Cette page a été traduite automatiquement et l'exactitude de la traduction n'est pas garantie. Veuillez vous référer au version anglaise pour un texte source.

Effects of Anterior Bite Turbos on Deep Bite Treatment and Chewing Muscles

30 septembre 2026 mis à jour par: Hilal Algul, Ankara University

Evaluation of the Effects of Anterior Bite Turbo Application During Deep Bite Treatment on Dentoalveolar and Skeletal Structures and Masticatory Muscles

This study evaluated how anterior bite turbos used during orthodontic treatment of deep bite affect chewing muscle activity and dental and skeletal measurements. Participants were followed in two nonrandomized groups: one received anterior bite turbos as part of orthodontic treatment, and the other received orthodontic treatment without bite turbos. Surface electromyography (EMG) was used to measure muscle activity over time. Cephalometric measurements were also evaluated to assess treatment-related changes.

Aperçu de l'étude

Description détaillée

This prospective, nonrandomized, two-group study examined patients undergoing orthodontic treatment for deep bite. Anterior bite turbos were applied in one group; the comparison group underwent orthodontic treatment without anterior bite turbos during the study period.

Surface EMG recordings of the right and left masseter, anterior temporalis, and anterior digastric muscles were obtained at rest and during maximum voluntary clenching. Both groups were assessed before treatment, at approximately one month, and at approximately six months. The bite turbo group also underwent an EMG assessment immediately after bite turbo placement. Cephalometric measurements were evaluated at baseline and approximately six months.

Type d'étude

Interventionnel

Inscription (Réel)

28

Phase

  • N'est pas applicable

Contacts et emplacements

Cette section fournit les coordonnées de ceux qui mènent l'étude et des informations sur le lieu où cette étude est menée.

Lieux d'étude

      • Ankara, Turquie (Türkiye), 06560
        • Ankara University, Faculty of Dentistry, Department of Orthodontics

Critères de participation

Les chercheurs recherchent des personnes qui correspondent à une certaine description, appelée critères d'éligibilité. Certains exemples de ces critères sont l'état de santé général d'une personne ou des traitements antérieurs.

Critère d'éligibilité

Âges éligibles pour étudier

  • Enfant
  • Adulte
  • Adulte plus âgé

Accepte les volontaires sains

Oui

Sexes éligibles pour l'étude

Tout

La description

Inclusion Criteria:

  • Permanent dentition.
  • Angle Class I or Class II malocclusion.
  • Mild to moderate dental crowding (≤6 mm).
  • Non-extraction fixed orthodontic treatment planned.
  • No missing teeth, excluding third molars.
  • For the anterior bite turbo group: increased overbite (>4 mm).
  • For the control group: normal anterior overbite (2-3 mm).

Exclusion Criteria:

  • Bruxism or other oral parafunctional habits.
  • Temporomandibular joint disorder.
  • Craniofacial asymmetry, craniofacial syndrome, or cleft lip and/or palate.
  • Dental anomalies, including missing teeth other than third molars or abnormalities of tooth shape.
  • Previous orthodontic or myofunctional treatment.

Plan d'étude

Cette section fournit des détails sur le plan d'étude, y compris la façon dont l'étude est conçue et ce que l'étude mesure.

Comment l'étude est-elle conçue ?

Détails de conception

  • Objectif principal: Traitement
  • Répartition: Non randomisé
  • Modèle interventionnel: Affectation parallèle
  • Masquage: Aucun (étiquette ouverte)

Armes et Interventions

Groupe de participants / Bras
Intervention / Traitement
Expérimental: Anterior Bite Turbo Group

Participants received anterior bite turbos as part of fixed orthodontic treatment for deep bite. Surface EMG and orthodontic measurements were obtained during follow-up.

Composite resin bite turbos were bonded to the palatal surfaces of the maxillary central incisors during fixed orthodontic treatment. The bite turbos were used to disclude the posterior teeth during deep bite treatment.

Participants received fixed orthodontic treatment for deep bite.

Comparateur actif: No Bite Turbo Group

Participants received fixed orthodontic treatment without anterior bite turbos during the study period. Surface EMG and orthodontic measurements were obtained during follow-up.

Participants received fixed orthodontic treatment for deep bite.

Que mesure l'étude ?

Principaux critères de jugement

Mesure des résultats
Description de la mesure
Délai
Change in Mean Bilateral Masseter Muscle Activity at Rest
Délai: Baseline (before bite turbo placement), 1 month, and 6 months

Surface electromyographic activity of the right and left masseter muscles was recorded at rest. The mean of the two sides, measured in microvolts (µV), was evaluated at baseline, 1 month, and 6 months. Changes over time were compared between the anterior bite turbo and no bite turbo groups.

Baseline (before bite turbo placement), 1 month, and 6 months
Change in Mean Bilateral Anterior Digastric Muscle Activity During Maximum Voluntary Clenching
Délai: Baseline (T0), 1 month (T2), and 6 months (T3).

Surface EMG amplitude of the right and left anterior digastric muscles during maximum voluntary clenching was averaged for each participant and measured in microvolts (µV). Change over time was compared between groups.

Baseline (T0), 1 month (T2), and 6 months (T3).
Change in Mean Bilateral Anterior Digastric Muscle Activity at Rest
Délai: Baseline (T0), 1 month (T2), and 6 months (T3).

Surface EMG amplitude of the right and left anterior digastric muscles at rest was averaged for each participant and measured in microvolts (µV). Change over time was compared between groups.

Baseline (T0), 1 month (T2), and 6 months (T3).
Change in Mean Bilateral Anterior Temporalis Muscle Activity During Maximum Voluntary Clenching
Délai: Baseline (T0), 1 month (T2), and 6 months (T3).

Surface EMG amplitude of the right and left anterior temporalis muscles during maximum voluntary clenching was averaged for each participant and measured in microvolts (µV). Change over time was compared between groups.

Baseline (T0), 1 month (T2), and 6 months (T3).
Change in Mean Bilateral Anterior Temporalis Muscle Activity at Rest
Délai: Baseline (T0), 1 month (T2), and 6 months (T3).

Surface EMG amplitude of the right and left anterior temporalis muscles at rest was averaged for each participant and measured in microvolts (µV). Change over time was compared between groups.

Baseline (T0), 1 month (T2), and 6 months (T3).
Change in Mean Bilateral Masseter Muscle Activity During Maximum Voluntary Clenching
Délai: Baseline (T0), 1 month (T2), and 6 months (T3).

Surface EMG amplitude of the right and left masseter muscles during maximum voluntary clenching was averaged for each participant and measured in microvolts (µV). Change over time was compared between groups.

Baseline (T0), 1 month (T2), and 6 months (T3).

Mesures de résultats secondaires

Mesure des résultats
Description de la mesure
Délai
Change in Overbite
Délai: Baseline and 6 months.

Vertical overlap of the maxillary and mandibular central incisors was measured on lateral cephalograms in millimeters (mm). Change from baseline to 6 months was compared between groups.

Baseline and 6 months.
Change in Overjet
Délai: Baseline and 6 months.

Horizontal distance between the maxillary and mandibular central incisors was measured on lateral cephalograms in millimeters (mm). Change was compared between groups.

Baseline and 6 months.
Change in SN-GoGn Angle
Délai: Baseline and 6 months.

The angle between the Sella-Nasion and mandibular planes was measured on lateral cephalograms in degrees. Change was compared between groups.

Baseline and 6 months.
Change in Overbite
Délai: Baseline and 6 months.

The distance from anterior nasal spine to Menton was measured on lateral cephalograms in millimeters (mm). Change was compared between groups.

Baseline and 6 months.
Change in ANB Angle
Délai: Baseline and 6 months.

The A point-Nasion-B point angle was measured on lateral cephalograms in degrees. Change was compared between groups.

Baseline and 6 months.
Change in Upper Incisor to NA Distance
Délai: Baseline and 6 months.

The linear distance from the maxillary central incisor to the Nasion-A point line was measured in millimeters (mm). Change was compared between groups.

Baseline and 6 months.
Change in Upper Incisor to NA Angle
Délai: Baseline and 6 months.

The angle between the maxillary central incisor long axis and the Nasion-A point line was measured in degrees. Change was compared between groups.

Baseline and 6 months.
Change in IMPA
Délai: Baseline and 6 months.

The angle between the mandibular central incisor long axis and mandibular plane was measured in degrees. Change was compared between groups.

Baseline and 6 months.
Change in Interincisal Angle
Délai: Baseline and 6 months

The angle between the long axes of the maxillary and mandibular central incisors was measured in degrees. Change was compared between groups.

Baseline and 6 months
Change in Upper Lip to S Line Distance
Délai: Baseline and 6 months

The distance from the upper lip to Steiner's S line was measured in millimeters (mm). Change was compared between groups.

Baseline and 6 months
Change in Lower Lip to S Line Distance
Délai: Baseline and 6 months

The distance from the lower lip to Steiner's S line was measured in millimeters (mm). Change was compared between groups.

Baseline and 6 months

Collaborateurs et enquêteurs

C'est ici que vous trouverez les personnes et les organisations impliquées dans cette étude.

Parrainer

Les enquêteurs

  • Chercheur principal: Ayşe T Altuğ Demiralp, DDS, PhD, Professor, Ankara University Faculty of Dentistry Department of Orthodontics

Publications et liens utiles

La personne responsable de la saisie des informations sur l'étude fournit volontairement ces publications. Il peut s'agir de tout ce qui concerne l'étude.

Dates d'enregistrement des études

Ces dates suivent la progression des dossiers d'étude et des soumissions de résultats sommaires à ClinicalTrials.gov. Les dossiers d'étude et les résultats rapportés sont examinés par la Bibliothèque nationale de médecine (NLM) pour s'assurer qu'ils répondent à des normes de contrôle de qualité spécifiques avant d'être publiés sur le site Web public.

Dates principales de l'étude

Début de l'étude (Réel)

20 octobre 2025

Achèvement primaire (Réel)

28 août 2026

Achèvement de l'étude (Réel)

28 août 2026

Dates d'inscription aux études

Première soumission

25 septembre 2026

Première soumission répondant aux critères de contrôle qualité

30 septembre 2026

Première publication (Réel)

1 octobre 2026

Mises à jour des dossiers d'étude

Dernière mise à jour publiée (Réel)

1 octobre 2026

Dernière mise à jour soumise répondant aux critères de contrôle qualité

30 septembre 2026

Dernière vérification

1 septembre 2026

Plus d'information

Termes liés à cette étude

Plan pour les données individuelles des participants (IPD)

Prévoyez-vous de partager les données individuelles des participants (DPI) ?

NON

Description du régime IPD

There is currently no plan to share individual participant data with other researchers.

Informations sur les médicaments et les dispositifs, documents d'étude

Étudie un produit pharmaceutique réglementé par la FDA américaine

Non

Étudie un produit d'appareil réglementé par la FDA américaine

Non

Ces informations ont été extraites directement du site Web clinicaltrials.gov sans aucune modification. Si vous avez des demandes de modification, de suppression ou de mise à jour des détails de votre étude, veuillez contacter register@clinicaltrials.gov. Dès qu'un changement est mis en œuvre sur clinicaltrials.gov, il sera également mis à jour automatiquement sur notre site Web .

S'abonner