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

2026년 9월 30일 업데이트: 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.

연구 개요

상태

완전한

정황

개입 / 치료

상세 설명

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.

연구 유형

중재적

등록 (실제)

28

단계

  • 해당 없음

연락처 및 위치

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연구 장소

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

참여기준

연구원은 적격성 기준이라는 특정 설명에 맞는 사람을 찾습니다. 이러한 기준의 몇 가지 예는 개인의 일반적인 건강 상태 또는 이전 치료입니다.

자격 기준

공부할 수 있는 나이

  • 어린이
  • 성인
  • 고령자

건강한 자원 봉사자를 받아들입니다

예

연구 대상 성별

모두

설명

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.

공부 계획

이 섹션에서는 연구 설계 방법과 연구가 측정하는 내용을 포함하여 연구 계획에 대한 세부 정보를 제공합니다.

연구는 어떻게 설계됩니까?

디자인 세부사항

  • 주 목적: 치료
  • 할당: 무작위화되지 않음
  • 중재 모델: 병렬 할당
  • 마스킹: 없음(오픈 라벨)

무기와 개입

참가자 그룹 / 팔
개입 / 치료
실험적: 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.

활성 비교기: 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.

연구는 무엇을 측정합니까?

주요 결과 측정

결과 측정
측정값 설명
기간
Change in Mean Bilateral Masseter Muscle Activity at Rest
기간: 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
기간: 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
기간: 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
기간: 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
기간: 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
기간: 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).

2차 결과 측정

결과 측정
측정값 설명
기간
Change in Overbite
기간: 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
기간: 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
기간: 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
기간: 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
기간: 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
기간: 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
기간: 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
기간: 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
기간: 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
기간: 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
기간: 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

공동 작업자 및 조사자

여기에서 이 연구와 관련된 사람과 조직을 찾을 수 있습니다.

스폰서

수사관

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

간행물 및 유용한 링크

연구에 대한 정보 입력을 담당하는 사람이 자발적으로 이러한 간행물을 제공합니다. 이것은 연구와 관련된 모든 것에 관한 것일 수 있습니다.

연구 기록 날짜

이 날짜는 ClinicalTrials.gov에 대한 연구 기록 및 요약 결과 제출의 진행 상황을 추적합니다. 연구 기록 및 보고된 결과는 공개 웹사이트에 게시되기 전에 특정 품질 관리 기준을 충족하는지 확인하기 위해 국립 의학 도서관(NLM)에서 검토합니다.

연구 주요 날짜

연구 시작 (실제)

2025년 10월 20일

기본 완료 (실제)

2026년 8월 28일

연구 완료 (실제)

2026년 8월 28일

연구 등록 날짜

최초 제출

2026년 9월 25일

QC 기준을 충족하는 최초 제출

2026년 9월 30일

처음 게시됨 (실제)

2026년 10월 1일

연구 기록 업데이트

마지막 업데이트 게시됨 (실제)

2026년 10월 1일

QC 기준을 충족하는 마지막 업데이트 제출

2026년 9월 30일

마지막으로 확인됨

2026년 9월 1일

추가 정보

이 연구와 관련된 용어

기타 연구 ID 번호

  • 2025-755

개별 참가자 데이터(IPD) 계획

개별 참가자 데이터(IPD)를 공유할 계획입니까?

아니요

IPD 계획 설명

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

약물 및 장치 정보, 연구 문서

미국 FDA 규제 의약품 연구

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미국 FDA 규제 기기 제품 연구

아니

이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .