The effect of micro-osteoperforations on the rate of maxillary incisors' retraction in orthodontic space closure: a randomized controlled clinical trial
Tóm tắt
This single-centered randomized controlled clinical trial aimed to evaluate the effectiveness of micro-osteoperforations (MOPs) in accelerating the orthodontic retraction of maxillary incisors. Forty-two patients aged 16–40 were recruited and randomly assigned into two groups, one which underwent MOPs (MOPG) in the buccal and palatal region of all maxillary incisors immediately before the start of retraction and one which did not (CG). Eligibility criteria included the orthodontic need for maxillary first premolars extraction and space closure in two phases. The primary outcome of the study consisted of measuring the rate of space closure and, consequently, the rate of incisors’ retraction using digital model superimposition 14 days later and monthly thereafter for the next 4 months. The secondary outcomes included measuring anchorage loss, central incisors’ inclination, and root length shortening, analyzed using cone beam computed tomography scans acquired before retraction and 4 months after retraction. Randomization was performed using QuickCalcs software. While clinical blinding was not possible, the image’s examinator was blinded. Twenty-one patients were randomly assigned to each group. However, due to various reasons, a total of 37 patients (17 male and 20 female) were analyzed (mean age: 24.3 ± 8.1 years in the MOPG; 22.2 ± 4.2 years in the CG) during the trial. No statistically significant difference was found between the MOPG and the CG regarding the incisors’ retraction measured at different time points at the incisal border (14 days, 0.4 mm vs. 0.5 mm; 1 month, 0.79 mm vs. 0.77 mm; 2 months, 1.47 mm vs. 1.41 mm; 3 months, 2.09 mm vs. 1.88 mm; 4 months, 2.62 mm vs. 2.29 mm) and at the cervical level (14 days, 0.28 mm vs. 0.30 mm; 1 month, 0.41 mm vs. 0.32 mm; 2 months, 0.89 mm vs. 0.61 mm; 3 months, 1.36 mm vs. 1.10 mm; 4 months, 1.73 mm vs. 1.39 mm). Similarly, no statistically significant differences were detected in the space closure, anchorage loss, central incisors’ inclination, and radicular length between groups. No adverse effect was observed during the trial. MOPs did not accelerate the retraction of the maxillary incisors, nor were they associated with greater incisor inclination or root resorption. Trial registration ClinicalTrials.gov NCT03089996. Registered 24 March 2017—
https://clinicaltrials.gov/ct2/show/NCT03089996
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Tài liệu tham khảo
Uribe F, Padala S, Allareddy V, Nanda R. Patients’, parents’, and orthodontists’ perceptions of the need for and costs of additional procedures to reduce treatment time. Am J Orthod Dentofac Orthop. 2014;145(Suppl 4):S65-73.
Norman NH, Worthington H, Chadwick SM. Nickel titanium springs versus stainless steel springs: a randomized clinical trial of two methods of space closure. J Orthod. 2016;43(3):176–85.
Alikhani M, Raptis M, Zoldan B, Sangsuwon C, Lee YB, Alyami B, et al. Effect of micro-osteoperforations on the rate of tooth movement. Am J Orthod Dentofac Orthop. 2013;144(5):639–48.
Wilcko MT, Wilcko WM, Bissada NF. An evidence-based analysis of periodontally accelerated orthodontic and osteogenic techniques: a synthesis of scientific perspectives. Semin Orthod. 2008;14(4):305–16.
Paetyangkul A, Türk T, Elekda-Türk S, Jones AS, Petocz P, Cheng LL, et al. Physical properties of root cementum: part 16. Comparisons of root resorption and resorption craters after the application of light and heavy continuous and controlled orthodontic forces for 4, 8, and 12 weeks. Am J Orthod Dentofac Orthop. 2011;139(3):279–84.
Gonzales C, Hotokezaka H, Yoshimatsu M, Yozgatian JH, Darendeliler MA, Yoshida N. Force magnitude and duration effects on amount of tooth movement and root resorption in the rat molar. Angle Orthod. 2008;78(3):502–9.
Pachêco-Pereira C, Pereira JR, Dick BD, Perez A, Flores-Mir C. Factors associated with patient and parent satisfaction after orthodontic treatment: a systematic review. Am J Orthod Dentofac Orthop. 2015;148(4):652–9.
Henneman S, Von Den Hoff JW, Maltha JC. Mechanobiology of tooth movement. Eur J Orthod. 2008;30(3):299–306.
Krishnan V, Davidovitch Z. On a path to unfolding the biological mechanisms of orthodontic tooth movement. J Dent Res. 2009;88(7):597–608.
Wang Z, Mccauley LK. Osteoclasts and odontoclasts: Signaling pathways to development and disease. Oral Dis. 2011;17(2):129–42.
Alfawal AMH, Hajeer MY, Ajaj MA, Hamadah O, Brad B. Effectiveness of minimally invasive surgical procedures in the acceleration of tooth movement: a systematic review and meta-analysis. Prog Orthod. 2016;17(1):33.
Shahabee M, Shafaee H, Abtahi M, Rangrazi A, Bardideh E. Effect of micro-osteoperforation on the rate of orthodontic tooth movement-a systematic review and a meta-analysis. Eur J Orthod. 2020;42(2):211–21.
Garib D, Miranda F, Yatabe MS, Lauris JRP, Massaro C, McNamara JA, et al. Superimposition of maxillary digital models using the palatal rugae: does ageing affect the reliability? Orthod Craniofac Res. 2019;22(3):183–93.
Choi J-I, Cha B-K, Jost-Brinkmann P-G, Choi D-S, Jang I-S. Validity of palatal superimposition of 3-dimensional digital models in cases treated with rapid maxillary expansion and maxillary protraction headgear. Korean J Orthod. 2012;42(5):235–41.
Shahrin AA, Ghani SHA, Norman NH. Effect of micro-osteoperforations on external apical root resorption: a randomized controlled trial. Korean J Orthod. 2021;51(2):86–94.
Alqadasi B, Xia HY, Alhammadi MS, Hasan H, Aldhorae K, Halboub E. Three-dimensional assessment of accelerating orthodontic tooth movement—micro-osteoperforations vs piezocision: a randomized, parallel-group and split-mouth controlled clinical trial. Orthod Craniofacial Res. 2021;24(3):335–43.
Chan E, Dalci O, Petocz P, Papadopoulou AK, Darendeliler MA. Physical properties of root cementum: part 26. Effects of micro-osteoperforations on orthodontic root resorption: a microcomputed tomography study. Am J Orthod Dentofac Orthop. 2018;153(2):204–13.
Chandorikar H, Bhad WA. Impact of micro-osteoperforations on root resorption and alveolar bone in en-masse retraction in young adults: a CBCT randomized controlled clinical trial. Int Orthod. 2023;21(1):100714.
Al-Imam GMF, Ajaj MA, Hajeer MY, Al-Mdalal Y, Almashaal E. Evaluation of the effectiveness of piezocision-assisted flapless corticotomy in the retraction of four upper incisors: a randomized controlled clinical trial. Dent Med Probl. 2019;56(4):385–94.
Alkebsi A, Al-Maaitah E, Al-Shorman H, Abu AE. Three-dimensional assessment of the effect of micro-osteoperforations on the rate of tooth movement during canine retraction in adults with Class II malocclusion: a randomized controlled clinical trial. Am J Orthod Dentofac Orthop. 2018;153(6):771–85.
Fernandes LSMCP, Figueiredo DSF, Oliveira DD, Houara RG, Rody WJ, Gribel BF, et al. The effects of corticotomy and piezocision in orthodontic canine retraction: a randomized controlled clinical trial. Prog Orthod. 2021;22(1):37.
Almeida MA, Phillips C, Kula K, Tulloch C. Stability of the palatal rugae as landmarks for analysis of dental casts. Angle Orthod. 1995;65(1):43–8.
Bailey LJ, Esmailnejad A, Almeida MA. Stability of the palatal rugae as landmarks for analysis of dental casts in extraction and nonextraction cases. Angle Orthod. 1996;66(1):73–8.
Hoggan BR, Sadowsky C. The use of palatal rugae for the assessment of anteroposterior tooth movements. Am J Orthod Dentofac Orthop. 2001;119(5):482–8.
Mordente CM, Palomo JM, Horta MCR, Souki BQ, Oliveira DD, Andrade I. Upper airway assessment using four different maxillary expanders in cleft patients: a cone-beam computed tomography study. Angle Orthod. 2016;86(4):617–24.
Bazina M, Cevidanes L, Ruellas A, Valiathan M, Quereshy F, Syed A, et al. Precision and reliability of Dolphin 3-dimensional voxel-based superimposition. Am J Orthod Dentofac Orthop. 2018;153(4):599–606.
Attri S, Mittal R, Batra P, Sonar S, Sharma K, Raghavan S, et al. Comparison of rate of tooth movement and pain perception during accelerated tooth movement associated with conventional fixed appliances with micro-osteoperforations: a randomised controlled trial. J Orthod. 2018;45(4):225–33.
Raghav P, Khera AK, Bhasin P. Effect of micro-osteoperforations on rate of space closure by mini-implant supported maxillary anterior en-masse retraction: a randomized clinical trial. J Oral Biol Craniofac Res. 2021;11(2):185–91.
Sivarajan S, Doss JG, Papageorgiou SN, Cobourne MT, Wey MC. Mini-implant supported canine retraction with micro-osteoperforation: a split-mouth randomized clinical trial. Angle Orthod. 2019;89(2):183–9.
Raghav P, Khera AK, Preeti P, Jain S, Mohan S, Tiwari A. Effect of micro-osteoperforations on the rate of orthodontic tooth movement and expression of biomarkers: a randomized controlled clinical trial. Dental Press J Orthod. 2022;27(1):e2219403.
Thomas S, Das SK, Barik AK, Raj SC, Rajasekaran A, Mishra M. Evaluation of physiodispenser assisted micro-osteoperforation on the rate of tooth movement and associated periodontal tissue status during individual canine retraction in first premolar extraction cases: a split-mouth randomized controlled clinical trial. J World Fed Orthod. 2021;10(3):89–97.
Li J, Papadopoulou AK, Gandedkar N, Dalci K, Darendeliler MA, Dalci O. The effect of micro-osteoperforations on orthodontic space closure investigated over 12 weeks: a split-mouth, randomized controlled clinical trial. Eur J Orthod. 2022;44(4):427–35.
Fattori L, Sendyk M, de Paiva JB, Normando D, Neto JR. Micro-osteoperforation effectiveness on tooth movement rate and impact on oral health related quality of life: a randomized clinical trial. Angle Orthod. 2020;90(5):640–7.
Aboalnaga AA, Salah Fayed MM, El-Ashmawi NA, Soliman SA. Effect of micro-osteoperforation on the rate of canine retraction: a split-mouth randomized controlled trial. Prog Orthod. 2019;20(1):21.
Babanouri N, Ajami S, Salehi P. Effect of mini-screw-facilitated micro-osteoperforation on the rate of orthodontic tooth movement: a single-center, split-mouth, randomized, controlled trial. Prog Orthod. 2020;21(1):7.
Swapp A, Campbell PM, Spears R, Buschang PH. Flapless cortical bone damage has no effect on medullary bone mesial to teeth being moved. Am J Orthod Dentofac Orthop. 2015;147(5):547–58.
Tunçer Nİ, Arman-Özçırpıcı A, Oduncuoğlu BF, Göçmen JS, Kantarcı A. Efficiency of piezosurgery technique in miniscrew supported en-masse retraction: a single-centre, randomized controlled trial. Eur J Orthod. 2017;39(6):586–94.
Frost HM. The regional acceleratory phenomenon: a review. Henry Ford Hosp Med J. 1983;31(1):3–9.
Ozkan TH, Arici S. The effect of different micro-osteoperforation depths on the rate of orthodontic tooth movement: a single-center, single-blind, randomized clinical trial. Korean J Orthod. 2021;51(3):157–65.
Wilcko WM, Wilcko T, Bouquot JE, Ferguson DJ. Rapid orthodontics with alveolar reshaping: two case reports of decrowding. Int J Periodontics Restor Dent. 2001;21(1):9–19.
Elkalza AR, Hashem AS, Alam MK. Comparative study of root resorption between two methods for accelerated orthodontic tooth movement. J Oral Res. 2018;7(9):348–53.
Patterson BM, Dalci O, Papadopoulou AK, Madukuri S, Mahon J, Petocz P, et al. Effect of piezocision on root resorption associated with orthodontic force: a microcomputed tomography study. Am J Orthod Dentofac Orthop. 2017;151(1):53–62.
Schnelle MA, Beck FM, Jaynes RM, Huja SS. A radiographic evaluation of the availability of bone for placement of miniscrews. Angle Orthod. 2004;74(6):832–7.
Jambi S, Walsh T, Sandler J, Benson PE, Skeggs RM, O’Brien KD. Reinforcement of anchorage during orthodontic brace treatment with implants or other surgical methods. Cochrane Database Syst Rev. 2014;8:CD005098.