Evaluating Laser and Piezocision vs. Piezocision Alone on Root Resorption and Gingival Health During Tooth Retraction
NCT07442825 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 66
Last updated 2026-03-02
Summary
This trial aims to determine whether using a special laser (low-level laser therapy, or LLLT) in combination with a minor surgical procedure (piezocision) can safely accelerate orthodontic treatment. We are looking at its effect on two main safety issues: root shortening (root resorption) and gum health. We will compare three groups of patients who have their front teeth pulled back: one group receives the surgery and the laser, one receives the surgery alone, and one receives standard braces. We will measure root length on X-rays and check gums at the start, before the retraction phase, and after all the space is closed.
Conditions
- Malocclusion, Angle Class II, Division 1
Interventions
- PROCEDURE
-
Level Laser Therapy (LLLT)
Ga-Al-As diode laser (808 nm, 1.1 W, 4 J/point, 15 sec/point) applied to 32 points per session. Administered on days 0, 3, 7, 14, and then bi-weekly for a total of four sessions post-initiation, starting six weeks post-corticotomy.
- PROCEDURE
-
Traditional treatment
Patients in this group will be traditionally treated without being subjected to corticotomy or LLLT.
- PROCEDURE
-
Flapless Corticotomy (Piezocision)
Performed 4 days before retraction. Eighteen minimal intrasulcular incisions and cortical bone perforations (3mm depth) using a piezosurgery microsaw tip.
Sponsors & Collaborators
-
Damascus University
lead OTHER
Principal Investigators
-
Mudar Mohammad Mousa, DDS, MSc · Department of Orthodontics, Faculty of Dentistry, University of Damascus
-
Mohammad Younis Hajeer, DDS, MSc, PhD · Department of Orthodontics, Faculty of Dentistry, University of Damascus, Damascus
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 17 Years
- Max Age
- 28 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-05-06
- Primary Completion
- 2024-12-22
- Completion
- 2025-03-18
Countries
- Syria
Study Locations
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