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- Registre américain des essais cliniques
- Essai clinique NCT07851948
Effects of Anterior Bite Turbos on Deep Bite Treatment and Chewing Muscles
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
Statut
Les conditions
Intervention / Traitement
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
Inscription (Réel)
Phase
- N'est pas applicable
Contacts et emplacements
Lieux d'étude
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Ankara, Turquie (Türkiye), 06560
- Ankara University, Faculty of Dentistry, Department of Orthodontics
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Critères de participation
Critère d'éligibilité
Âges éligibles pour étudier
- Enfant
- Adulte
- Adulte plus âgé
Accepte les volontaires sains
Sexes éligibles pour l'étude
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
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 |
|---|---|
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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).
|
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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.
|
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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.
|
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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.
|
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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.
|
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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.
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Change in Upper Incisor to NA Distance
Délai: Baseline and 6 months.
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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.
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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.
|
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Change in IMPA
Délai: Baseline and 6 months.
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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.
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Change in Interincisal Angle
Délai: Baseline and 6 months
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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
|
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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
|
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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
Parrainer
Les enquêteurs
- Chercheur principal: Ayşe T Altuğ Demiralp, DDS, PhD, Professor, Ankara University Faculty of Dentistry Department of Orthodontics
Publications et liens utiles
Publications générales
- Al-Zoubi EM, Al-Nimri KS. A comparative study between the effect of reverse curve of Spee archwires and anterior bite turbos in the treatment of deep overbite cases. Angle Orthod. 2022 Jan 1;92(1):36-44. doi: 10.2319/020921-117.1.
- Wasinwasukul P, Nalamliang N, Pairatchawan N, Thongudomporn U. Effects of anterior bite planes fabricated from acrylic resin and thermoplastic material on masticatory muscle responses and maximum bite force in children with a deep bite: A 6-month randomised controlled trial. J Oral Rehabil. 2022 Oct;49(10):980-992. doi: 10.1111/joor.13351. Epub 2022 Jul 3.
Dates d'enregistrement des études
Dates principales de l'étude
Début de l'étude (Réel)
Achèvement primaire (Réel)
Achèvement de l'étude (Réel)
Dates d'inscription aux études
Première soumission
Première soumission répondant aux critères de contrôle qualité
Première publication (Réel)
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Réel)
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière vérification
Plus d'information
Termes liés à cette étude
Mots clés
Termes MeSH pertinents supplémentaires
Autres numéros d'identification d'étude
- 2025-755
Plan pour les données individuelles des participants (IPD)
Prévoyez-vous de partager les données individuelles des participants (DPI) ?
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
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