Palatal Crib Versus Bonded Spurs in Early Treatment of Anterior Open Bite Caused by Non-nutritive Sucking Habits: RCT
Skeletal and Dentoalveolar Effects of Palatal Crib Versus Bonded Spurs in Early Treatment of Anterior Open Bite Caused by Non-nutritive Sucking Habits: A Randomised Clinical Trial.
1 other identifier
interventional
30
0 countries
N/A
Brief Summary
The study evaluates the effects of palatal crib versus bonded spurs in the early treatment of anterior open bite caused by non-nutritive sucking habits.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_3
Started Apr 2022
Shorter than P25 for phase_3
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
March 22, 2022
CompletedStudy Start
First participant enrolled
April 1, 2022
CompletedFirst Posted
Study publicly available on registry
April 6, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 1, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
May 1, 2023
CompletedApril 6, 2022
April 1, 2022
1 year
March 22, 2022
April 1, 2022
Conditions
Outcome Measures
Primary Outcomes (1)
Overbite distance correction in millimeter
Digital dental model will be scanned using medit software to detect the changes that occur in the vertical distance ( in millimeter ) between incisal edges of the most erupted maxillary and mandibular central incisors in relation to the occlusal plane.
12 months
Secondary Outcomes (2)
Changes in maxillary mandibular plane angle
12 months
Patient acceptance
1 month
Study Arms (2)
control group
ACTIVE COMPARATORthe group have open bite caused by non-nutritive sucking habits and treat them with palatal crib.
experimental group
EXPERIMENTALthe group have open bite caused by by non-nutritive sucking habit and treat them with bonded spur.
Interventions
An intraoral appliance approach can be used as an adjunct method to stop the habit. Appliances consisting of cribs in the anterior region are very efficient as reminders and physical restrainers. The palatal crib works as an obstacle in non-nutritive sucking and maintains the tongue in a more retruded position, halting its interposition between the incisors.
Spur appliances change tongue action, close the open bite, and boost treatment stability, as it induces a permanent modification of the tongue's anterior rest posture by altering orofacial function, resulting in a change in form. Finally, the spur adjusts the sensory input to the brain. This proprioceptive change leads to an altered motor response, resulting in a new normal tongue rest posture (change in function) that allows the incisors to erupt
Eligibility Criteria
You may qualify if:
- Children with nonnutritive sucking habits and/or tongue thrusting from 6 years to 11 years old.
- Angle Class I malocclusions.
- Anterior open bite equal to or greater than 1 mm.
- Maxillary and mandibular permanent central incisors fully erupted (children in the first transitional period were eligible for treatment when the maxillary lateral incisors were beginning to erupt, and the maxillary central incisors were still showing an open bite).
You may not qualify if:
- Children with loss of permanent teeth.
- Crowding, maxillary constriction, or posterior crossbites.
- Previous orthodontic treatment.
- Presence of craniofacial anomalies or syndromes.
- Tooth agenesis.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Reem Hatem Shamslead
Related Publications (1)
Leite JS, Matiussi LB, Salem AC, Provenzano MG, Ramos AL. Effects of palatal crib and bonded spurs in early treatment of anterior open bite: A prospective randomized clinical study. Angle Orthod. 2016 Sep;86(5):734-9. doi: 10.2319/031815-170.1. Epub 2015 Dec 31.
PMID: 26719946BACKGROUND
Related Links
Study Officials
- STUDY CHAIR
Ahmed H Elkhadem, Ass. professor
Cairo University
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- Master Student
Study Record Dates
First Submitted
March 22, 2022
First Posted
April 6, 2022
Study Start
April 1, 2022
Primary Completion
April 1, 2023
Study Completion
May 1, 2023
Last Updated
April 6, 2022
Record last verified: 2022-04
Data Sharing
- IPD Sharing
- Will not share