Class II Division 1 Malocclusion Clinical Trial
Official title:
A Prospective Randomised Controlled Trial Investigating the Skeletal and Dental Effects of a Removable Brace That Works on the Upper and Lower Teeth at the Same Time Worn Part Time Versus Full Time
The aim of this study is to assess skeletal (bone) and dental (teeth) changes occurring following wear of a twin block functional appliance (removable brace which postures the lower jaw forward to improve a discrepancy between the upper and lower jaw) for differing time periods.
Functional appliances are ordinarily worn full time in adolescence between 11 and 14 years
with a discrepancy between their upper and lower jaws. The reason it is worn between these
ages is to avail of the pre pubertal growth spurt, evidence for full time wear is merely
empirical.If this appliance only had to be worn part time it would have a significant change
in orthodontics in terms of patient acceptance and compliance.The investigators plan on
recruiting 84 patients to the study and these subjects will be referred from hospital
colleagues. The investigators will randomly allocate the subjects into 2 groups, Group 1
will wear the appliance Full Time(24hours), group 2 will wear the appliance part
time(12hours).
The study will be conducted in the Dental Institute at the Royal London Hospital, this
hospital setting will be the sole site.
The study will last for 15 months from the time the last patient is recruited. Participants
will undergo an initial records appointment where a radiograph and clinical measurements
will be taken followed by 12 months of functional appliance treatment where the patient will
be reviewed at 6-8weekly intervals and clinical measurements taken.A final radiograph will
be taken at 15months.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Supportive Care
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