Efficiency of Corticision in Accelerating Leveling and Alignment of Crowded Lower Anterior Teeth in Young Adult Patients: A Randomised Controlled Clinical Trial
Introduction: The evaluation of flapless corticision in conjunction with the conventional treatment in the non-extraction decrowding of lower anterior teeth has not been performed yet in any randomised clinical trial, particularly in terms of treatment time and periodontal indices. Aim: The aim...
Main Authors: | , , , , |
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Format: | Article |
Language: | English |
Published: |
JCDR Research and Publications Private Limited
2020-10-01
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Series: | Journal of Clinical and Diagnostic Research |
Subjects: | |
Online Access: | https://jcdr.net/articles/PDF/14149/45191_CE[Ra1]_F(KM)_PF1(P_Chr_KM)_PFA(Chr_KM)_PN(SL).pdf |
Summary: | Introduction: The evaluation of flapless corticision in
conjunction with the conventional treatment in the non-extraction
decrowding of lower anterior teeth has not been performed yet
in any randomised clinical trial, particularly in terms of treatment
time and periodontal indices.
Aim: The aim of the study was to compare the duration of
leveling and alignment of mild and moderate crowding cases
in the lower dental arch between the corticision-assisted
fixed orthodontic treatment and the traditional method; and to
compare the periodontal indexes between the two groups.
Materials and Methods: A parallel-group Randomised
Controlled Clinical Trial (RCT) was conducted on 60 patients
(mean age 2 1.40±1.63 years). Patients were randomly assigned
to either the corticision group or the control group (30 each).
Immediately after fixed appliance bonding, three radiographicguided incisions were performed on the labial surfaces of the
alveolar bone between lower anterior teeth by reinforced scalpels
and mallets in order to accelerate alignment for patients in the
corticision group. Patients in the control group were treated
with conventional orthodontics. The outcome measures were
the overall time needed for leveling and alignment, periodontal
parameters such as Plaque Index (PI), Probing Depth (PD),
Gingival Index (GI), and the width of the attached gingiva.
Results: The overall treatment time was significantly shorter
in the corticision group than the control group. The average
leveling and alignment period for the corticision group was
116.46±15.97 days, while it was 159.69±13.76 days in the
control group. Comparing the groups, a significant reduction
of about 27% was found in the leveling and alignment duration
of the corticision group. There were no significant differences
in the periodontal parameters (PI, PD, GI, the width of attached
gingiva) at the end of leveling and alignment phase in both
the groups.
Conclusion: Corticision seems to be an effective method to
accelerate leveling and alignment in cases of mild and moderate
crowding. It did not cause negative effect on the periodontal
tissues. |
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ISSN: | 2249-782X 0973-709X |