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Palatal implants versus headgear for orthodontic anchorage - a randomised controlled trial
ISRCTN ISRCTN24433142
ClinicalTrials.gov identifier
Public title Palatal implants versus headgear for orthodontic anchorage - a randomised controlled trial
Scientific title
Acronym N/A
Serial number at source N0059108300
Study hypothesis To evaluate the clinical effectiveness of the mid-sagittal implant as a method of preventing unwanted tooth movement (anchorage) during orthodontic treatment. The anchorage offered by implants will be compared with that from conventional orthodontic anchorage reinforcement techniques.
Ethics approval Added July 2008: Ethical approval for this study was obtained from North Derbyshire
Health and South Sheffield Local Research Ethics committees.
Study design Randomised controlled trial
Countries of recruitment United Kingdom
Disease/condition/study domain Oral Health: Orthodontics
Participants - inclusion criteria Added July 2008:
The patients in the study all needed absolute anchorage, and no forward movement of upper molars could be allowed for successful treatment.
Participants - exclusion criteria Added July 2008:
Poor oral hygiene, unwilling to wear fixed appliances, unwilling to wear headgear or have the implant placed, and medical history precluding fixed appliance treatment.
Anticipated start date 01/01/2002
Anticipated end date 01/06/2005
Status of trial Completed
Patient information material Not available in web format, please use the contact details below to request a patient information sheet.
Target number of participants 40 patients
Interventions The anchorage offered by implants will be compared with that from conventional orthodontic anchorage reinforcement techniques.
Primary outcome measure(s) Tooth movement. The difference in the mesial drift of the buccal teeth to be calculated:
a. Relative to the cranial base using the Pitchfork analysis (Luecke and Johnston, 1992; Johnston, 1996) on the start and finish lateral cephalometric radiograph
b. Relative to the palatal rugae, from the start and finish study models (Hoggan and Sadowsky, 2001)
Secondary outcome measure(s) 1. Implant stability, discomfort and any signs of inflammation of the peri-implant tissues will be recorded with percussion tests using a Resonance Frequency Analyser (Meredith, 1998) and standard periodontal indices
2. Patient acceptability, compliance and discomfort measured using a questionnaire
3. Treatment outcome measured with the Peer Assessment Rating (PAR) index on the pre- and post-treatment study models
Sources of funding Sheffield Teaching Hospitals (Central Campus) - UK
Trial website
Publications 1. 2007 results on main outcome in http://www.ncbi.nlm.nih.gov/pubmed/18005834
2. 2008 results on other outcomes in http://www.ncbi.nlm.nih.gov/pubmed/18174071

Contact name Dr  Philip  Benson
  Address University of Sheffield
Child Dental Health
Charles Clifford Dental Hospital
  City/town Sheffield
  Zip/Postcode S10 2SZ
  Country United Kingdom
  Tel +44 (0)114 271 7895 / 7885
  Fax +44 (0)114 271 1901
  Email p.benson@sheffield.ac.uk
Sponsor Record provided by the NHS Trusts Clinical Trials Register - Department of Health (UK)
  Address The Department of Health
Richmond House
79 Whitehall
  City/town London
  Zip/Postcode SW1A 2NL
  Country United Kingdom
  Tel +44 (0)20 7307 2622
  Fax +44 (0)20 7307 2623
  Email dhmail@doh.gsi.org.uk
  Sponsor website: http://www.doh.gov.uk
Date applied 12/09/2003
Last edited 02/07/2008
Date ISRCTN assigned 12/09/2003
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