NCT03450551

Brief Summary

To investigate each treatment modality in its "optimal" environment to avoid operator experience bias. Therefore we propose to operate out of three "specialist centres" with specific units providing one modality alone Which of the three orthodontic appliances does achieve best clinical progress, produce least discomfort to the patient, minimize the time taken for completion of treatment and maximize compliance.

Trial Health

35
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
183

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Apr 2018

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

May 4, 2017

Completed
10 months until next milestone

First Posted

Study publicly available on registry

March 1, 2018

Completed
1 month until next milestone

Study Start

First participant enrolled

April 1, 2018

Completed
1.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 1, 2019

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

August 1, 2019

Completed
Last Updated

March 1, 2018

Status Verified

February 1, 2018

Enrollment Period

1.3 years

First QC Date

May 4, 2017

Last Update Submit

February 28, 2018

Conditions

Outcome Measures

Primary Outcomes (2)

  • Number of participants who have experienced discomfort related to wearing the appliance

    This is to check which appliance produces more discomfort compared to the other appliances using the Likert scale. Each question on the scale asks to rate the pain as either (no pain, slight pain, moderate pain, severe pain) or (strongly disagree, disagree, agree, strongly agree). Patients will choose a response which matches their experience.

    18-24 months

  • establishing which appliance has the fastest completion time

    The three appliances will be compared in 'months' from the start of treatment till the completion of treatment to see which is the fastest to achieve the end result

    18-24 months

Study Arms (3)

Twin Block

EXPERIMENTAL

61 patients will receive the Twin Block appliance (one of the three appliances being studied)

Device: Twin Block, Herbst, Frog distalising appliance

Herbst

ACTIVE COMPARATOR

61 patients will receive the Herbst appliance (one of the three appliances being studied)

Device: Twin Block, Herbst, Frog distalising appliance

Frog distalising appliance

ACTIVE COMPARATOR

61 patients will receive the Frog distalising appliance (one of the three appliances being studied)

Device: Twin Block, Herbst, Frog distalising appliance

Interventions

To study which of the three orthodontic appliances does achieve the best clinical progress, produce least discomfort to the patient, minimize the time taken for completion of treatment and maximize compliance.

Frog distalising applianceHerbstTwin Block

Eligibility Criteria

Age10 Years - 16 Years
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17)

You may qualify if:

  • Patients aged 10-16 years of age in the late mixed/permanent dentition with Class II malocclusions (Both Cl II div 1 and Cl II div 2)
  • \> 1/2 unit Class II molar relationship bilaterally (at least 3.5mm)
  • Normal or deep overbite cases will be included
  • Skeletal Class II relationship (ANB \> 4°)
  • Overjet ≥ 5 mm in Cl II/1 cases
  • Non-extraction cases

You may not qualify if:

  • Children in the early mixed dentition
  • Class I and Class III malocclusions
  • Malocclusions with less than 1/2 unit II molar relationship
  • Reduced overbite / anterior openbite
  • Medically compromised patients, syndromic patients or patients with severe facial asymmetry
  • Special needs patients not able to comply with instructions / difficulty with compliance
  • Hypodontia or extracted permanent tooth (except third molars)
  • Poor oral hygiene with both Gingival bleeding Index and Plaque Index scoring no more than 1

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

Malocclusion, Angle Class II

Condition Hierarchy (Ancestors)

MalocclusionTooth DiseasesStomatognathic Diseases

Study Officials

  • Dirk Bister, Consultant

    Guy's and St Thomas NHS Trust

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Inas Nasr, Consultant

CONTACT

Dirk Bister, Consultant

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 4, 2017

First Posted

March 1, 2018

Study Start

April 1, 2018

Primary Completion

August 1, 2019

Study Completion

August 1, 2019

Last Updated

March 1, 2018

Record last verified: 2018-02

Data Sharing

IPD Sharing
Will share

No personal patient details will be shared. Only study data collected.