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A study on the efficacy of class II traction therapy assisted by arch expansion in the treatment of early permanent dentition cases with Class II division 1 malocclusion, characterized by narrow dental arch and mandibular retraction

A study on the efficacy of class II traction therapy assisted by arch expansion in the treatment of early permanent dentition cases with Class II division 1 malocclusion, characterized by narrow dental arch and mandibular retraction

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ChiCTR
Registry ID
ChiCTR2500113672
Enrollment
Unknown
Registered
2025-12-01
Start date
2025-12-01
Completion date
Unknown
Last updated
2025-12-08

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Class II malocclusion

Interventions

Group A:First, wear the Rapid Maxillary Expander (RME). The expander should be activated by a doctor or a guiding parent using a special key at a set rate (usually 1/4 turn per day) for about 2 to 3 w
Group B:Wear a standard Twinblock function orthodontic appliance. This orthodontic appliance consists of two independent bases for the upper and lower jaws and guiding inclined surfaces. Through the i

Sponsors

Shanghai General Hospital
Lead Sponsor

Eligibility

Sex/Gender
All
Age
10 Years to 13 Years

Inclusion criteria

Inclusion criteria: 1.The patient's age is 10 to 13 years old, with no gender restrictions. The cervical spine X-ray shows that before treatment, it was CV1 to CV3 (Figure 1), that is, before or during the peak period of growth and development. 2. It is classified as AngleII Class 1 malocclusion. Patients present with mandibular retraction, normal or slightly protruding maxilla, and narrowed maxillary dental arch. 3.ANB>=4 °; 4. Distal molar relationship, distal molar relationship, with the mandible receding by at least half a distance of the premolars, and anterior tooth coverage >=4mm; 5. Good oral condition (healthy periodontal tissues, no periapical infection or unfilled caries).

Exclusion criteria

Exclusion criteria: 1. Exclude those with a history of temporomandibular joint diseases, systemic diseases, systemic metabolic diseases, and medication history. Also, exclude those engaged in laser or radiation work. 2. Rule out conditions such as bone islands, bone tumors, apical cysts, root resorption, and root exposure in the area of tooth movement; 3. Exclude periodontitis patients with periodontal attachment loss and alveolar bone resorption greater than 10%; 4. Exclude those with a 2mm gum recession; 5. Exclude those with mental disorders or movement disorders; 6. Exclude those with abnormal bone metabolism (including those taking bone resorption drugs, hormone drugs, and immunosuppressants).

Design outcomes

Primary

MeasureTime frame
The changes in the ANB Angle measured at the head shadow before and after treatment;

Countries

China

Contacts

Public ContactLi Wang

Shanghai General Hospital

wlcomeon163@163.com+86 21 6324 0090

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Feb 4, 2026