NCT03991221

Brief Summary

Dental occlusion is the reciprocal confrontation of the two dental arches. The child has two set of temporary and permanent teeth and passes through different stages of dentition during which dental, skeletal or functional abnormalities may appear. Dental malocclusion is defined as an incorrect position of the teeth in the bone base, as well as the incoordination of the teeth of the opposite arches or the displacement of the maxillary and mandibular skeletal bases. When a malocclusion is detected during clinical examination, patients are referred to an orthodontic specialist. The interception in orthodontics is carried out during a growing period; it consists of correcting or reducing malocclusions in evolution and eliminating the functional causes to prevent aggravation of skeletal and dental abnormalities. An epidemiological study conducted in France on 789 children showed that 37.4% had at least one type of dental malocclusion. In 2010, a study of 5988 French children showed that 14% of them had received orthodontic treatment. These studies reveal a discrepancy between treatment needs and treatments conducted. In addition, certain dental malocclusions and skeletal disorders, such as lateral and anterior crossbite, require early orthodontic treatment in order to avoid aggravation of the occlusion disorder and induction of craniofacial growth disorders. Unfortunately these discrepancies are not always detected by the caregivers (pediatrician, general dentist, pediatric dentist). A schematic representation of malocclusions in temporary and mixed dentition requiring orthodontic interception has been developed by the investigator's team to provide a simple visual means of identifying these dental and skeletal disorders in order to improve early screening by practitioners involved in the mandatory medical follow-up of children.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
659

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Oct 2020

Typical duration for not_applicable

Geographic Reach
1 country

11 active sites

Status
completed

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 24, 2019

Completed
26 days until next milestone

First Posted

Study publicly available on registry

June 19, 2019

Completed
1.3 years until next milestone

Study Start

First participant enrolled

October 21, 2020

Completed
2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 5, 2022

Completed
7 months until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2023

Completed
Last Updated

September 5, 2023

Status Verified

September 1, 2023

Enrollment Period

2 years

First QC Date

May 24, 2019

Last Update Submit

September 1, 2023

Conditions

Keywords

PreventionEarly treatmentSkeletal discrepancyMalocclusion

Outcome Measures

Primary Outcomes (1)

  • Detection the presence of at least one malocclusion in children, requiring an early orthodontic treatment, compared to orthodontic experts (gold-standard)

    Study of the performance of orthodontic non-specialists with the graphic chart to detect the presence of at least one malocclusion in children, requiring an early orthodontic treatment, compared to orthodontic experts (gold-standard)

    2 months

Secondary Outcomes (4)

  • Detection of each type of malocclusion requiring early orthodontic treatment by non-orthodontist practitioners versus orthodontic experts

    2 months

  • Prevalence of malocclusions identified by orthodontic experts

    2 months

  • Number of orthodontic consultations within 6 months among children screened for a malocclusion reacquiring early orthodontic treatment

    6 months

  • Number of orthodontic treatments started within 6 months among children screened for a malocclusion reacquiring early orthodontic treatment

    6 months

Study Arms (2)

Dental exam by orthodontic non-specialists

OTHER

Detection of the presence of at least one malocclusion by orthodontic non-specialists with the graphic chart

Other: Dental Exam

Dental exam by orthodontic experts

OTHER

Detection of the presence of at least one malocclusion by orthodontic experts

Other: Dental ExamOther: Orthodontics consultOther: Call back at 6 month

Interventions

Visual examination of the child oral cavity bi non-orthodontist experts and orthodontist expert

Dental exam by orthodontic expertsDental exam by orthodontic non-specialists

Consultation with an orthodontics specialist if a malocclusion requiring early intervention is detected

Dental exam by orthodontic experts

Telephone call back at six months of inclusion in the study if a malocclusion requiring early intervention is detected

Dental exam by orthodontic experts

Eligibility Criteria

Age5 Years - 10 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17)

You may qualify if:

  • child between 5 and 10 years old
  • seen in consultation with pediatrician, pediatric dentist, or general dentist,

You may not qualify if:

  • child not letting himself be examined,
  • children who have already received orthodontic treatment and / or are currently undergoing orthodontic treatment
  • Absence of free and informed consent
  • Non affiliation to a social security regime or CMU

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (11)

Hôpital de jour pédiatrique - Hôpital Louis Mourier

Colombes, 92700, France

Location

Odontologie Pédiatrique - Hôpital Louis Mourier

Colombes, 92700, France

Location

Servide d'odontologie - Hôpital Louis Mourier

Colombes, 92700, France

Location

Endocrinologie et diabète de l'enfant - Hôpital Bicêtre

Le Kremlin-Bicêtre, 94270, France

Location

Neurologie Pédiatrique - Hôpital Bicêtre

Le Kremlin-Bicêtre, 94270, France

Location

Cabinet d'odontologie pédiatrique

Montrouge, 92120, France

Location

Cabinet privé pédiatrique

Paris, 75009, France

Location

Cabinet privé pédodontie

Paris, 75014, France

Location

Odontologie Pédiatrique - Hôpital Bretonneau

Paris, 75018, France

Location

Service d'odontologie - Hôpital Bretonneau

Paris, 75018, France

Location

Cabinet privé d'odontologie

Paris, Paris, France

Location

MeSH Terms

Conditions

Malocclusion

Interventions

Diagnosis, Oral

Condition Hierarchy (Ancestors)

Tooth DiseasesStomatognathic Diseases

Intervention Hierarchy (Ancestors)

Dentistry

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NON RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Purpose
PREVENTION
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 24, 2019

First Posted

June 19, 2019

Study Start

October 21, 2020

Primary Completion

November 5, 2022

Study Completion

June 1, 2023

Last Updated

September 5, 2023

Record last verified: 2023-09

Locations