Impact of Anterior Cross Bite Treatment on Children's Speech Performance

Официальное название

Impact of Anterior Dental Cross Bite Treatment on Children's Speech Performance and Their Quality of Life

Обзор

The goal of this prospective, single-arm clinical trial is to evaluate the speech performance of children with anterior dental crossbite before and after correction. Also, to assess the impact of early interceptive orthodontic treatment in the mixed dentition stage to correct the anterior dental crossbite on the quality of life of children. Fifty children of both sexes aged from 8 to 10 years were enrolled and evaluated using the study's inclusion \& exclusion criteria. before beginning interceptive orthodontic treatment, each child underwent full mouth treatment. then, using a removable anterior expansion screw along with posterior bite planes to treat the anterior crossbite. All children were subjected to the Protocol of speech evaluation before appliance insertion and after complete correction of anterior crossbite. Also, the Child Perceptions Questionnaire (CPQ 8-10) in the Brazilian version was used to gauge how the anterior crossbite affected the children's oral health-related quality of life.

Вмешательства

• Устройство removable anterior expansion screw
  For the upper and lower arches, precise and profound alginate impressions were obtained and plaster study models were created. The removable appliance was constructed using acrylic resin with bilateral occlusal coverage for posterior teeth. The removable appliance was inserted in the patient's mouth and the patient was recalled after 24 hours to check the appliance fit. Patient was recalled every four weeks until the dental cross-bite was corrected.
• Диагностический тест Speech and language evaluation
  speech evaluation was done by a Phoniatrician and all children were subjected to the Protocol of speech evaluation before expansion screw appliance insertion and after complete correction of anterior crossbite using an articulation test, intelligibility test, and spectrographic analysis. * Articulation test: Five speech sounds were chosen to be studied /s/, /s /, /z/, /z/, /∫ /. The consonants were tested in the initial, medial, and final word positions. * Speech intelligibility test : The gene
• Другое Oral Health Related Quality of Life (OHRQoL) Assessment
  The Child Perceptions Questionnaire (CPQ 8-10) in Brazilian version was used to gauge how the anterior cross bite affected the children's OHRQoL. It has twenty-five items total, broken down into four health domains (subscales): five questions each about oral symptoms (OS), five questions about functional limitations (FL), five questions about emotional wellbeing (EW), and ten questions about social well-being (SW). The responses never (0), once/twice (1), occasionally (2), often (3), and every d

Первичные конечные точки

• normal anterior occlusion, no anterior crossbite, normal measured Overjet and Overbite [Срок оценки: 3 months]

Вторичные конечные точки (2)

• child compliance, oral health-related quality of life questionnaire [Срок оценки: 3 months]
• Measured degree of speech improvement [Срок оценки: 3 months]

Критерии участия

Критерии включения

• healthy cooperative children aged 8-10 years
• have at least one or more maxillary permanent incisors in a crossbite relationship
• fully erupted four first permanent molars
• Angle Class I molar relationship and Class I skeletal relationship
• the mother language of all the subjects was Arabic.

Критерии исключения

• Children with systemic illness or previous history of speech therapy
• children who are ill-habituated or unable to follow up
• children with previous orthodontic treatment
• uncooperative children
• Anterior skeletal or functional crossbite
• presence of sucking habits

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Не применимо

Модель

Одна группа

Маскирование

Открытое

Основная цель

Лечение

Центры проведения

Египет · 1 центр

• Tanta University — Tanta

Публикации

• Littlewood SJ, Tait AG, Mandall NA, Lewis DH. The role of removable appliances in contemporary orthodontics. Br Dent J. 2001 Sep 22;191(6):304-6, 309-10. doi: 10.1038/sj.bdj.4801170. PMID 11587502
• Assaf DDC, Knorst JK, Busanello-Stella AR, Ferrazzo VA, Berwig LC, Ardenghi TM, Marquezan M. Association between malocclusion, tongue position and speech distortion in mixed-dentition schoolchildren: an epidemiological study. J Appl Oral Sci. 2021 Aug 16;29:e20201005. doi: 10.1590/1678-7757-2020-1005. eCollection 2021. PMID 34406316
• Jokovic A, Locker D, Stephens M, Kenny D, Tompson B, Guyatt G. Validity and reliability of a questionnaire for measuring child oral-health-related quality of life. J Dent Res. 2002 Jul;81(7):459-63. doi: 10.1177/154405910208100705. PMID 12161456

Идентификаторы

NCT: NCT06168695 · #R-PED-1-23-6

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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