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 volunteersQualifiers
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
Parallel
Treatments tested in this trial
Conventional Palatal Crib
DeviceA 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
DeviceBonded 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
Trial outcomes
Primary outcomes
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.
Secondary outcomes
Overbite and Overjet Changes
Assessment of vertical (overbite) and horizontal (overjet) relationship between upper and lower incisors using intraoral scans.
Locations
Sponsors and contacts
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