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Does expansion of the upper jaw in cases of posterior crossbite affect the position of the temporomandibular joint and the occlusion of the teeth?

Efficacy of the removable expansion plate and the quad-helix in correcting unilateral posterior crossbite in the mixed dentition: a randomized controlled clinical trial

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ISRCTN
Registry ID
ISRCTN14042137
Enrollment
40
Registered
2024-10-04
Start date
2022-04-20
Completion date
Unknown
Last updated
2025-01-06

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

Conditions

Malocclusion, narrow upper jaw Oral Health

Interventions

Participants were randomly divided into two groups using a simple computer randomization method at a 1:1 allocation ratio. The patients in the first group were expanded using quad-helix, and the secon

Sponsors

Damascus University
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1. Patients with mixed occlusion, aged 7-10 years 2. The presence of a functional unilateral posterior crossbite (associated with lateral slippage) 3. Symmetrical maxillary arch narrowing or symmetrical skeletal narrowing (assessed clinically and then radiographically) 4. The maxillary first molars are erupted and in good condition, with full eruption of the upper and lower molars (at a minimum) 5. Dental and skeletal relationships of the first, light second, or light third category (meaning that the angle ANB falls between 1-5), protrusion between 0.5 to 4 mm, coverage between 0.5 to 4 mm 6. A normal or mild vertical growth model such that the Bjork sum is between 390-406, the Y axis is between 62-72 degrees, and the angle between SN and GoMe is 26-42 degrees 7. There are no general problems, the patient has good oral health, and has not undergone previous orthodontic treatments

Exclusion criteria

Exclusion criteria: 1. The presence of periodontal diseases, general diseases, syndromes (cleft lip and palate) or systemic diseases that affect growth 2. Patients who have undergone previous orthodontic treatment 3. If the structural relationship is of the second or third category, moderate or severe 4. Patients with anterior crossbites as well as posterior crossbites 5. Patients with anterior open bites as well as posterior crossbites 6. Patients whose functional posterior crossbites are characterized by anterolateral slippage 7. Patients whose chin deviation on closure is of common structural and functional origin 8. Patients in whom the path of mouth opening from the rest position to the maximum possible position is tortuous or disturbed

Design outcomes

Primary

MeasureTime frame
1. Maxillary intermolar distance is measured using a digital caliper at T0, T1, T2, and T3 2. Lower intermolar distance is measured using a digital caliper at T0, T1, T2, and T3 3. Maxillary intercanine distance is measured using a digital caliper at T0, T1, T2, and T3 4. Lower canine distance is measured using a digital caliper at T0, T1, T2, and T3 5. Medial joint space is measured using CBCT at T0 and T1 6. Distal joint space is measured using CBCT at T0 and T1 7. Anterior joint space is measured using CBCT at T0 and T1 8. Posterior joint space is measured using CBCT at T0 and T1 9. Superior joint space is measured using CBCT at T0 and T1 10. Angle of the condyle in the horizontal plane is measured using CBCT at T0 and T1 11. Angle of the condyle in the frontal plane is measured using CBCT at T0 and T1 12. Angle of the condyle in the sagittal plane is measured using CBCT at T0 and T1 (T0): before the expansion begins (T1): after the end of the active treatment phase. (T2): after the end of the stabilization phase, which lasts 3 months (T3): After completing the monitoring phase, which lasts 6 months, starting from the end of the stabilization phase.

Secondary

MeasureTime frame
1. Pain is measured using the visual analogue score (VAS) at baseline, 24 hours, 1 week, 2 weeks, and 1 month

Countries

Syria

Contacts

Public ContactMohammad Aynawi
Mohammad93.aynawi@damascusuniversity.edu.sy+963 (0)930 899 344

Outcome results

None listed

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