Effect of Two Different Penetration Depths of Micro-osteoperforation on the Rate of Orthodontic Tooth Movement: A Prospective Clinical Study

Objective: The objective is to evaluate the effectiveness of two different penetration depths of micro-osteoperforations (MOPs) on the rate of orthodontic tooth movement over 60 days. In addition, the amount of pain and discomfort caused by the MOP was evaluated. Materials and Methods: A total of 22...

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Main Authors: Abhay Kumar Jain, Shresthaa Singh, Parul Priya, Nishita Garg, Abhishek Kumar, Monalisa Goswami
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-12-01
Series:Contemporary Clinical Dentistry
Subjects:
Online Access:https://journals.lww.com/10.4103/ccd.ccd_107_24
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author Abhay Kumar Jain
Shresthaa Singh
Parul Priya
Nishita Garg
Abhishek Kumar
Monalisa Goswami
author_facet Abhay Kumar Jain
Shresthaa Singh
Parul Priya
Nishita Garg
Abhishek Kumar
Monalisa Goswami
author_sort Abhay Kumar Jain
collection DOAJ
description Objective: The objective is to evaluate the effectiveness of two different penetration depths of micro-osteoperforations (MOPs) on the rate of orthodontic tooth movement over 60 days. In addition, the amount of pain and discomfort caused by the MOP was evaluated. Materials and Methods: A total of 22 patients (18–30 years) who need fixed orthodontic treatment were recruited and randomly assigned into two groups. Randomization for determination of the experimental side and depth of perforations was done using sealed envelopes. On each patient, the other side of the mouth worked as control side with no MOPs. Patients in group 1 (MOP-5) received 3MOPs on the buccal surface of the alveolar bone each at 5 mm depth, whereas patients in group 2 (MOP-7) received 3MOPs on the buccal surface of the alveolar bone each at 7 mm depth. The amount of canine retraction was measured every 30 days at two intervals on both sides of the mouth. Pain perception was measured after 1 h, 24 h, 72 h, 7 days, and 28 days of procedure. MOP-related pain was measured using a visual analog scale. The level of statistical significance was P ≤ 0.05. Results: The result of the intra-examiner reliability using intraclass correlation coefficient more than 0.97 (P < 0.001), indicating excellent repeatability and reliability of the measurements. The baseline characteristics between groups were similar (P > 0.05). Both the groups demonstrated a significantly higher canine movement than the control group. No significant difference was seen between the MOP-5 and MOP-7 groups (P > 0.05) in terms of canine retraction. Mild-to-moderate pain was experienced only in the first 24 h of the procedure. Conclusion: Three MOPs with a depth of 5 mm can be performed as an effective method to increase the rate of tooth movement. However, increasing the depth of perforation beyond 5 mm does not additionally enhance tooth movement.
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spelling doaj-art-204153b8d86b4f819bb5adcc18d6cea42025-01-07T05:30:09ZengWolters Kluwer Medknow PublicationsContemporary Clinical Dentistry0976-237X0976-23612024-12-0115425125810.4103/ccd.ccd_107_24Effect of Two Different Penetration Depths of Micro-osteoperforation on the Rate of Orthodontic Tooth Movement: A Prospective Clinical StudyAbhay Kumar JainShresthaa SinghParul PriyaNishita GargAbhishek KumarMonalisa GoswamiObjective: The objective is to evaluate the effectiveness of two different penetration depths of micro-osteoperforations (MOPs) on the rate of orthodontic tooth movement over 60 days. In addition, the amount of pain and discomfort caused by the MOP was evaluated. Materials and Methods: A total of 22 patients (18–30 years) who need fixed orthodontic treatment were recruited and randomly assigned into two groups. Randomization for determination of the experimental side and depth of perforations was done using sealed envelopes. On each patient, the other side of the mouth worked as control side with no MOPs. Patients in group 1 (MOP-5) received 3MOPs on the buccal surface of the alveolar bone each at 5 mm depth, whereas patients in group 2 (MOP-7) received 3MOPs on the buccal surface of the alveolar bone each at 7 mm depth. The amount of canine retraction was measured every 30 days at two intervals on both sides of the mouth. Pain perception was measured after 1 h, 24 h, 72 h, 7 days, and 28 days of procedure. MOP-related pain was measured using a visual analog scale. The level of statistical significance was P ≤ 0.05. Results: The result of the intra-examiner reliability using intraclass correlation coefficient more than 0.97 (P < 0.001), indicating excellent repeatability and reliability of the measurements. The baseline characteristics between groups were similar (P > 0.05). Both the groups demonstrated a significantly higher canine movement than the control group. No significant difference was seen between the MOP-5 and MOP-7 groups (P > 0.05) in terms of canine retraction. Mild-to-moderate pain was experienced only in the first 24 h of the procedure. Conclusion: Three MOPs with a depth of 5 mm can be performed as an effective method to increase the rate of tooth movement. However, increasing the depth of perforation beyond 5 mm does not additionally enhance tooth movement.https://journals.lww.com/10.4103/ccd.ccd_107_24micro-osteoperforationorthodontic tooth movementregional acceleratory phenomenonvisual analog scale
spellingShingle Abhay Kumar Jain
Shresthaa Singh
Parul Priya
Nishita Garg
Abhishek Kumar
Monalisa Goswami
Effect of Two Different Penetration Depths of Micro-osteoperforation on the Rate of Orthodontic Tooth Movement: A Prospective Clinical Study
Contemporary Clinical Dentistry
micro-osteoperforation
orthodontic tooth movement
regional acceleratory phenomenon
visual analog scale
title Effect of Two Different Penetration Depths of Micro-osteoperforation on the Rate of Orthodontic Tooth Movement: A Prospective Clinical Study
title_full Effect of Two Different Penetration Depths of Micro-osteoperforation on the Rate of Orthodontic Tooth Movement: A Prospective Clinical Study
title_fullStr Effect of Two Different Penetration Depths of Micro-osteoperforation on the Rate of Orthodontic Tooth Movement: A Prospective Clinical Study
title_full_unstemmed Effect of Two Different Penetration Depths of Micro-osteoperforation on the Rate of Orthodontic Tooth Movement: A Prospective Clinical Study
title_short Effect of Two Different Penetration Depths of Micro-osteoperforation on the Rate of Orthodontic Tooth Movement: A Prospective Clinical Study
title_sort effect of two different penetration depths of micro osteoperforation on the rate of orthodontic tooth movement a prospective clinical study
topic micro-osteoperforation
orthodontic tooth movement
regional acceleratory phenomenon
visual analog scale
url https://journals.lww.com/10.4103/ccd.ccd_107_24
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