18 and 45 years.
3.Patients with no clinical signs of periodontal diseases.
4.Patients with no gingivitis or untreated caries.
5.Patients with no history of periodontal therapy.
 
 
ExclusionCriteria 
Details  1.Previous history of any orthodontic or orthopedic treatment
2.Presence of supernumerary tooth or any congenital anomalies
3.Any bone pathology, ankylosed teeth.
4.Patients taking drugs modifying normal bone physiology (i.e., bisphosphonates) on or before a period of 3 months.
5.Patients with evidence of bone loss.
6.Patients who have undergone periodontal treatment within three months of baseline examination
7.Systemic disorder that could influence periodontal health.
 
 
Method of Generating Random Sequence   Other 
Method of Concealment   Case Record Numbers 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
1.Assess the changes in incisor position and anchorage loss in non extraction cases treated with self ligating brackets.
2.Assess the changes in incisor position and anchorage loss in non extraction cases treated with conventional brackets. 
18 months 
 
Secondary Outcome  
Outcome  TimePoints 
Compare the changes in incisor position and anchorage loss in non extraction cases treated with self ligating brackets and conventional brackets.   18 months 
 
Target Sample Size   Total Sample Size="20"
Sample Size from India="20" 
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)   25/10/2021 
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 Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   NIL 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary  

Anchorage plays a vital role in orthodontic treatment and anchorage planning helps in achieving stable treatment objectives. Anchorage loss is said to be a potential side effect from the orthodontic mechanotherapy and may lead to suboptimal results. The sliding mechanisms used in  conventional brackets such as MBT develops frictional forces between arch wire and bracket and 60% of the applied force is dissipated as friction resulting in inhibited tooth movement thereby leading to anchorage loss.

           Self ligating brackets develop less frictional forces, use lighter forces and align the arch form by arch expansion. However alleviation of crowding in non-extraction cases treated with Damon self ligating brackets is associated with significant changes in the maxillary and mandibular incisor positions and anchorage loss. Only fewer studies have been conducted comparing the changes in incisor position in non-extraction cases treated with Damon self ligating and Conventional MBT brackets.

          Therefore the present study will be conducted to assess and compare the changes in  incisor position, amount of anchorage loss and intensity of pain experienced by the patients in non-extraction orthodontic cases treated with Damon Q self ligating brackets and Conventional MBT  Brackets. Anchorage plays a vital role in orthodontic treatment and anchorage planning helps in achieving stable treatment objectives. Anchorage loss is said to be a potential side effect from the orthodontic mechanotherapy and may lead to suboptimal results. The sliding mechanisms used in  conventional brackets such as MBT develops frictional forces between arch wire and bracket and 60% of the applied force is dissipated as friction resulting in inhibited tooth movement thereby leading to anchorage loss.

Hence the need for the present study is to

1.      To assess the changes in  incisor position with self ligating brackets and conventional brackets in non-extraction cases

2.      To assess the amount of anchorage loss with self ligating brackets and conventional brackets in non-extraction cases

3.      To assess the intensity of  pain experienced by the patients with self ligating brackets and conventional brackets in non-extraction cases

4.      To compare the changes in  incisor position, amount of anchorage loss and intensity of  pain experienced between self ligating brackets and conventional brackets in non-extraction cases

5.      To draw clinical inferences from the above

          

 
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