Growth Modification, Treatment
Conditions
Keywords
Class II Division 1 malocclusion, Mandibular advancement aligners, Twin Block appliance
Brief summary
The goal of this clinical trial is to learn the effects of Mandibular Advancement Aligner in growth modification of children with Class II Division 1 malocclusion. It will also learn about the psychosocial impact of the participants during the process. The main questions it aims to answer are: Is there a difference in the skeletal, dental and soft tissue effects of treatments using the mandibular advancement (MA) aligners? What is the patient's perception on the treatment outcome and is there any difference between the group treated with the mandibular advancement (MA) aligners and the control group? Is there any tooth movements can be assess during the treatments using the mandibular advancement (MA) aligners? Participants will: Participants will be randomly assigned to three groups: mandibular advancement (MA) aligners with vertical bite opening, mandibular advancement (MA) aligners without vertical bite opening, and twin-block appliances. The intervention groups will receive specific instructions on how to wear the appliance accordingly. The trial will span an estimated 6 months for each sample, during which monthly follow-up visits will be carried out to monitor the changes and compliance of the appliance. The primary outcome measures include the measurements in the lateral cephalometric, changes in the intraoral assessment, and questionnaires.
Interventions
DEVICEMandibular Advancement Aligner
Device use as growth modification in children with Class II Division 1 malocclusion. The twin-block appliance have been used for a long time, whereas in recent years the aligner technology have come out with new design of the Mandibular Advancement Aligner.
Sponsors
University of Malaya
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Intervention model description
Participants will be randomly assigned to three groups: mandibular advancement (MA) aligners with vertical bite opening, mandibular advancement (MA) aligners without vertical bite opening, and twin-block appliances (controlled group).
Eligibility
Sex/Gender
ALL
Age
11 Years to 16 Years
Healthy volunteers
No
Inclusion criteria
* Cervical Vertebrae Maturity: CS3-CS4 (Growing participants) * Chronological age: 10-14 years old (Female), 12-16 years old (Male) * Average or reduced lower anterior facial height (LAFH\<57%) * Mild to moderate skeletal Class II (4°\<ANB\<9°) * Retrognathic mandible (SNB\<78°) * Increased overjet (7mm≤OJ≤11mm) * Increased overbite by more than 30% * Molar relationship by more than ½ unit Class II bilaterally * Mild to moderate crowding
Exclusion criteria
* Participant with an anterior open bite * Participant with syndromic dentofacial anomalies * Participant with a previous history of orthodontic intervention * Participant with signs and symptoms of temporomandibular disorder * Participant with severe facial asymmetry (Deviation ≥4mm) * Not being consented to by both parents and participants * Poor quality of pre-treatment Lateral Cephalometric records * Participant with mental or physical disabilities affecting the ability to wear an appliance
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change from Baseline in the skeletal, dentoalveolar, and soft tissue after 6 months as assessed by Lateral Cephalometric values | From enrollment to the end of treatment at 6 months | Comparing the value of linear and angular measurements of Lateral Cephalometric at baseline and after 6 months. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Changes from baseline in the participants' perceptions of oral health-related quality of life in Class II Division 1 malocclusion treatment at 6 months as assessed by the score of CPQ11-14 questionnaire. | From enrollment to the end of treatment at 6 months | The score of CPQ11-14 is as follows: "never" = 1, "hardly ever" = 2, "sometimes" = 3, "fairly often" = 4, and "very often" = 5. |
Countries
Malaysia
Contacts
STUDY_CHAIRWey Mang Chek, Associate Prof
Faculty of Dentistry, Universiti Malaya
STUDY_DIRECTORNurul Aliaa Ahmad Fauzi, Dr
Faculty of Dentistry, Universiti Malaya
Outcome results
None listed