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Comparison of fixed versus removable bite blocks for correction of prominent upper front teeth in children

Fixed versus conventional removable Twinblock for overjet reduction in children – A randomised clinical trial to investigate the burden of care

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ISRCTN
Registry ID
ISRCTN14352531
Enrollment
88
Registered
2021-01-13
Start date
2021-02-01
Completion date
Unknown
Last updated
2026-06-22

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

Conditions

Functional treatment of Class II division 1 malocclusions Oral Health Class II division 1 malocclusion

Interventions

The study will have 2 parallel arms. One group will be treated with the removable twinblock appliance and the other group will be treated with fixed twinblock appliance. Following completion of the Tw

Sponsors

University of Dundee
Lead Sponsor

Eligibility

Sex/Gender
All
Age
9 Years to 14 Years

Inclusion criteria

Inclusion criteria: 1. Class II division 1 malocclusion 2. No history of active orthodontic treatment 3. Overjet > 6mm (IOTN 4a/5a) 4. Age 9 - 14 years 5. Child & parent/carer who are able to assent and consent, respectively

Exclusion criteria

Exclusion criteria: 1. Overjet 1 missing tooth per quadrant) 4. Subjects taking growth hormone or endocrine disorders 5. Suspected or identifiable syndromes 6. Subjects with cleft lip and palate 7. Anterior open bite

Design outcomes

Primary

MeasureTime frame
Overjet correction measured by clinical measurement in millimetres at baseline, 3 months, 6 months, 9 months, end of twinblock treatment and end of fixed orthodontic treatment

Secondary

MeasureTime frame
1. Skeletal contributions to overjet correction by radiographic measurement (lateral cephalogram) at baseline, end of twinblock treatment and towards end of fixed orthodontic treatment 2. Dental contributions to overjet correction by 3D model measurements at baseline, end of twinblock treatment and end of fixed orthodontic treatment 3. Soft tissue contributions to overjet correction by 3D stereophotogrammetric measurements at baseline, end of twinblock treatment and end of fixed orthodontic treatment 4. Patients’ perception and experience by using three questionnaires to assess the perception of fixed orthodontic therapy before, during and after treatment

Countries

Scotland, United Kingdom

Contacts

Public ContactGautham Sivamurthy
g.z.sivamurthy@dundee.ac.uk+44 (0)1382 381607

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Jun 27, 2026