- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04337086
Effect of T4K Versus Twin Block in Developing Class II Division I Malocculsion
April 6, 2020 updated by: Nourhan M.Aly
The Effect of T4K Versus Twin Block in Developing Class II Division I Malocculsion (Randomized Controlled Clinical Trial)
The aim of this study was to evaluate and compare the effect of myofunctional trainer T4K versus twin block functional appliance on the dentoalveolar changes in children with class II division I malocclusion
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
This study was a parallel arm randomized comparative clinical trial including 20 healthy children age ranged from 9-12 years showing Angle's class II division I malocclusion due to mandibular retrusion.
Preoperative photographs, radiographs and study casts were taken, children were randomly assigned into two groups according to the appliance used; Group 1: T4k, and Group II: twin block.
Follow up was done every 4 weeks for 9 months.
Postoperative cephalometric X ray, study casts and photographs were retaken for measurements and comparison.
Study Type
Interventional
Enrollment (Actual)
20
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
-
Alexandria, Egypt, 21512
- Faculty of Dentistry, Alexandria University
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
9 years to 12 years (Child)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Angle's class II division I malocclusion due to mandibular retrusion depending on clinical judgement and confirmed with the lateral cephalometric X-ray.
- Parental written consent was secured.
Exclusion Criteria:
- Patients with mandibular shifts.
- Patients with severe crowding.
- Patients with anterior open bite.
- Patients with posterior crossbite.
- Patients with any peri-oral habits.
- Patients who had received any previous orthodontic or orthopaedic treatments.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: T4k
|
The pre-fabricated, hard, polyurethane, pink T4K™ (Myo functional research Co., Australia) was used in the study.
It consisted of: facial bows, lingual bows / tongue guard, lingual tag / tongue tag, dental channels with a pre-determined bite position and a lip bumper.
In the first week, the patients were instructed to gradually increase the wearing time of the appliance during the daytime.
By the second week, the patients were instructed to wear the appliance achieving at least 8 hours during sleeping.
The Trainer usually needs no adjustments.
The patients were asked to place it themselves inside their mouths.
The distal ends of the appliance were trimmed 2-3 mm with an acrylic bur on a straight hand piece if they were too long or the patient could not keep his lips together.
By the end of the first 4 weeks, the patients were wearing the appliances minimum of 1 hour during the day plus the overnight wear following the manufacturer's instructions.
|
Active Comparator: Twin block
|
The twin block was used, and instructions were given to wear the appliance nearly full-time.
Selective sequential inter-occlusal trimming was done monthly after the 2nd month in the occlusal surface of the maxillary bite blocks to clear over the mandibular molars allowing their eruption in a more favourable mesial direction and to increase the vertical dimension.
Trimming was done in the fitting surface over the maxillary and mandibular premolars whenever needed to allow their full eruption and to level the occlusal plane
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Dento-alveolar changes
Time Frame: baseline
|
This was assessed using lateral cephalometric xrays.
Inclination of of maxillary incisor was assessed by measuring the angle to Frankfurt horizontal plane
|
baseline
|
Dento-alveolar changes
Time Frame: 9 months
|
This was assessed using lateral cephalometric xrays.
Inclination of of maxillary incisor was assessed by measuring the angle to Frankfurt horizontal plane
|
9 months
|
Overjet
Time Frame: baseline
|
the extent of horizontal (anterior-posterior) overlap of the maxillary central incisors over the mandibular central incisors was measured on study casts.
|
baseline
|
Overjet
Time Frame: 9 months
|
the extent of horizontal (anterior-posterior) overlap of the maxillary central incisors over the mandibular central incisors was measured on study casts.
|
9 months
|
Overbite
Time Frame: baseline
|
the extent of vertical (superior-inferior) overlap of the maxillary central incisors over the mandibular central incisors, measured relative to the incisal ridges.
This was assessed on study casts
|
baseline
|
Overbite
Time Frame: 9 months
|
the extent of vertical (superior-inferior) overlap of the maxillary central incisors over the mandibular central incisors, measured relative to the incisal ridges.
This was assessed on study casts
|
9 months
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Collaborators
Investigators
- Study Chair: Laila M El Habashy, PhD, Faculty of Dentistry, Alexandria University, Egypt
- Principal Investigator: Yasmine El Hamouly, PhD, Faculty of Dentistry, Pharos University in Alexandria.
- Study Chair: Hanan A Ismaiel, PhD, Faculty of Dentistry, Alexandria University, Egypt
- Study Chair: Azza A ElHousseiny, PhD, Faculty of Dentistry, Alexandria University, Egypt
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
January 23, 2008
Primary Completion (Actual)
November 30, 2010
Study Completion (Actual)
December 18, 2010
Study Registration Dates
First Submitted
April 3, 2020
First Submitted That Met QC Criteria
April 3, 2020
First Posted (Actual)
April 7, 2020
Study Record Updates
Last Update Posted (Actual)
April 8, 2020
Last Update Submitted That Met QC Criteria
April 6, 2020
Last Verified
April 1, 2020
More Information
Terms related to this study
Other Study ID Numbers
- T4k versus Twin block
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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