Laser Verses Conventional Circumferential Supracrestal Fiberotomy in Orthodontic Extrusion for Crown Lengthening

Last updated: February 25, 2024
Sponsor: Cairo University
Overall Status: Active - Recruiting

Phase

N/A

Condition

N/A

Treatment

conventional circumferential supracrestal fiberotomy

laser circumferential supracrestal fiberotomy

Clinical Study ID

NCT06221137
7-12-22
  • Ages 18-50
  • All Genders
  • Accepts Healthy Volunteers

Study Summary

The aim of this study is to the evaluate the stability of the amount of healthy tooth structure exposed after laser versus conventional technique of fiberotomy during orthodontic extrusion.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Age between 18 and 50 years old
  • Teeth in the esthetic zone
  • Restorable teeth with successful endodontic treatment
  • Adjacent teeth with clinical attachment of at least two-thirds of the root length,thus permitting adequate support for orthodontic movement
  • Crown root ratio after extrusion of the needed ferrule amount not less than 1:1

Exclusion

Exclusion Criteria:

  • Patients with bad oral hygiene or Periodontally affected teeth
  • Uncontrolled diabetic patients
  • Pregnant females
  • Medications that could affect tooth movement (bisphosphonate) radiation therapy lessthan 2 years
  • Moderate-to-heavy daily smokers (who report consuming at least 11 cigarettes/day)
  • Teeth with periapical inflammation, ankylosis or vertical root fracture
  • Teeth with probability of furcation exposure after extrusion.
  • The level of the root is 3 mm or more apical to the level of the bone

Study Design

Total Participants: 20
Treatment Group(s): 2
Primary Treatment: conventional circumferential supracrestal fiberotomy
Phase:
Study Start date:
January 01, 2023
Estimated Completion Date:
September 30, 2024

Study Description

Parallel groups, two arm, superiority Randomized Controlled Clinical Trial, with 1:1 allocation.

PICO:

Population: patients with endodontically treated teeth and short clinical crown that require crown lengthening in the esthetic zone Intervention: laser fiberotomy with orthodontic extrusion Control: conventional fiberotomy using blade with orthodontic extrusion

Outcomes:

Primary outcome: Stability of the mount of healthy tooth structure exposed.

Secondary outcomes:

  • Stability of gingival Margin reference.

  • Stability of the alveolar bone.

  • Rate of tooth extrusion.

  • Sulcus depth.

  • Pain Time: 8 weeks after retention

Connect with a study center

  • focality of dentistry Cairo university

    Cairo, 11553
    Egypt

    Active - Recruiting

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