Clinical Performance of the I-arch System During the Initial Stage of Orthodontic Treatment

The goal of this clinical trial is to learn if the I-arch system works to align the moderately misaligned teeth in patients seeking orthodontic treatment. it aims to answer the following questions: * Does I-arch system increase the rate of teeth alignment? * Does I-arch system produce significant changes in arch width and incisors inclination? * Does I-arch system decrease the intensity of patient-reported pain and root resorption? Researchers will compare the effectiveness of the I-arch and MBT arch wire system.

This study will be a multicenter non-stratified prospective randomized clinical trial designed as a blinded, parallel group trial with equal randomization (1:1 allocation ratio). It will be conducted at multiple orthodontic centers. Initially, the eligibility of the patients to participate in this study will be evaluated by the investigator. Verbal information about the nature of study will be supplied for those who will satisfy the inclusion criteria to obtain their preliminary approval. Then the patient information sheet and consent form will be given to the patients to read carefully at home to decide whether they will participate in the study at the following visit. Patient assent/parental consent will be taken for participants below 18 years. If the patients have any queries regarding the study, the investigator should resolve it on the following visit. Orthodontic treatment will be conducted using a straight wire appliance. MBT prescription brackets with 0.018-inch slot (Microfit™, SIA Orthodontic Manufacturer, Italy) will be used. With the aid of a height gauge, standardized bracket placement will be achieved. The technique will begin with a 10-second prophylactic procedure to clean and polish the teeth surfaces with pumice and a rubber cup using a slow-speed handpiece. Then, teeth will be rinsed with water and dried with oil-free air spray for 30 seconds. For the purpose of standardization, bonding procedure will be as followed: * The enamel surface will be etched with 37% phosphoric acid gel for 30 seconds. * The acid etchant will be rinsed off with water spray thoroughly. * The tooth surface will be dried by air spray until the white frosty appearance of the etched surface is seen. * A thin layer of Light Bond™ Sealant (Reliance®, Itasca, USA) will be applied on the etched enamel surface for one minute, then air will be applied for 5 seconds. * Brackets and tubes will be bonded using Light Bond™ light cure orthodontic adhesive (Reliance®, Itasca, USA) which applied on their bases and light-cured above interproximal contacts at a distance of 2-3 mm (5 seconds mesially and 5 seconds distally for brackets and 10 seconds mesially and 10 seconds occlusally for molar tubes). Arch wire sequence for each group will be as follows: 1. I-arch system group (I-arch™ Orthodontic System, SIA Orthodontic Manufacturer, Italy. ( • 0.016×0.014-inch copper nickel titanium. 2. MBT arch wire system group (Thermal NiTi™, SIA Orthodontic Manufacturer, Italy) * 0.014-inch heat-activated nickel titanium. * 0.016-inch heat-activated nickel titanium. A standardized protocol will be followed during the treatment for all the participants. At the day of bonding, 0.016×0.014 copper nickel titanium arch wire will be placed for the I-arch group and religated every four weeks. While, for the MBT group, 0.014-inch heat-activated nickel titanium arch wire will be placed at the day of bonding, then after 8 weeks it will be replaced by the 0.016-inch heat-acti Покажи пълното описание...

Inclusion Criteria: 1. Moderate crowding of mandibular anterior teeth (3-6 mm) according to Little's irregularity index (LII) in patients with age of 12 years or older. 2. Full complement of permanent dentition should be present, except for the third molars. 3. Brackets should be placed on maxillary and mandibular anterior teeth without any interference by the existing overbite and overjet. 4. The maxillary and mandibular incisors should not be previously subjected to trauma or root resorption. Exclusion Criteria: 1. Patients with history of previous orthodontic treatment. 2. Severe maxillary and mandibular anterior crowding which is greater than 6 mm (LII). 3. Presence of teeth that are severely misaligned out of the dental arch and cannot be engaged with the aligning arch wire. 4. Prescence of periodontally compromised teeth and previous loss of attachment.