Efficacy, Myofunctional Therapy, Orthopedics
Conditions
Keywords
Efficacy, Myofunctional Therapy, Dentofacial Orthopedics
Brief summary
Randomized clinical trial , with a sample of 60 children with atypical swallowing, class II and with SN1 orthopedic appliances these patients were randomly divided into, group 1: 30 patients with SN1 orthopedic appliances and myofunctional therapy and group 2: 30 patients with SN1 orthopedic appliances and without myofunctional therapy.
Detailed description
Randomized clinical trial with two parallel arms, on a sample of 60 children with atypical swallowing, class II and with SN1 orthopedic appliances, these patients were randomly divided into, group 1: 30 patients with SN1 orthopedic appliances and myofunctional therapy and group 2: 30 patients with SN1 orthopedic appliances and without myofunctional therapy for the study. Both groups carried out the evaluation of the protocol that included: 1) evaluation of the dental occlusion class and skeletal classification 2) swallowing function test using the Payne technique; 3) Mioscaner analysis to measure perioral forces, i.e. tongue extension force, lip pressure, masseter contraction force.
Interventions
Group 1, with myofunctional therapy and SN1 functional orthopedic appliances The participant underwent a myofunctional therapy session every month, for 9 months. In this group, a series of procedures and techniques are carried out to create and mechanize muscular and orofacial patterns at rest and in function, eliminate habits, correct muscular imbalance, improve the aesthetics of the patient and normalize the functions of the stomatognathic system. The myofunctional therapy performed will be by an expert speech therapist
Sponsors
Study design
Masking description
The operator responsible for making measurements of tongue position, mandibular advancement, orofacial muscle contraction, chin muscle activity, will be blinded to the assignment. A previous training will be carried out with an instruction manual for the clinical evaluation process
Intervention model description
Randomized clinical trial with two parallel arms
Eligibility
Inclusion criteria
* the inclusion criteria the participants will be between * 8 and 10 years old * mixed dentition * canine class II diagnosis and 2 to 4 mm * molar according to Angle and overjet between 4 to 6 mm
Exclusion criteria
* Patients with systemic involvement * congenital malformations * facial deformities * Open bite * oral breathing * finger sucking habit will be excluded
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Therapy Efficacy / Tongue Position | 9 months | Lingual projection force |
| 41 / 5000 Resultados de traducción Efficacy of therapy / mandibular advancement | 9 months | It induces changes in the position of the mandibular bone towards a more advanced position |
| Muscle contraction | 9 months | Physiological process in which the muscles develop tension and are shortened or stretched by a stimulus |
| Contraction of the masseter muscles and muscle activity of the chin | 9 months | 101 / 5000 Resultados de traducción Physiological process in which the muscles develop tension and are shortened or stretched by a stimulus |