Accelerated orthodontic space closure with micro-osteoperforations: a randomized clinical trial / Syed Bazli Alwi Syed Bakhtiar

The understanding of the role of biological response in orthodontic tooth movement, and its modulation, is key in stimulating the increase of the rate of tooth movement. Studies have shown that application of micro-osteoperforations (MOPs) can increase the level of inflammatory markers thus achievin...

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Main Author: Syed Bakhtiar, Syed Bazli Alwi
Format: Thesis
Language:English
Published: 2018
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Online Access:https://ir.uitm.edu.my/id/eprint/27534/1/TP_SYED%20BAZLI%20ALWI%20SYED%20BAKHTIAR%20DS%2018_5.pdf
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spelling my-uitm-ir.275342023-11-23T00:41:01Z Accelerated orthodontic space closure with micro-osteoperforations: a randomized clinical trial / Syed Bazli Alwi Syed Bakhtiar 2018 Syed Bakhtiar, Syed Bazli Alwi Oral and dental medicine. Pathology. Diseases The understanding of the role of biological response in orthodontic tooth movement, and its modulation, is key in stimulating the increase of the rate of tooth movement. Studies have shown that application of micro-osteoperforations (MOPs) can increase the level of inflammatory markers thus achieving accelerated orthodontic tooth movement. This study aims to compare the rate of orthodontic space closure with or without the application of micro-osteoperforations (MOPs), and to assess the Oral Health Related Quality of Life (OHRQoL) of patients receiving MOPs. This singlecenter, prospective randomized clinical trial was set at the Postgraduate Orthodontic Clinic, Faculty of Dentistry UiTM. Twenty-seven orthodontic patients who required fixed appliance treatment were enrolled and randomly allocated into 3 groups. The control group (Group A) did not receive the MOPs, Group B received the MOPs at the extracted premolar space once in two months while Group C received the MOPs every month. All the subjects underwent space closing mechanics with NiTi springs (9mm, 200g) on 0.019" x 0.025" stainless steel archwire. Study models were constructed at the start of the space closure phase (To), and after monthly review visits for two months (Ti and T2). From these measurements, the total amount of space closure (To - T2) and the rate of space closure were calculated. Additive scores (ADD) and simple count scores (SC) were made to assess the OHRQoL of the patients receiving MOPs using the SOHIP (M) questionnaire. Analysis with ANOVA showed no statistically significant difference (p = 0.175) in the rate of space closure between Group A (0.48mm/month, SD 0.25), Group B (0.39mm/month, SD 0.24) and Group C (0.56mm/month, SD 0.34). There is also no significant difference in the OHRQoL of patients who had and did not have MOPs, when assessed with Mann-Whitney U test. Our study showed that there is no significant difference in the rate of orthodontic space closure and in the OHRQoL of patients with or without MOPs. 2018 Thesis https://ir.uitm.edu.my/id/eprint/27534/ https://ir.uitm.edu.my/id/eprint/27534/1/TP_SYED%20BAZLI%20ALWI%20SYED%20BAKHTIAR%20DS%2018_5.pdf text en public phd doctoral Universiti Teknologi MARA Faculty of Dentistry
institution Universiti Teknologi MARA
collection UiTM Institutional Repository
language English
topic Oral and dental medicine
Pathology
Diseases
spellingShingle Oral and dental medicine
Pathology
Diseases
Syed Bakhtiar, Syed Bazli Alwi
Accelerated orthodontic space closure with micro-osteoperforations: a randomized clinical trial / Syed Bazli Alwi Syed Bakhtiar
description The understanding of the role of biological response in orthodontic tooth movement, and its modulation, is key in stimulating the increase of the rate of tooth movement. Studies have shown that application of micro-osteoperforations (MOPs) can increase the level of inflammatory markers thus achieving accelerated orthodontic tooth movement. This study aims to compare the rate of orthodontic space closure with or without the application of micro-osteoperforations (MOPs), and to assess the Oral Health Related Quality of Life (OHRQoL) of patients receiving MOPs. This singlecenter, prospective randomized clinical trial was set at the Postgraduate Orthodontic Clinic, Faculty of Dentistry UiTM. Twenty-seven orthodontic patients who required fixed appliance treatment were enrolled and randomly allocated into 3 groups. The control group (Group A) did not receive the MOPs, Group B received the MOPs at the extracted premolar space once in two months while Group C received the MOPs every month. All the subjects underwent space closing mechanics with NiTi springs (9mm, 200g) on 0.019" x 0.025" stainless steel archwire. Study models were constructed at the start of the space closure phase (To), and after monthly review visits for two months (Ti and T2). From these measurements, the total amount of space closure (To - T2) and the rate of space closure were calculated. Additive scores (ADD) and simple count scores (SC) were made to assess the OHRQoL of the patients receiving MOPs using the SOHIP (M) questionnaire. Analysis with ANOVA showed no statistically significant difference (p = 0.175) in the rate of space closure between Group A (0.48mm/month, SD 0.25), Group B (0.39mm/month, SD 0.24) and Group C (0.56mm/month, SD 0.34). There is also no significant difference in the OHRQoL of patients who had and did not have MOPs, when assessed with Mann-Whitney U test. Our study showed that there is no significant difference in the rate of orthodontic space closure and in the OHRQoL of patients with or without MOPs.
format Thesis
qualification_name Doctor of Philosophy (PhD.)
qualification_level Doctorate
author Syed Bakhtiar, Syed Bazli Alwi
author_facet Syed Bakhtiar, Syed Bazli Alwi
author_sort Syed Bakhtiar, Syed Bazli Alwi
title Accelerated orthodontic space closure with micro-osteoperforations: a randomized clinical trial / Syed Bazli Alwi Syed Bakhtiar
title_short Accelerated orthodontic space closure with micro-osteoperforations: a randomized clinical trial / Syed Bazli Alwi Syed Bakhtiar
title_full Accelerated orthodontic space closure with micro-osteoperforations: a randomized clinical trial / Syed Bazli Alwi Syed Bakhtiar
title_fullStr Accelerated orthodontic space closure with micro-osteoperforations: a randomized clinical trial / Syed Bazli Alwi Syed Bakhtiar
title_full_unstemmed Accelerated orthodontic space closure with micro-osteoperforations: a randomized clinical trial / Syed Bazli Alwi Syed Bakhtiar
title_sort accelerated orthodontic space closure with micro-osteoperforations: a randomized clinical trial / syed bazli alwi syed bakhtiar
granting_institution Universiti Teknologi MARA
granting_department Faculty of Dentistry
publishDate 2018
url https://ir.uitm.edu.my/id/eprint/27534/1/TP_SYED%20BAZLI%20ALWI%20SYED%20BAKHTIAR%20DS%2018_5.pdf
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