Conventional Palatal Crib Versus Bonded Spurs for Anterior Open Bite Treatment

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age7-12
SponsorMansoura University

About this trial

This randomized clinical trial aims to compare the effectiveness and patient acceptance of two orthodontic appliances-conventional palatal crib and bonded spurs-in the treatment of anterior open bite in children.Twenty children aged 7 to 12 years with anterior open bite and Class I skeletal and dental relationships will be randomly assigned to one of two groups The first group will receive a conventional palatal crib appliance fixed to the upper molars, while the second group will receive bonded spurs attached to the palatal surfaces of the upper incisors , All participants will be followed for 6 months. Clinical and digital measurements, including overbite ,The results of this study are expected to help determine which appliance provides better clinical outcomes and higher patient acceptance in the early treatment of anterior open bite.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Children aged 7 to 12 years

Skeletal Class I relationship

Angle Class I dental relationship

Dental anterior open bite ≥ 1 mm

Disqualifiers

Mouth breathing

Skeletal anterior open bite

Presence of posterior crossbite

Congenitally missing teeth

Trial design

Design model

Parallel

Treatments tested in this trial

  • Conventional Palatal Crib

    Device

    A fixed orthodontic appliance made of 0.9 mm stainless steel wire with 5-7 loops and an acrylic button covering the base.It is cemented to the maxillary first molars using Ultra band cement and positioned 3-4 mm posterior to the cingula of maxillary incisors to prevent tongue thrusting. Treatment duration is 6 months.

  • Bonded Spurs

    Device

    Bonded spurs are placed on the middle third of the palatal surfaces of the maxillary and mandibular incisors. They correct anterior open bite by preventing the tongue from contacting the upper and lower anterior teeth and reminding the patient to maintain proper tongue position. Treatment duration is 6 months.

Treatment groups

20 Participants
are divided into 2 treatment groups
Group A: Conventional Palatal Crib (CPC)Experimental treatment 1 intervention
Group B: Bonded Spurs (BS)Experimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Change in Anterior Open Bite (AOB)

Measurement of vertical overlap (in mm) between the upper and lower anterior teeth before and after treatment using intraoral scans.

Time frame
6 months

Secondary outcomes

1

Overbite and Overjet Changes

Assessment of vertical (overbite) and horizontal (overjet) relationship between upper and lower incisors using intraoral scans.

Time frame
6 months

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

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