ASSESSMENT CLINICAL FEATURES AND EVALUATION TREATMENT RESULTS OF ACCELERATED MAXILLARY CANINE MOVEMENT WITH PLATELET-RICH PLASMA (PRP) INJECTION AT CAN THO UNIVERSITY OF MEDICINE AND PHAMARCHY HOSPITAL IN 2019-2021

Thi Bich Ngan Truong1,, Nguyen Lam Le 1
1 Can Tho University of Medicine and Pharmacy

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Abstract

Background: Platelet-rich plasma submucosal injection is an effective therapy with less intervention that could accelerate the orthodontic tooth movement and decreases the time of orthodontic treatment. However, there was a limitation of the number of studies related to accelerated tooth movement by platelet-rich plasma in the world and in Vietnam, none of the research related to this topic has been published. Objectives: 1. Assessment of the clinical and radiographic features of patients with class I Angle malocclusion. 2. Evaluation of the treatment result of accelerated maxillary canine movement with PRP submucosal injection in canine retraction stage. Materials and methods: Randomized clinical trial split-mouth study with a double-blind design and controlled group on 31 orthodontic patients at Can Tho University of Medicine and Pharmacy University Hospital in 2019-2021. Patients has been indicated bilateral maxillary first premolar extraction. Every patient was recorded clinical feature, analysis lateral cephalometric film and evaluated the acceleration on dental models at every specific interval. Results: Extra-oral features: 96.8% of participants with straight and symmetrical faces, 64.5% of subjects with convex profile. In lateral cephalometric analysis ANB 4.6±2.12(o), SNB 79.0±3.36(o), SN–GoGn 32.8±6.38(o) (p<0.005), U1–NA 7.0±2.84mm (p<0.001), L1–NB 8.8±2.8mm, 32.9±7.01(o) (p<0.05). The speed of PRP-injected canine was faster than the controlled group 1.51 times. Conclusion: PRP can accelerate the speed of canine movement in orthodontic and can be applied for severe cases, for example, impacted tooth retraction, molar protraction or retraction and other cases.

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References

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