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RecruitingNot ApplicableNCT06975358

Accelerated Orthodontics With Alveolar Decortication Plus CGF Injection

Impact of Alveolar Decortication Combined With CGF Injection on Acceleration of Maxillary Canine Retraction-A Randomized Clinical Trial

Sponsor

Safa Basiouny Alawy

Enrollment

24 participants

Start Date

May 20, 2025

Study Type

INTERVENTIONAL

Conditions

Accelerate Tooth Movement

Summary

The aim of the present study is to evaluate alveolar bone decortication combined with CGF Injection on tooth movement acceleration

Eligibility

Min Age: 16 YearsMax Age: 22 Years

Inclusion Criteria4

  • Age of the patients ranged from 16: 22 years old.
  • Malocclusion that requires extraction of the maxillary first premolar and canine retraction (e.g. class I bimaxillary dentoalveolar protrusion and class II div 1 malocclusion).
  • Maximum anchorage needed for the maxillary arch as a part of the orthodontic treatment plan.
  • Good oral hygiene and periodontal condition.

Exclusion Criteria4

  • Medically compromised patients.
  • Severe crowding in the maxillary arch.
  • Chronic intake of NSAIDs or any medication that interfere with OTM.
  • Previous orthodontic treatment.

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Interventions

PROCEDUREAlveolar decortication plus CGF injection

Experimental sides will receive CGF injection (70 units) disto-buccal and disto-palatal to the maxillary canine after performing decortication. After administration of local anesthesia, two-line flap will be performed from the mesial surface of the maxillary second premolar to the distal surface of the maxillary canine Mucoperiosteal flap will be reflected in the buccal side. Two millimeters of marginal crestal bone will be held intact and using a high-speed drill and a round carbide bur (1mm diameter) under copious saline irrigation, the cortical wall will be penetrated to reach marrow spaces. Multiple perforations (10 holes for standardization) in the cortical bone will be created. The surgical site will then rinsed, and the flap will be repositioned and sutured.

PROCEDUREcanine retraction without acceleration

in the control side, the maxillary canine will be retracted without any acceleration procedure

Locations(1)

Tanta University

Tanta, Tanta, Egypt

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NCT06975358